The Title Company
Online Submission Form

Date:

Lender:

Closing Date:

Time:

Borrowers Name, Address,
& Phone Number

Properties Legal Description

Borrower's SSN

Co-Borrower's SSN

Loan Type:

Loan Amount:

Items Needed For Closing

Termite Inspection

Yes

Please Fax a Copy of the Termite Bond and Show the Date
that Termite Inspection/Bond was performed to "The Title Company"

Title Insurance Requested?

Yes

No

Please Fax a Copy of the Latest Title Insurance Available to
"The Title Company"

Abstract Requested?

Yes

No

Please Mail the Most Recent and Up to Date Abstract via
a certified parcel carrier (UPS, Fed Ex, etc) Available to
"The Title Company"

Payoffs (Please  list the name and address of the loaning party and the amount owed

Realtors

Borrower's Realtor (Please provide name, address and phone # of Realtor)

Seller's Realtor (Please provide name, address and phone # of Realtor)

Dollar Amount of Commission Charged:
 

Additional Comments:

Press Button to Submit

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