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Order a Title Request
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To submit a Title Request online, please fill out the form below.

To submit a Title Request by fax: send to 301- 614-9533.

To submit a Title Request by email: send to intake@bankerstitleandsettle.com

To submit a Title Request by telephone: call 301-614-3943.

If you submit a Title Request by fax, email, or telephone, please submit all of the information called for on the form below.

A confirmation of your Title Request will be sent to you within 24 hours of your request.

GENERAL INFORMATION    
     
Your Name:  
Date of Request:
 
Projected Closing Date:
 
Loan Officer's Name:
 
Processor's Name:
  
Company Name:
  
Phone:
  
Fax:
  
Cell:
  
Refinance or Purchase:
 
Loan amount (1st Trust):
  
Loan amount (2nd Trust):
  
Sales Price:
 
Loan Type:
 

 

Please also fax a copy of the following (if applicable): Sales Contract, Owner's or Lender's Title Insurance Policy, Survey, Loan Application, Borrower's Authorization, Termite Report, Home Warranty. FAX to: (301) 614-9533 - Remember to include your name at the top of the fax.

BORROWER/BUYER INFORMATION
     
Borrower:  
SS#:  
Borrower's Address:  
Co-Borrower:  
SS#:  
Borrower's Address:  
Additional name(s) to be added to title  
Home Phone:  
Cell Phone:  
Work Phone (1):  
Work Phone (2):  
     
PROPERTY INFORMATION    
     
Property Address:  
County/City:  

OTHER PAYOFFS (CREDIT CARDS/JUDGEMENTS/OTHER)
 
(Please list all mortgages and additional accounts to be paid off)
Payoff #1:    
     
Lender Name:  
Account #:  
Phone:  
Fax:  
     
Payoff #2:    
     
Lender Name:  
Account #:  
Phone:  
Fax:  
     
Other Payoffs (Credit Cards/Liens/Other)
     
Payee Name:  
Amount:  
Account #:  
Payee Name:  
Amount:  
Account #:  
New Lender Name:  
Mortagagee Clause:  
Mortgagee Address for ICL:  
Lender Contact Info:  
Contact Person Name:  
Contact Person Cell #:  
Contact Person Fax #:  

REAL ESTATE AGENT(S) & SELLER(S) INFORMATION
     
Selling Agent :  
Company Name:  
Company Address:  
Office Phone:  
Fax:  
Cell:  
     
Listing Agent :  
Company Name:  
Company Address:  
Office Phone:  
Fax:  
     
Seller(s) NAME:    
Seller Name (1):  
SS#:  
Seller Name (2):  
SS#:  
Seller Address:  
Home Phone:  
Work Phone (1):  
Work Phone (2):  
     

 

 

 

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