Order Form

SERVICE REQUESTED

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Witness Closing Only
One Owner Search 1031 Exchange
Owners Title Policy Closing/Document Prep
Other Service

(Describe)

 
REQUESTOR INFORMATION
Company:
Name:
Phone:
Fax:
E-Mail:
 
BUYER/BORROWER INFORMATION
Name:

Spouse:

Buyer Address:

Buyer City, State, Zip:

Social Security Number:
Home Phone:
Work Phone:
E-Mail:
 
SELLER INFORMATION
Name:

SS#

Spouse:

Seller Address:

Seller City, State, Zip:

Home Phone:
Work Phone:
E-Mail:
 
PROPERTY INFORMATION
Address:
  
City, State Zip:
  
County:
  
Parcel Number:
Legal Description:
Homestead Property Y/N
 (Check if Yes)

Sales Price:

Sale Contract Date:

 
EXISTING MORTGAGE INFORMATION
1st Mortgage 

Account No.:
  
2nd Mortgage
  
Account No.:
  

LOAN INFORMATION

Loan Amount:
Lender:
Contact:

Phone:

E-mail

  LISTING AGENT INFORMATION

Name:

Company:

Phone:

Earnest Money

Commission:

SELLING AGENT INFORMATION

Name:
Company:
Phone:

OTHER INFORMATION

Estimated Closing Date:

(mm/dd/yy)

Please fax a copy of the Sales Contract, Will, Death Certificate and/or Divorce Decree, if applicable, and prior Owners Title Policy in order to reissue credit to (901) 758-0600

Special Instructions or Requirements:

Thank you for your order!

 

Copyright ©2004Stewart Title of Memphis, Inc., All Rights Reserved.

Mail: Stewart Title of Memphis, Inc., 7842 Farmington Blvd, Germantown, TN 38138
E-Contact: General Info, tel. (901) 755.1000

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