Realtor Order Title Form

Listing Agent Name

Listing Agent Office

Listing Agent Phone #

Listing Agent EmailPlease leave this field empty.

Listing Agent Commission

Listing Agent MLS Fee

Listing Agent Transaction Fee

Selling Agent Name

Selling Agent Office

Selling Agent Phone #

Selling Agent EmailPlease leave this field empty.

Selling Agent Commission

Selling Agent MLS Fee

Selling Agent Transaction Fee

Seller 1 Name

Seller 1 Address

Seller 1 Phone #

Seller 1 EmailPlease leave this field empty.

Seller 2 Name

Seller 2 Address

Seller 2 Phone #

Seller 2 EmailPlease leave this field empty.

Buyer 1 Name

Buyer 1 Address

Buyer 1 Phone #

Buyer 1 EmailPlease leave this field empty.

Buyer 2 Name

Buyer 2 Address

Buyer 2 Phone #

Buyer 2 EmailPlease leave this field empty.

Property Address

Buyer Mail Away
yesno

Seller Mail Away
yesno

Seller Lien Holder

Seller Payoff Amount

HOA Name

Home Warranty Company

Prior Owner’s Policy
yesno

Prior Survey
yesno

Buyer Lender Name

Buyer Lender Contact Person

Buyer Lender Phone #

Buyer Lender Email

Contract Upload

Link to contract file

Prior Owner’s Policy Upload

Survey Upload

Additional Document #1

Additional Document #2

Please answer this security question: What is the sum of 7 and 12?