September 04, 2010  * Order Forms * Full Service Order Form (Purchase)  
  Residential Purchase Title & Related Services 

Originator/Agent (* Required)
Company: Address:
Contact: City
Email: State Zip: 
Phone Fax:

Order Date:
Commitment delivery on or before:
Estimated Closing Date:
Note: If you are a supported attorney agent and this order is for a title search requiring your review and examination prior to preparation of the commitment, please select your preferred method of delivery
Previous Title Evidence:   If yes, fax with order.
*Type of Transaction:
Endorsements 1:    2:    3:    4: 
Type of Property:
Containing:   If multi-family, please specify number of units:
Tax I.D. (P.I.N) 1: County 1:
Tax I.D. (P.I.N) 2: County 2:
Tax I.D. (P.I.N) 3: County 3:

Property Address
Address:
City:
State:    Zip:
Purchase Price:

Survey
CST to Order Survey:     If Yes Type:  
If "Type" is Other, please specify:  

Document Procurement Services
    - Non Metered takes 1-3 days and Metered takes Appx. 10-15 business days
$40 Fee + $50 City Fee
    Account Number:
    Account Billing Cycle:
    - Single family 1-3 days/2-5 units 6 business days
$40 Fee + $90 City Fee
    - 1-3 days
$50 Fee + $10 per year City Fee
Only Need For Buildings With 4 or More Units
Additional Requests: (Additional Fees May Apply)
For additional document procurement requests, please submit separate document procurement order form.
Please Note: Document Procurement Services will not be performed until We have received confirmation (such as a loan approval letter or direction from you) that this will be a completed transaction.

Seller(s)
Name(s): Address:
Company: City
Email: State   Zip: 
Phone Fax:
*please note email required for online access

Buyer(s)
Name(s): Address:
Company: City
Email: State   Zip: 
Phone Fax:
*please note email required for online access

Seller's Attorney  
Company: Address:
Contact: City
Email: State Zip: 
Phone Fax:
*please note email required for online access

Buyer's Attorney  
Company: Address:
Contact: City
Email: State Zip: 
Phone Fax:
*please note email required for online access

Mortgage Broker 
Company: Address:
Contact: City
Email: State   Zip: 
Phone Fax:
*please note email required for online access

Lender 
Company: Address:
Contact: City
Email: State   Zip: 
Phone Fax:
*please note email required for online access

Seller's Real Estate Agent 
Company: Address:
Agent: City
Email: State   Zip: 
Phone Fax:
*please note email required for online access

Buyer's Real Estate Agent 
Company: Address:
Agent: City
Email: State   Zip: 
Phone Fax:
*please note email required for online access

Additional Copies To
Company: Address:
Contact: City
Email: State Zip: 
Phone Fax:
*please note email required for online access

  (Order Originator to guarantee payment for survey and document orders - we have no wash agreement)

PLEASE NOTE: WE DO NOT HAVE A WASH AGREEMENT FOR SURVEYS OR OTHER DOCUMENTS.
ONCE THEY ARE ORDERED, YOU ARE RESPONSIBLE FOR PAYMENT!
Copyright (c) 2003 - 2008
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