"Title Order Form - Star Title Partners of Palm Harbor"

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STAR TITLE PARTNERS OF PALM HARBOR
35095 U.S. Highway 19 N., Suite 102, Palm Harbor, FL 34684
Phone: 727-216-8185 Fax: 727-216-8195
TITLE ORDER FORM
FILE #
CLOSING DATE:
PROPERTY ADDRESS:
CITY:
ZIP:
SALES PRICE: $
IS SELLER A U.S. CITIZEN?
MARITAL STATUS:
SELLER:
SS#
SS#
ADDRESS:
PHONE:
ALT. PHONE:
SELLER’S AGENT:
FAX:
AGENT:
PHONE:
ADDRESS:
COMMISSION %:
TRAN. FEE:
MLS FEE:
AGENT EMAIL:
MORTGAGE INFORMATION:
PAYOFF:
PHONE:
ADDRESS:
FAX:
LOAN #
AMOUNT#
AS OF:
HOMEOWNERS ASSOCIATION:
YES
NO
ASSOCIATION NAME:
PHONE:
CONTACT PERSON:
Fax:
MARITAL STATUS:
BUYER:
SS#
SS#
CURRENT ADDRESS:
PHONE:
ALT. PHONE:
BUYER’S AGENT:
PHONE:
AGENT:
Fax:
ADDRESS:
AGENT EMAIL:
COMMISSION %:
TRANS. FEE:
MLS FEE:
EARNEST MONEY $
WHO IS HOLDING?
LENDER:
ADDRESS:
PHONE:
FAX:
CONTACT:
EMAIL:
WILL THIS BE A MAIL AWAY?
YES
NO
BUYER
If yes, check either buyer or seller
SELLER
HOME WARRANTY:
YES
NO
WHO IS PAYING:
BUYER:
SELLER:
TITLE COMPANY TO ORDER:
(If Title Company is not ordering, indicate who has)
TERMITE:
YES
NO
DATE ORDERED:
WHO ORDERED:
SURVEY:
YES
NO
ELEV. CERT.:
YES
NO
DATE ORDERED:
WHO ORDERED:
QUESTIONS???
Yes
/
No
1. Is Seller/Owner of record Deceased?
Yes
/
No
2. Is Seller Divorced/Getting Divorced?
Yes
/
No
3. Is Property Mobile Home?
STAR TITLE PARTNERS OF PALM HARBOR
35095 U.S. Highway 19 N., Suite 102, Palm Harbor, FL 34684
Phone: 727-216-8185 Fax: 727-216-8195
TITLE ORDER FORM
FILE #
CLOSING DATE:
PROPERTY ADDRESS:
CITY:
ZIP:
SALES PRICE: $
IS SELLER A U.S. CITIZEN?
MARITAL STATUS:
SELLER:
SS#
SS#
ADDRESS:
PHONE:
ALT. PHONE:
SELLER’S AGENT:
FAX:
AGENT:
PHONE:
ADDRESS:
COMMISSION %:
TRAN. FEE:
MLS FEE:
AGENT EMAIL:
MORTGAGE INFORMATION:
PAYOFF:
PHONE:
ADDRESS:
FAX:
LOAN #
AMOUNT#
AS OF:
HOMEOWNERS ASSOCIATION:
YES
NO
ASSOCIATION NAME:
PHONE:
CONTACT PERSON:
Fax:
MARITAL STATUS:
BUYER:
SS#
SS#
CURRENT ADDRESS:
PHONE:
ALT. PHONE:
BUYER’S AGENT:
PHONE:
AGENT:
Fax:
ADDRESS:
AGENT EMAIL:
COMMISSION %:
TRANS. FEE:
MLS FEE:
EARNEST MONEY $
WHO IS HOLDING?
LENDER:
ADDRESS:
PHONE:
FAX:
CONTACT:
EMAIL:
WILL THIS BE A MAIL AWAY?
YES
NO
BUYER
If yes, check either buyer or seller
SELLER
HOME WARRANTY:
YES
NO
WHO IS PAYING:
BUYER:
SELLER:
TITLE COMPANY TO ORDER:
(If Title Company is not ordering, indicate who has)
TERMITE:
YES
NO
DATE ORDERED:
WHO ORDERED:
SURVEY:
YES
NO
ELEV. CERT.:
YES
NO
DATE ORDERED:
WHO ORDERED:
QUESTIONS???
Yes
/
No
1. Is Seller/Owner of record Deceased?
Yes
/
No
2. Is Seller Divorced/Getting Divorced?
Yes
/
No
3. Is Property Mobile Home?