Title Order Form


 Order Title Insurance    Open Escrow Services

Please send copy of Purchase and Sale Agreement. It is required for the escrow to be opened.

Complete the Service Request form and click the submit button located at the bottom of the form. Use the reset button to clear the form.

Requestor

Your Name:

Listed Customers:

Company:

Address:

City:

State:

Zip:

Phone:

Fax:

Email:

Reference # or Loan #:

We are the lender:  

We are the escrow agent:  

We would like to take delivery by:
Fax
Mail
E-mail
In-County Delivery

No. of copies:

Report needed by:(MM/DD/YY)


Purchaser/Borrower

Purchaser/Borrowers(s):

Marital Status:
Single
Married
Other:  


Seller

Seller(s):


Escrow Services

If ordering from WLTC:

Escrow Company:

Name of Closing Agent:

Address:

City:

State:

Zip:

Phone:

Fax:

Email:

Reference #:

Title Insurance

Type of owner's coverage:
Purchase
Builders
Subdivision

Type of Policy:
Standard
Extended
Home Owner

Note: Owner's extended coverage policies requires an ALTA/ACSM survey, as provided by a surveyor.

Type of lenders coverage:
Simultaneous
Refinance
Home Equity
Construction (custom)
Construction (for resale)

Other Types of Coverage:
Trustee's Sale Guarantee
Litigation Guarantee
Plat Certificate
Limited Information Search

Coverage Amount:

Finance Amount:

Property Address:

City:

State:

Zip:

Tax Parcel ID Number:

Legal Description:

Special Comments, Questions or Requests:


Lender

Listed Lenders:

Name of Lender:

Address:

City:

State:

Zip:

Phone:

Fax:

Email:

Reference #:


Real Estate Agents

Selling Agent:

Selling Agent Company:

Listing Agent:

Listing Agent Company:

Other:

Name:

Phone Number:

E-mail address:


 

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2011 Young Street Bellingham, WA  98225 (360) 676-8484 (800) 334-6314