Progressive Land Title Ltd.

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TOOLS :: ESCROW AND TITLE ORDER REQUEST

Thank you for choosing Progressive Land Title Agency. Please provide the following information to assure a fast and smooth transaction.

Borrowers Authorization, Loan Application -1003, Purchase Agreement, Addendums, State Required Disclosures, Account Numbers to leins being paid off, lender phone number for payoffs, appraisal invoices or any additional invoices to be paid at closing.

From:

Company:

Contact:

Address:

Phone Number:

City:

State:

Fax Number:

Zip Code:

Email:

Loan Officer:

PURCHASE REFINANCE 2ND STAND ALONE

Buyer / Borrower's Name #1: Last:		First:	MI:	S.S.#:
Buyer / Borrower's Name #2: Last:		First:	MI:	S.S.#:

Contact Phone: Home:

Work:

Cell:

Other:

Owner / Seller's Name #1: Last:		First:	MI:	S.S.#:
Owner / Seller's Name #2: Last:		First:	MI:	S.S.#:

Contact Phone: Home:

Work:

Cell:

Other:

Subject Property Address:

City: State: Zip Code: Parcel #:

Condo?: Name: Unit #: County:

Payoffs

Lender #1: Acct. #: Phone:

Lender #2: Acct. #: Phone:

Requirements		Type Of Loan
Owners \| Purchase Price: $ ALTA \| Loan Amount: $ Lien Search Special Tax Search Survey / Survey Affidavit	Insured Closing Letter / CPL Judicial Report 24 Month Chain	VA FHA Conventional Reverse Other $

Estimated Closing Date: Commitment in (Lender Name):
Lender Address:
Notes:

Should you have any questions, please contact our National Service Dept. @ 800-244-4090.

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