Title Insurance Order Form - Pro-Title and Escrow, Inc., Provo, Utah

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Place your order online. Simply fill out this form with as much information as you can and we'll take it from there.

Title Insurance Order Form

Orderer's Information (*required)
*Your name:
Company:
Phone number:
*Email:


Transaction Information
Type of transaction:
Loan Amount:		Sales Price:

	Endorsements:	Standard Three (22, 9, 8.1)
		22 (Location)
		9 (Comprehensive)
		8.1 (Environmental)
		Variable
		PUD
		Condominium

Will you close in our offices?		Yes, in Provo with Mark and Jill.
		Yes, in Spanish Fork with Jody and Nicole.
		No, we will be doing the closing.

If this is a purchase, are there realtors involved?		Yes
		No


Buyer(s)/Borrower(s) Information
Name:
Name:
Street Address:
City:		Zip Code:


Seller(s) Information (if applicable)
Name:
Name:
Street Address:
City:		Zip Code:


Property Information
Property Address:
City:		Zip Code:
Additional Info:	Tax serial number, legal description, etc.