Fill in the Online Order Form:
or
Click here to Order a title by fax
Your Name:
Your Company's Name:
Your Phone Number:
Your Fax Number:
Your Email Address:
Fax/Email title binder to:
Subject Property Information
Address of Subject
Property:
City/State and zip code:
County:
Principal Residence?
Yes or No
Buyer/Borrower Information
Buyer/Borrower Name(s)
1
2
Daytime Phone #:
Evening Phone #:
Cell Phone #:
Soc. Sec. #:
1
2
Loan Information
Loan amount:
Name of New Lender:
FHA/VA/Conv.:
Estimated Closing Date:
Does Summit Title order Mtg. payoffs?:
Yes
No
If you answered yes, give us the
Mortgage Payoff Information:
(Lender/Loan#/Contact tel. #)
Click below link if you are having Summit Title order the mtg. payoff(s):
Payoff
Authorization Form
Purchase Information (If Applicable)
Purchase Price:
Seller Name(s):
1
2
1
2
Seller S.S.N. #(s):
Seller Contact Info.:
Listing Agent:
Agent Contact Info.:
Selling Agent:
Agent Contact Info.:
First-Time Homebuyer?
Yes
No
Seller Mortgage Payoff Info:
(Lender/Loan# /Contact Info.)
Click below link if this is a purchase. A
survey is usually required :
Survey
Approval Form
Additional Information:
You should receive a confirmation from us within 24 hours of placing your order.
Please call us if you do not receive a confirmation.
40 W. Chesapeake Avenue
Suite 502, Lafayette Building
Baltimore, Maryland 21204
410-583-5353
410-583-5375 (fax)
Order Title
