Order Form
Please fill the form out as completely as possible.
*
= Required fields
Please provide the following contact information:
*
Name
Company
*
Address
*
FAX
*
Phone
Email
Type of transaction and endorsements:
Purchase (BS)
Construction (Con)
Long Term (LTAC)
Refinance (Ref)
Development (Dev)
Commercial (Com)
Lot (Lot)
2nd Mortgage (Sec)
Home Equity (Hel)
Guaranty (Misc)
Limited Liability (Help)
Cash (Misc)
1031 X-change (Misc)
Report Only (Misc)
Standard (100, 116, 8.1)
None
100
116
8.1
Variable
Other
Revolving
Proposed insurance amounts:
Loan Amount?
Sales Price?
Prior Order #?
Seller(s)/Owner(s)
Last Name
First Name
Middle
Phone#
SS#
Buyer(s)/Borrower(s)
Last Name
First Name
Middle
Phone#
SS#
Property info:
Address
:
Tax Serial No:
Legal description:
Will you close in our offices?
Yes - Provo
Yes - Spanish Fork
No
Lender
Realtors
More info:
More info:
Escrow Info
Pay-off Loan#
Loan seviced by
Address/Phone
Lender:
Officer:
Processor:
Phone:
Fax:
Close Window
Realtors:
Listing:
Company:
Phone:
Fax:
%Commission:
Selling:
Company:
Phone:
Fax:
%Commission:
Close Window
Would you like to request a mini-escrow?
(Please be aware that there is a $75.00 mini-escrow fee for this service if we are not closing this loan in one of our offices.)
Yes
No
Additional comments or instructions:
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Pro-Title and Escrow Inc.
All rights reserved.