Request for Title Commitment
Purchase

Please fill out the entire form to expedite the closing process.
	Requested By:				Date/Time:
	Phone:				Fax:
	Contact Name:				Financing/Cash:
	Est. Closing Date:
Buyer Information
	Buyer Name:				Buyer Name:
	Buyer Address:
	Buyer Phone:				Buyer Fax:
	Marital Status of Buyers for Accurate Execution of Deed:
	Property  Address:
Selling Agent Information
	Name:				Company:
	Phone:				Fax:
Broker Information
	Name:				Company:
	Phone:				Fax:
	Mtg. Company Contact:
	Will Buyer Attend Closing?   yes  no
	If no please choose one of the following:     Mailaway       Out of Office Closing
Lender Information
	Name:				Contact:
	Phone:				Fax:
Seller Information
	Seller Name:				Seller Name:
	Seller Address:
	Seller Phone:				Seller Fax:
	Marital Status of Sellers for Accurate Execution of Deed:
	Are All Parties Who Own Property Still Living?				yes  no
Listing Agent Information
	Name:				Company:
	Phone:				Fax:
	Will Seller Attend Closing?   yes   no
	If no please choose one of the following:     Mailaway       Out of Office Closing
	Are There Any Mortgages on the Property				yes  no
	Sellers Social Security Number:
	Current Mtg. Lender:				Acct. Number:
	Contact Number:
	(please fax signed authorization for us to obtain payoff)
	Current Mtg. Lender:				Acct. Number:
	Contact Number:
	Does Seller Belong To An Association?   yes  no
	Association Name:				Contact:
	Phone Number:
	Are There Any Foreseeable Title Issues We Should Be Aware Of?						yes  no
	Comments: