Title West - Order Title Work

(Areas marked with an * are required fields)

What county is your property located in?
County:
Services Requested
	PR (listing only)
	Foreclosure/Litigation Report
	Commitment for Title Insurance
	Other
Transaction Information Please Note: Transaction Information only applies to the *Foreclosure/Litigation Report* and the *Commitment for Title Insurance.*
Tranaction Type:	Residential Resale Cash Commercial 1031 Exchange
Sales Price:
Loan Amount:
Endorsements:
Property Information
Street:
City:
State:
Zip:
Parcel Number:
Legal Description:
First Mortgage Holder
First Name:
Last Name:
Phone Number:
Loan Number:
Second Mortgage Holder
First Name:
Last Name:
Phone Number:
Loan Number:
If a condominium, homeowner's association or management contact:
Seller
Name(s):
Address:
City:
State:
Zip:
Phone:
Office:
Email:
Buyer
Name(s):
Address:
City:
State:
Zip:
Phone:
Office:
Email:
Request By
* Name(s):
Company:
* Address:
City:
State:
Zip:
* Phone:
Fax:
Office:
Email:
Buying Agent
Name(s):
Company:
Address:
City:
State:
Zip:
Phone:
Fax:
Office:
Email:
Lender Information
Company Name:
Officer's Name:
Address:
City:
State:
Zip:
Phone:
Who is your Escrow Officer?
Choose one:
Special Instructions
Please include any special instructions you may have in this field: