Title/Closing Information Order Form

* Represents Mandatory Fields.

 

*Your Name:

*Your Phone #:

Seller: Buyer:

Seller(s):

Forwarding Address of Seller(s):

Seller(s) Phone #:

Home	Work	Cell

Seller's Real Estate Broker/ Agent:

R.e. Agent's Contact Phone #:

Office	Cell	Fax

Commission: %

Buyer (s):

Buyer Address:

Buyer Phone #:

Home	Work	Cell

Buyer's Real Estate Broker/Agent:

Buyer Real Estate Agent's Phone #:

Office	Cell	Fax

Commission: %

PROPERTY ADDRESS:

PROPERTY LEGAL DESC.:

Anticipated Closing Date:

Mail Away (Seller)

Mail Away (Buyer)

 

Name of Lender/Bank of Buyer:

Phone:

Fax:

First Mortgage Payoff for Seller? Yes No

If "Yes", to whom:

Customer Service Phone #:

Loan # of Payoff:

Second Mortgage Payoff for Seller? Yes No

If "Yes", to whom:

Customer Service Phone #:

Loan # of Payoff:

Seller Social Security # (s): 1
Seller Social Security # (s): 2 (His and Hers, if applicable)

Name of Survey Co.:
Has Survey been ordered? Yes No

Name of Pest Inspector:
Has Pest Inspec. been ordered? Yes No

Is there a Homeowners Association? Yes No
If "Yes", Name:
Contact Phone #:
Monthly Amount: $