Untitled Form

TITLE REQUEST COVER SHEET

• Requested by: Title:
• Company:      
  Branch Address:  
  Phone: Email:
  Fax:     Other:
SELLER’S AUTHORIZATION TO RELEASE INFORMATION

Refinance

Foreclosure

Home Equity/2nd Mortgage

Purchase/Sale

Construction Refinance

Residential Property

Short Sale

New Construction

Commercial Property

Please check all that applies to your transaction:

REFINANCE

PURCHASE/SALE

1003/Loan application

Sales Contract

Borrower’s authorization

Copy of earnest money deposit

Payoff(s) Information

Purchaser’s loan approval letter

Lender’s mortgagee clause

Seller’s authorization

PAYOFF REQUEST:

Settlement Date:  Time: Time:    AM        PM(Circle One)

Settlement Location   Option-1 Office    Other:

Special Instruction:

Please submit your order via email at order@option-1title.com or via E-Fax at 877.216.7563