Title Order - Law Title Insurance

To place an order with Law Title, please fill out the form below. Your order will be forwarded to the appropriate office based upon the office location you select here:

Office Location*:

You must choose an office location.

Transaction Type*:

You must choose a transaction type.

Buyer/Borrower:

Buyer/Borrower #2:

Seller:

Seller #2:

Contract Sales Price:

Loan Amount:

Property Address:

City:

State:

Zip:

Tax ID/Parcel ID Number

County:

Buyer's Attorney:

Phone: Fax:

Seller's Attorney:

Phone: Fax:

Lender Name:

Phone: Fax:

Lender Name #2:

Phone: Fax:

Lender Name #3:

Phone: Fax:

*Proposed Settlement Date:

Endorsements Required by Lender:

	Condo (4)		PUD (5)		Adjustable (6.1 or 6.2)
	Comp (9)		EPA (8.1)		Location (116)

Applicant

* Indicates Required Field

*Company Name:

*Contact:

*Address:

*Phone:

*Fax:

*E-mail:

*Confirm E-mail:

The e-mail address you enter here will be where a copy of this order is sent. Our validation checks for a legitimate e-mail, but you could still mistype your e-mail address.

Order Notes: