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Open a Title
Please enter your South Land or American Title Company Escrow Officer of choice:
  
Please open the above at the request of:  

** (Required Field)   Name:
Company:
Street Address:
Street Address:
City:
State:
Zip:
Phone Number:
Fax Number:
** (Required Field)   E-Mail Address:

Property Address:
City:
County:                     
Present Owner(s):
Buyer/Borrower:

 
Owner's
Mortgagee's (Loan)
Binder's (Construction)
Other (Specify) 		 
Property Information: 		 

Sales Price:
New Loan Amount:


Single Family
Multiple Family
Commercial


 
Selling Agent/Company:
 
Selling Agent/Company:
Address:
Phone Number:
Commission %: 		 
Listing Agent/Company: 		 

Listing Agent/Company:
Address:
Phone Number:
Commission %:

 
Borrower/Buyer Information: 		 

Borrower's Name:
Social Security No.:
Marital Status:
Spouse's Name:
Spouse's Social Security No.:
Home Number:
Work Number:

 
Lender Information: 		 

Lender's Name:
Address:
Processor:
Loan Officer:
Phone Number:
Fax Number:
New Loan Amount:
Estimated Closing Date:

 
Insurance Information: 		 
Company:
Agent:
Phone Number:
Policy Number:
Homeowners Association: 		 

Name:
Contact:
Phone Number:

 
Seller Information: 		 
Seller's Name:
Social Security No.:
Marital Status:
Spouse's Name:
Spouse's Social Security No.:
Home Number:
Work Number:
Loan Payoff Information: 		 

Existing 1st Lien:
Lender:
Address:
Loan Number:
Existing 2nd Lien:
Lender:
Address:
Loan Number:
Will an existing survey be used? Yes
No

 

Submit to:


 
Turn around time is 24-48 hours.
Please indicate above if title commitment is needed sooner.

IMPORTANT: If you do not receive a copy of this form upon submit, please contact us to verify that we received your request.