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Please complete the online order application below OR Email contract to: neworder@legacytitleandescrow.com
Order Placed By:
First Name
Last Name
Company Name
E-mail
Street Address
Street Address Line 2
City
State / Province
Select
Mississippi
Tennessee
Postal / Zip Code
Phone Number
Fax Number
Purchaser(s)/Borrower(s):
Name
Street Address
Street Address Line 2
City
State / Province
Select
Mississippi
Tennessee
Postal / Zip Code
Marital Status
Single Never Married
Married
Divorced
Widow(er)
Civil Union
If "Divorced" or "Widow(er)" is marked above, please provide date and county of event.
Taking Title As:
Individual
Joint Tenants
Tenants in Common
Tenants by Entirety
Seller(s)/Owner(s):
Name
Street Address
Street Address Line 2
City
State / Province
Select
Mississippi
Tennessee
Postal / Zip Code
Phone Number
1st Payoff Lender
1st Loan #/ Account#
2nd Payoff Lender
2nd Loan #/ Account#
Property Information:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Selling Agent
Purchase Price
Cash
Yes
No
Lender
Loan Amount
If title insurance is required, please check additional endorsements required:
EPL (ALTA 8.1)
Survey Coverage (Remove Exceptions)
Condominium (ALTA 4)
Planned Unit Development (ALTA 5)
Variable Rate (ALTA 6)
Comprehensive (ALTA 9)
Location (ALTA 22)
Additional Comments:
Documents To be:
E-mailed
Uploaded
Mailed
Faxed
Dropped off (Delivery Fee Additional)
Upload Documents
Submit
First Name
Last Name
Company Name
E-mail
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Fax Number
Name
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Marital Status
Single Never Married
Married
Divorced
Widow(er)
Civil Union
If "Divorced" or "Widow(er)" is marked above, please provide date and county of event.
Taking Title As:
Individual
Joint Tenants
Tenants in Common
Tenants by Entirety
Name
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
1st Payoff Lender
1st Loan #/ Account#
2nd Payoff Lender
2nd Loan #/ Account#
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Selling Agent
Purchase Price
Cash
Yes
No
Lender
Loan Amount
If title insurance is required, please check additional endorsements required:
EPL (ALTA 8.1)
Survey Coverage (Remove Exceptions)
Condominium (ALTA 4)
Planned Unit Development (ALTA 5)
Variable Rate (ALTA 6)
Comprehensive (ALTA 9)
Location (ALTA 22)
Additional Comments:
Documents To be:
E-mailed
Uploaded
Mailed
Faxed
Dropped off (Delivery Fee Additional)
Upload Documents
Submit