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Order Title Services
*
- required fields
Date:
(MM/DD/YY)
Closing Date:
(MM/DD/YY)
*
Sale price and/or property valuation:
Ordered By:
*
Name:
Company:
*
Phone:
Personal Fax
Fax:
E-mail:
*
Type of Selection:
Select One
Refinancing
Purchase
Foreclosure
Other (please specify below)
Specify, if other:
*
Service Requested:
Select One
Preliminary Continuation of Abstract
Final Continuation of Abstract
Other Continuation
Stub Abstract
Root of Title/New Abstract
Title Report/Report of Liens
Form 900
Form 901
Other/Custom Order
Day of Closing/Gap Search
Post Closing Search
Personal Lien Search/Name Search
RESPA Quote
Specify, if other or custom:
*
Delivery Method:
Select One
Fax
Mail
Email
Pick-up at CTC
Other
Specify, if fax, email, or other:
Delivery Address:
*
Company:
*
Contact:
*
Address:
*
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
City:
*
Zip:
Phone:
Fax:
Is the Billing information the same as the delivery address?
Yes
No
Billing Address:
*
Company:
*
Contact:
*
Address:
*
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
City:
*
Zip:
Phone:
Fax:
Titleholder 1:
*
First Name:
Middle Initial:
*
Last Name:
Titleholder 2:
Titleholder 2:
First Name:
Middle Initial:
Last Name:
Legal Description:
Property Address:
Other Instructions: