Type
of Transaction *:
Check all that apply. |
Type
of property *:
Check all that apply. |
| Purchase |
Residential |
| Cash |
Commercial |
| Third-party
financing |
Unimproved |
| Seller
financing |
Agricultural |
| Assumption |
Homestead |
| Refinance |
Investment |
| Home
equity |
| Interim
Construction |
| |
| Service(s)
requested - check all that apply: |
| Closing |
| Title
insurance |
| Title
certificate (limited title search) |
Seller Information
|
Seller *:
|
| Phone: |
Home *:
|
Work:
|
Cell:
|
|
|
Purchaser/Borrower Information
|
Purchaser/Borrower *:
|
| Phone: |
Home *:
|
Work:
|
Cell:
|
|
Property
|
| Property: |
Municipal address *:
|
Legal description *:
|
| (If property is unplatted, we must be provided
with a metes and bounds description) |
Sales price:
|
Loan amount:
|
Lender *:
|
Lender contact:
|
Lender phone *:
|
Fax:
|
Person placing order:
|
Anticipated closing date:
|
