:: Memphis Tennessee ::

LENDER INFORMATION: Please fill in this information as completely as possible. (*= Required Field)  *Lender:  *Lender's Contact Person:  *Lender's Address:  *Lender's Phone:  *Lender's Fax:  *Lender's Email: Check the box that matches your request.   Title Search?   Closing / Escrow Services?   Title Search with Title Insurance?   BUYER / BORROWER NAME: If borrower is married, you must provide spouses name.

Name:
SS#
Spouse:
SS#

PROPERTY TO BE SEARCHED: If you have legal description of property, please fax it to us at 1-901-382-9393. NOTE: If this is a purchase, we must have a copy of the sales contract.

Address:
City:
Zip:
County:
Property is in the name of:

TITLE INSURANCE DETAILS: Please make sure the full name and address of the lender is correct. This will be used to complete the commitment schedule "A" and insured closing protection letter. Please note: If your lender contact information is the same as the above, it is not necessary to duplicate... HOWEVER be sure to provide the loan amount information.

Title Insurance Amount:
Loan Amount:
Insured Lender:
Insured Lender's Contact Person:
Insured Lender's Address:
Insured Lender's Phone:
Insured Lender's Fax:

ADDITIONAL DETAILS: Please tell us of needed endorsements because they may cause additional requirements to be met. NOTE: This will be a requirement on the commitment.

Does your lender require a closing protection letter? yes  -or-  no  (please check one)

Does your lender require wiring instructions? yes  -or-  no  (please check one)

What endorsements does your lender require?

MESSAGE OR INSTRUCTIONS: Please use this space to give us any additional information that you feel is necessary. Please fill in as much information as possible, as this will speed up the process. When you receive your title commitment please note all requirements on "Schedule B, Section 1." This page shows all requirements that must be met before your loan can close. This helps us complete your order accurately and in a prompt manner. PLEASE NOTE: By placing an order for title work you accept responsibility for payment. If transaction fails to close, you will be charged for services provided. If you have any questions about this form, please call our corporate office at 1-800-264-2764. If you accept the previous statement, please check the following box:  BY CLICKING SUBMIT I AGREE TO BE RESPONSIBLE FOR PAYMENT FOR SERVICES PROVIDED