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Submitted By: *
Email: *

 
 

ACT

 

 
 
Subject Property Address: *
City:
State:
Zip:
County:
Owners Name:
Owners Name (2nd Spouse):
Social Security Borrower:
Social Security Co-Borrower:
Tax Assessors Parcel Number: 1234-012-001 format
Additional Information:
Property Type: Vacant Land
Single Family
Condo
Comm./Industrial
Multi-Family  # of Units
Other:
 
 
Escrow Number:
Escrow Officer Name:
Company:
Address:
City:
State:
Zip:
Phone:
Fax:
Legal and Vesting: Yes       No
E-mail Address:
   
   
CLTA Owners Policy: Sale
Sale Amount: $
Listing Agent:
Company:
Selling Agent:
Company:
 
ALTA Loan Policy: Refi Only
Loan Amount: $
   
Listing Agent Email:
Listing Agent Phone:
   
Buyer Agent Email:
Buyer Agent Phone:
   
Preliminary Title Report:  
Hard Copy:
Soft Copy (email):
CC&R's:
Plotted Easements:
   
   
Name:
Company:
Address:
City:
State:
Zip:
Phone:
Fax:
E-mail Address:
E-mail Prelim: Yes
 No
 Only (do not send hard copy)
Loan Number/Reference:
   
 

 

 
 
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