Request for Title Commitment
Part I - Request
1. To (Name and Address of the company)
2. From (name and address)
3. Lender Contact
4. Title Contact
5. Date
6. Lender's No.
7. Name and address of applicant
Part II - Property and Mortgage Information
8. Occupancy Status
Primary Residence
Second Home
Investment Property
9. Loan Purpose
Purchase
Cash-Out Refi
No Cash-Out Refi
10. Sales Price:
$
11. Loan Amount:
$
12. Property Address:
13. Legal Description:
14. Home Owner's Name and Phone Number:
15. Property Type:
Detached
Attached
Condo
PUD
COOP
16. Seller
17. Mortgagee
Part III - Request for Title Commitment
18. Attachment
Prior Title Policy
Title Insurance Requirements
Contract
Warranty Deed
Survey
19. Estimated Closing Date
20. Mail Away
Yes
No
Part IV - Special Instruction