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.
Please do not enter anything in the following field:
Date Ordered:
Closing Date:
* Person Ordering:
* Company Name:
E-mail:
* Phone: Fax:
Sales Representative:
* Select One: Title Insurance:
Title Insurance
Current Owner Search
* 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:
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Name (first, middle, last):
SSN:
Home Phone:
Work Phone:
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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:
Phone:
Fax:
Loan 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