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Request Title Work
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Contact Us
Request Title Work
Your Information
Let us know who is requesting title work
Your Name
*
Select
Relationship to Buyer
Buyer
Lender
Real Estate Agent
Seller
Other
This helps us understand who is requesting the title work.
Your Email
*
Phone Number
*
Property Information
What property needs a title search?
Purchase Price
USD
Street Address
*
Apartment, suite, etc
City
*
ZIP / Postal Code
PVA Map #
Property Type
Residential
Commercial
Buyer Info
Tell us about the buyer
Buyer's Name(s)
*
Tell us how the buyer wants to take title to the real property.
Tax Bill Mailing Address
Use the Property Address
Use a different address
Where does the buyer want the tax bill sent?
Street Address
Apartment, suite, etc
City
State/Province
ZIP / Postal Code
Buyer's Phone
Buyer's Email
Seller Info
Tell us about the seller
Seller's Name(s)
Tell us about the seller. (Important: A spouse must sign the deed even if they were not originally in title.)
Seller's Phone
Seller's Email
Lender Info
Let us know if there is a lender involved.
Lender Involved?
YES, there is a lender involved
No, there is no lender involved
Lender Name
Loan Officer Name
Loan Officer Contact Info
How can we get in touch with the lender?
Loan Amount
USD
Loan Number
Real Estate Agent Info
Real Estate Agent Involved
*
YES, there is a real estate agent
No, there is not a real estate agent
We’ll ask if there is another real estate agent below.
Real Estate Agent Name
Agency Name
Real Estate Agent Phone
Real Estate Agent Email
Which party does this agent represent?
Buyer (Selling Agent)
Seller (Listing Agent)
Is there another Real Estate Agent involved?
YES, there is another real estate agent
Real Estate Agent Name
Agency Name
Real Estate Agent Phone
Real Estate Agent Email
Which party does this agent represent?
Buyer (Selling Agent)
Seller (Listing Agent)
Any other comments?
Consent
*
Yes, I agree with the
privacy policy
.
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