Title Alliance : Order Online

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Title Alliance makes it easy for you to order Title and Closing Services. Please fill out the form below regarding any transaction for which you'd want to order title. An order confirmation will be sent to the person whose information is entered below.

Ordered By:
Company Name:
Phone:
Fax #:
Email:
Estimated/Desired Closing Date:
Closing Time:
Location of Closing:
If all parties are not attending closing please indicate who is not attending.
Buyer/Seller Information
Buyer/Borrower Name:
Co-Buyer/Co-Borrower Name:
Marital Status:
Buyer Primary Phone #:
Buyer Secondary Phone #:
Seller Name:
Co-Seller Name:
Marital Status:
Seller Primary Phone #:
Seller Secondary Phone #:
Property Information
Property Address:
City:
County/Parish
State:
Zip:
County:
New Construction?:	Yes No
Tax Identification/Parcel ID#:
Lender Information
Lender Name:
Mortgagee Clause:
Lender Contact:
Phone:
Contact Email:
Loan Amount:
Sale Price:
Realtor Information
Selling Real Estate Agent:
Company Name:
Commission Split %:
Phone:
Contact Email:
Listing Real Estate Agent:
Company Name:
Commission Split %:
Phone:
Contact Email:
Earnest Money Amount:
Earnest Money Held By:
Please fax executed Final Agreement of Sale to 888-531-1180
Notes or Special Instructions:
Please provide the following miscellaneous information where applicable or proceed to "Submit" at bottom of form.
Payoff Information
Current First Mortgage Lender:
Loan / Account #:
Lender Phone #:
Current Equity / Second Mortgage Lender:
Loan / Account #:
Lender Phone #:
Homeowners Association (if applicable) Dues:	Annual Bi-Annual Quarterly Monthly
Management Company:
Management Company Phone #:
Additional Inspections (if applicable):
Pest/Termite:	Yes No
Company Name:
Phone #:
Other (Please list and include phone #s):
Home Owner's Insurance:
Insurance Agent's Name:
Contact Phone #:
Mortgage Broker (if applicable):
Company Name:
Loan Officer/Contact Name:
Phone #:
Notes or Special Instructions:

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