Settlement Company:

  Street Address:

  City, State, Zip:

  Phone:

  Fax:

Do you want your policy mailed to the address you entered above or emailed?

 Mailed

 Emailed

Your File #:

Underwriter:

Buyer/Borrower 1 Name:

Buyer/Borrower 2 Name:

Buyer/Borrower 3 Name:

Buyer/Borrower 4 Name:

Seller/Previous Owner 1 Name:

Seller/Previous Owner 2 Name:

Seller/Previous Owner 3 Name:

Seller/Previous Owner 4 Name:

Sale Price

$

Property Street Address:

  City:

  State:

  Zip:

  Municipality Type:

Select One Township Borough City

  Municipality Name:

  County or Parish:

County Parish

  County/Parish Name:

  Legal Description: (This part can be skipped if you insert the legal description from your title commitment upon receipt of the title policy.)

Deed Date:
must be in MM/DD/YY format

  Recording Date:
  must be in MM/DD/YY format

  Book #:

  Page #:

  Document ID#:

You have now completed part 1 of policy preparation. Please double check all your information. Incorrect or missing information will result in an incomplete title policy. When satisfied that all is correct, press continue.