Colonial Title Company - A Title Agency

11:16 AM

July 29, 2010

To send an order to Colonial Title, fill out the form below.
Processing will begin promptly. Please note that fields marked in blue are required.

Transaction Type: Realtor FSBO

SELLER:
First Name:	Last Name:

Address:

City:	State:	Zip:

Phone:	Marital Status:	Social Security#:


PROPERTY INFO:
Property Address: ( Same as Seller's Address)

City:	State:	Zip:

County:	Sidwell Number:


LISTING AGENT:
First Name:	Last Name:

Company Name:

Address:

City:	State:	Zip:

Phone:	Fax:	Email:


SELLING AGENT:
First Name:	Last Name:

Company Name:

Address:

City:	State:	Zip:

Phone:	Fax:	Email:


Do you want a copy of title work to be sent to selling agent?

MORTGAGE INFO:
Lender name:	Mortgage amount:
	$
If 2nd mortgage, fill out below
Lender name:	Mortgage amount:
	$
Type:
Home Equity 2nd Mortgage

OTHER INFO:
Sales Price:
$

TITLE INSURANCE POLICY ORDERED BY:
Ordered By:	Name:	Company:

Phone:	E-mail Address:	Fax:

Your Account Executive:	How do you want your policy to be delivered:
	Fax E-mail

Is there any additional information you can provide us that would help get your order back faster? Please provide any other details that you think might be helpful.



*NOTE:* Title commitments will be sent to this e-mail address unless otherwise specified. Orders received after 4pm will be considered next business day.

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