Thank you for choosing Royal Title! Please complete each section below and select the "Send Order Request" button.
Fields marked with an asterisk (*) are required.
Date Ordered:
Closing Date:
* Person Ordering:
* Company Name:
E-mail:
* Phone: Fax:
Sales Representative:
* Select One: Title Insurance: 2008 2006
Preliminary Commitment
24 Month Chain of Title
Current Owner Search
Document Prep
Document Retrieval
If applicable:
Purchase
Refinance
Payoff Land Contract
Construction Loan
2nd Mortgage
Commercial
* Prior Title Policy Sent with this order? Yes No
Prior File Number (if available)
* Is Royal Title To Close? Yes No
Place of Closing?
* Order Survey? Yes No
Preferred Surveyor:
* Deed & Affidavit? Yes No
Preferred Attorney:
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Listing Agent Name:
Company Name:
Phone:
Fax:
Buying Agent Name:
Commission:
Split:
* Purchase Agreement Attached? Yes No
* Amendments and/or Counter Offers Attached? Yes No
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Name (first, middle, last):
SSN:
Home Phone:
Work Phone:
Vesting Husband & Wife Joint Tenants /w Rights of Survivorship Tenants in Common
Filed Bankruptcy in the past 10 years? Yes No
If yes, when?
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Lender Name:
Contact Name:
Address:
City:
State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Zip:
Loan Amount:
Sales Amount:
Loan Type:
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Property Address:
County:
Legal Description:
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Should Royal Title Services order payoff(s)? Yes No If yes, please send an authorization.
Name:
Account #:
Please e-mail any associated documents to or fax to 317.791.6006