Superior Title, LLC Online Order Form

Ordered By:

Order Date (mm/dd/yyyy):

Need By Date (mm/dd/yyyy):

Tentative Closing Date: (mm/dd/yyyy)

Company:

Address:

Telephone:

Fax Number:

Email Address:

Letter Report:

 (Checked means yes)

Owners Policy $:
(Sales Price of Home)

Mortgage Policy 1st $:
(Amount of Mortgage)

Mortgage Policy 2nd $:
(HELOC/LOC)

Search & Hold:

 (Checked means yes)

Prior Title $:

 (Checked means yes)

Verbal Update:

 (Checked means yes)

Property Address:

Owner/Seller(s):
Include Middle Initials
Use Full Name
Include SSN for each buyer

Buyer(s):
Include Middle Initials
Use Full Name
Include SSN for each buyer

Lender Contact:

Lender Name:

Lender Address:

Lender Telephone:

Tax No:

Loan Processor Name:

Loan Processor Address:

Loan Processor Phone:

Loan Processor Email:

Loan Officer Name:

Loan Officer Address:

Loan Officer Phone:

Loan Officer Email:

Legal Description:

County:

City:

Doc Prep:

 (Checked means yes)

Offer To Purchase:

Special ASMT LTR:

 (Checked means yes)

Prior Title:

 (Checked means yes)

Tax Bill:

 (Checked means yes)

Flood Letter:

 (Checked means yes)

Special Instructions:

Copies To: