Legacy Title - Title Order Form

• Date Ordered
• Estimated Closing Date

• Bank/Broker Information

• Bank/Broker Information
• Loan Officer
• Bank Phone
• Bank Fax
• Bank Email
• Preferred Contact Person

• New Lender Information

• Lender/Mortgagee Clause
• Mortgage Type Purchase Refinance First Mortgage Second/Equity Mortgage Combo First and Second Mortgage
• Loan Amount
• Sales Price

• Property Information

• Street Address
• City
• State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
• County
• Zip Code

• Borrower Information

• Borrower Name
• Borrower SSN
• Co-borrower Name
• Co-borrower SSN
• Borrower Marital Status
  Married
  Not Married
• Names of non-borrowing spouses

• Seller Information

• Seller's Name
• Seller's SSN
• Seller's Name (2)
• Seller's SSN (2)
• Seller's Marital Status
  Married
  Not Married
• Please list names of spouses
• Seller's Phone

• If this is a Purchase/Sale, please fax or email a copy of the Sales Contract or Contract for Deed.

• Agent Information

• Listing Agent

• Listing Agent
• Company
• Phone
• Email

• Selling Agent

• Selling Agent
• Company
• Phone
• Email

• Existing Mortgage(s)

• Lender(s)
• Phone Number(s)
• Account Number(s)
• Notes

• Applicable Conditions

• Power of Attorney
• Contract for Deed
• Estate/Deceased Spouse
• Trust
• Bankruptcy
• Foreclosure
• Manufactured/Mobile Home
• Condominium
• Homeowner's Association
• New/Pending Survey

• Additional Information

• List Liens/Encumbrances
• Other Instructions
•