Title Insurance, Escrow Services, Title Services, Real Estate Closing, Buying, Selling, Commercial, Residential, South Florida, Florida, Miami, Broward, Fort Lauderdale

To place an order for title or escrow services, please provide us with the following information. A Closing Team Leader will call you to confirm our receipt of the Title Order and to discuss the transaction.

Transaction Type:

Purchase Refinance Equity Line

Contact Information
Your Name:
Company Name:	(Optional)
E-Mail:
Phone:
Fax:

Buyer/Borrower Information
Name: (Borrower)	SSN:	(Optional)
Name: (Co-Borrower)	SSN:	(Optional)
Address:
City:
State:
Zip:
Work Phone:
Home Phone:
Mobile:

Occupancy Status:	(Not applicable on refinance loans)
Loan Purpose:
Sales Price:
Loan Amount:

Seller Information (Leave blank if this is a Refinance Transaction)
Name(s):
Street Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Mobile:

Property Information:
Street Number:
Street Name:
City:
State:
Zip:
Folio#:

Legal Description
Lot & Block		Plat Book & Page:

Full Legal

Estimated Close Date:

mm/dd/yyyy

Special Instructions:

Home Type:

Miscellaneous Information
Property Management:
Contact:
Phone:
Fax:
Escrow Agent:
Amount Held in Escrow:
Contact:
Phone:
Fax:
Buyer's Attorney:
Phone:
Sellers Attorney:
Phone:
Mail Away To:	Seller Buyer

Selling Agent
Selling Agent:
Office Phone:
Cell Phone:
Fax:
Commission:
Transaction Fee:

Mortgage Broker
Mortgage Broker:
Contact:
Lender:
Phone:
Fax:

Listing Agent
Listing Agent:
Contact:
Office Phone:
Cell Phone:
Fax:
Commission:
Transaction Fee:

Main Page II Company Profile II Buyers & Sellers Closing Kit II Practice Series
Affiliated Business Arrangements II Realtors II Helpful Links II Place E-Order II E-Forms II Contact Us

Marketable Title & Escrow Services, Inc.
701 W. Cypress Creek Road, 3rd Floor - Ft Lauderdale, Fl. 33309
Toll Free: 888.209.7200
Phone: 954.467.7840
Fax: 954.467.7030
E-Mail: Info@closingbiz.com