Online application | Corporate Settlement Services

Corporate Settlement Services, LLC
1033 B. Millcreek Dr. | Feasterville, PA 19053 | PH 215-357-9200 | FAX 215-357-9201

APPLICATION FOR TITLE INSURANCE

Todays Date

2/22/2012

Tentative Closing Date

Person Ordering Title

Telephone Number

Office Placing Title Order

NEED TITLE COMMITMENT BY DATED

PROPERTY INFORMATION

Premises

Municipality

Tax Parcel (#)

County

State

Sale Price ($)

Mortgage ($)

SELLER'S INFORMATION

Seller's Name

Mailing Address

Telephone Numbers

Marital Status

Owners Deceased

Where is Estate filed?
Executor

Bankruptcies filed in any jurisdiction

If yes, explain

BUYER'S INFORMATION

Buyer's Name

Mailing Address

Telephone Numbers

How are the buyers taking title

Is buyer married or seperated and taking title without spouse

LENDER

Name of Mortgage Lender

Contact Person

Address of Lender

Telephone Number

Fax Number

Email Address

Mortgagee Clause

MORTGAGE PAYOFF INFORMATION (REFINANCE ONLY)

Name of 1st Mortgage Company

Account Number

Telephone Number

Name of 2nd Mortgage Company

Account Number

Telephone Number

ADDITIONAL COPIES OF THE TITLE COMMITMENT TO BE SENT TO

Listing Office

Selling Office

Other

Do you require us to order the payoffs and/or any certification, if so, please list them