Register
Order Form
Please fill it out this form, print it and fax it to us at: (603) 225-0382
Seller #1
Name:
Seller #2
Name:
Current Address:
Home Phone:
Work Phone:
Cell Phone:
Buyer #1
Name:
Buyer #2
Name:
Current Address:
Home Phone:
Work Phone:
Cell Phone:
Listing Agency
Agent:
Phone:
Fax:
Email:
Selling Agency
Agent:
Phone:
Fax:
Email:
Property Address
City/State:
Deed: Book/Page
Plan/Lot#:
Condo:
Yes
No
Closing Date/Time:
Closing Location
Sales Price:
Loan Amount:
New Lender:
Outstanding Mortgages:
Yes
No
Mortgagors Name:
Mortgagors Phone:
Mortgagors Address:
Account #:
How Many?:
Mortgagors Name:
Mortgagors Phone:
Mortgagors Address:
Services Requested
Cash Closing:
Title Search, prepare settlement documents, file tax forms, conduct closing and record documents. (Owner’s title insurance is an additional cost and is REQUIRED on all cash transactions. Please call for quote.)
Lender or Seller Financed Closing:
Above services plus prepare Note and Mortgage.
Title Search Only:
Report on status of title. (Owner’s title insurance available, please call for additional premium)
Prepare Deed
Additional Comments:
Please fill it out this form, print it and fax it to us at: (603) 225-0382
© 2009 Priority Title Services - All Rights Reserved
47 Hall Street - Concord, NH 03301 - Phone: (603) 226-9300 | (800) 922-0196 - Fax: (603) 225-0382
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