[ Home ]

           

Date:  Property Address: 
 

Residential Commercial FHA Loan

Twp.:

 County:

Purchase   Refinance     Construction

 Lot(s):

 Block(s):

Primary ResidenceSecondary/Investment Property

 Condo/Co-Op Unit #

 Bldg #

Date Binder is Needed by :

Purchase Price $
Anticipated Closing Date: 

1st Mtg: $

 2nd Mtg $

 

Company Placing Title Order:

Do you wish to receive a copy of the Title Insurance Binder?  YesNo

Is American General Title Agency to act as the Settlement Agent in this transaction?  YesNo

If So for Borrower/Buyer?YesNo       For Seller?YesNo       For Both?YesNo

 

Borrower/Buyer Information:

Name:        SSN:  
Name:        SSN:  
Maiden Name of Spouse:       Date of Marriage:   
Address:         Home Phone:

 

        Cell Phone:

 

        Work Phone:

 

      E- Mail Address:     
If Applicable:
Attorney for Buyer:       Phone:  
Buyer’s Realtor:       Phone:  
   

Seller Information:

Name:        SSN:  
Name:        SSN:  
Maiden Name of Spouse:       Date of Marriage:   
Address:         Home Phone:

 

        Cell Phone:

 

        Work Phone:

 

      E- Mail Address:     
If Applicable:
Attorney for Seller:       Phone:  
Seller’s Realtor:       Phone:  
   

Lender’s Information:

Name of New Lender:     File Notice of Settlement:  YesNo
Submit Binder Directly to Lender   YesNo    Mortgagee Clause for Title:
Address for Submission:    
 
   

Would you like us to obtain the new declarations page and paid receipt for the Homeowner’s Policy?   YesNo

 

Mortgagee Clause for Homeowner’s Insurance:    Insurance Co.: 
   Agent Name:
Required Dwelling Coverage Amount:    Phone:
     Policy No:

Would you like us to obtain the payoff’s for the existing mortgage(s) on the subject premises?   YesNo

 

Lender 1 Name:    Lender 2 Name: 
Loan No:    Loan No:
Phone No:    Phone No:

 

Order Survey: YesNo Flood Search:  YesNo
With Stakes: YesNo Life of Loan: YesNo
Survey Preference: Phone No:

 

NOTES/SPECIAL INSTRUCTIONS: