Title Order Form

Required: Ordered By:
Required: Contact Phone Number:
Required: Property Address:

Date Ordered:
Company:
Fax Number:
E-Mail Address:
County:
Legal Description/Parcel Number

Required: Buyer/Borrower Name:
Marital Status:	Married	Single
Seller Name:
Marital Status:	Married	Single
Is this a Sale or Refinance Transaction?	Sale	Refinance
Line of Credit
Sales Price
Loan Amount
Do we need to order a Survey?	Yes	No
Title Insurance?	Lenders	Owners


Selling Real Estate Agent & Company:
Phone Number:
Fax Number::
E-Mail Address:

Listing Real Estate Agent & Company:
Phone Number:
Fax Number:
E-Mail Address:

Estimated Date of Closing:
Any Special Requests or Instructions?

Contact ORET : Email oret@oret.com or call Toll Free: 800-800-8339