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Property Owner/Buyer
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Customer Information
Your Name
Email
Company
address
city
zipcode
Phone number
Fax number
legacy title OFFICE Location?
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Mississippi
Tennessee
Type of Order
Business Segment
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Residential
Commercial
New Home / Subdivision
Transaction type
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Purchase with Loan
Purchase Cash
Purchase Seller Finance
LEGACY TITLE TO PERFORM CLOSING?
Yes
No
EXPANDED PROCESSING
Yes
No
Sales Price
New loan amount
Property Information
property type
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Single Family
Condominium
Vacant Land
Apartment
Retail
Industrial
county
section
subdivision name
Street address
State
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Mississippi
Tennessee
zipcode
Buyer / Borrower Information
Buyer type
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Husband & Wife
Individual
Corp/Estate or Trust
First Name
M.I.
Last Name
Last 4
First Name
M.I.
Last Name
Last 4
First Name
M.I.
Last Name
Last 4
Corp/Estate/Trust Name
Tin Number
Additional Buyers or corp/Trust name
Current Address
city
State
Select
Mississippi
Tennessee
zipcode
Buyer's contact info
Seller Information
Seller type
Choose One
Husband & Wife
Individual
Corp/Estate or Trust
First Name
M.I.
Last Name
Last 4
First Name
M.I.
Last Name
Last 4
First Name
M.I.
Last Name
Last 4
First Name
M.I.
Last Name
Last 4
Corp/Estate/Trust Name
Tin Number
Additional seller or corp/Trust name
Current Address
city
State
Select
Mississippi
Tennessee
zipcode
Buyer's contact info
New Lender Information
Are you The Lender?
No
Yes
Lender name
Name of loan officer
Email
Address
Phone
Fax
License #
Loan #
Optional Notes
Need By
HOMEOWNER’S ASSOCIATION
COMMISSION SPLIT
LEGACY TO ORDER SURVEY
Yes
No
LEGACY TO PREPARE DEED
Yes
No
LEGACY TO ORDER DEED
Yes
No
PRIOR TITLE POLICY?
Yes
No
SEND TITLE ORDER CONFIRMATION TO
Sales Rep
Listing Agent
Selling Agent
Lender
Other
PREFERRED DELIVERY METHOD
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