Request for Title Commitment

Please complete all fields before submitting. Incomplete information could delay your requst.

Type of Request

New Request Updated Request

Applicant Information

Applicant Name*

Applicant Email Address*

Applicant Phone No.*

Applicant SSN*

Applicant 2 Name

Applicant 2 Phone No.

Applicant 2 SSN

Applicant Address (If different from property address below)

Property and Morgage Information

Occupancy Status

Primary Residence Investment Property

Loan Purpose

Purchase Refinance

If the loan is for a purchase, you must provide a copy of the sales contract. You may fax it to us at 678-391-4915 OR attach a scanned copy here:

Sales Price

Loan Amount*

Property Address*

Listing Agent Name

Listing Agent Phone

Selling Agent Name

Selling Agent Phone

Name of Seller

Address of seller

Mortgagee Clause/Mortgage Company

Payoff Information

Payoff Information

You will send us We need to request

If we need to request payoff information, please provide the following:

Mortgage Company to Request Payoff

Phone No. of Mortgage Company

Fax No. of Mortgage Company

Loan Number

SSN of Owner

Other Information and Instructions

Estimated Closing Date

Please provide us with the following:

Title Commitment
Taxes
Wiring Instructions
Attorney Closing Fees
Closing Protection Letter

Other Instructions