Title Order Form

An asterisk (*) denotes required data entry
    Title Service
 
Select Service*
Need By Date*
Prior Policy Exists*
    Ordered By
 
Company Name
Company Email
First Name*
Last Name*
Phone*
Email*
    Transaction Detail
 
   Sales Price
$
Transaction Type*
   Loan Amount
$
Financial Type*
    Lender
 
Lender's Name
Contact Person
Email
Phone
Survey
    Property Info
 
Address*
City*
ST*
ZIP*
Parcel ID #*
Brief Legal*
    Seller/Owner
 
First Name*
Middle Name
Last Name*
Address1*
Social Security #*
 
Address2
Marital Status*
 
City*
ST*
ZIP*
Cell Phone*
   
Email*
Does the seller have an existing loan to be paid off?  

Any Other Sellers/Owners Involved?  
    Buyer/Borrower
 
First Name
Middle Name
Last Name
Address1
Address2
Marital Status
 
City
ST
ZIP
Cell Phone
   
Email
Any Other Buyers/Borrowers Involved?  
    Listing Real Estate Agent
 
Agency's Name
Agent's Name
Agent's Email
Phone
   R.E. Commission
$
   Transaction Fees
$
    Selling Real Estate Agent
 
Agency's Name
Agent's Name
Agent's Email
Phone
   R.E. Commission
$
   Transaction Fees
$
    Special Instructions
 
    Select Branch Office of Brick City Title Agency
 
Branch office for order form submission*




After submitting this form, we will email you a copy of your order and include contact information for one of our staff.

Please feel free to call or email us with any other pertinent information or documents that will facilitate the completion of your real estate transaction.  Some possible documents that you may want to email to us might be your Sales/Purchase agreement, an existing prior Owner's Title Insurance Policy, Survey, Trust Agreement, or anything else that you feel appropriate.

Although any real estate transaction includes considerable detail, we make every effort to be "Your Simple Solution to a Positive Closing Experience".