Title Order Request
Company:
Branch:
Contact Person:
Phone Number:
Fax Number:
E-Mail Address:
Date:
Property Report (yes/no):
Title Insurance (yes/no):
Select the transaction that best describes yours.
Purchase
Refinance
Construction Loan
Equity Line of Credit
Second Mortgage Loan
Foreclosure
Sales Price (if a Purchase Transaction):
Approximate date of purchase (if a refinance):
1st mortgage amount of new transaction:
2nd mortgage amount (if applicable):
Borrower/Buyer #1 (full name):
Marital status
Married
Single
Divorced
Widowed
Borrower/Buyer #2 (full name):
Marital status
Married
Single
Divorced
Widowed
Purchase transaction - provide name of current owner/seller:
Marital status
Married
Single
Divorced
Widowed
Mortgagee/Lender:
Property address:
County/Division:
State:
Legal Description:
Current known liens (mortgages, etc.):
Position of the new mortgage
First Mortgage Lien
Second Mortgage Lien
Third Mortgage Lien
N/A
Closing Agent (Include Phone #):
Approximate closing date:
Comments / Special Instructions:
CTS, LLC
2100 Riverchase Center, Suite 314
Birmingham, Alabama 35244
Phone (205) 824-0024
Phone (888) 658-4566
Fax (205) 824-6504
Fax (888) 658-8629
