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Realtor

Please complete the online order application below

OR

Email contract to: neworder@legacytitleandescrow.com

Customer Information

Your Name

Email

Company

address

city

zipcode

Phone number

Fax number

legacy title OFFICE Location?

Type of Order

Business Segment

Transaction type

LEGACY TITLE TO PERFORM CLOSING?

Yes No

EXPANDED PROCESSING

Yes No

Sales Price

New loan amount

Property Information

property type

county

section (if known)

subdivision name (if known)

Street address

State

zipcode

Buyer / Borrower Information

Buyer type

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

zipcode

Buyer's contact info

Seller Information

Seller type

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

zipcode

Buyer's contact info

New Lender Information

Are you The Lender?

Lender name

Name of loan officer

Email

Address

Phone

Fax

License #

Loan #

Listing Agent Information

ARE YOU THE LISTING AGENT?

Name

Email

Phone

fax

Office Name

address

Selling Agent Information

ARE YOU THE SELLING AGENT?

Name

Email

Phone

fax

Office Name

address

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

Email Fax

File Upload

File

Order Option 2

Customer Information

Your Name

Email

Company

address

city

zipcode

Phone number

Fax number

YOUR LEGACY ESCROW OFFICE?

Business Segment

Transaction type

LEGACY TO PERFORM CLOSING?

Yes No

EXPANDED PROCESSING

Yes No

Sales Price

New loan amount

property type

county

section

subdivision name

Street address

State

zipcode

Buyer type

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

zipcode

Buyer's contact info

Seller type

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

zipcode

Buyer's contact info

Are you The Lender?

Lender name

Name of loan officer

Email

Address

Phone

Fax

License #

Loan #

ARE YOU THE LISTING AGENT?

Name

Email

Phone

fax

Office Name

address

ARE YOU THE SELLING AGENT?

Name

Email

Phone

fax

Office Name

address

Need By

HOMEOWNER’S ASSOCIATION

COMMISSION SPLIT

LEGACY TO ORDER SURVEY

Yes No

LEGEACY TO PREPARE DEED

Yes No

LEGACY TO ORDER DEED

Yes No

PRIOR POLICY?

Yes No

SEND TITLE ORDER CONFIRMATION TO

Sales Rep Listing Agent Selling Agent Lender Other

PREFERRED DELIVERY METHOD

Email Fax

File

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975 Swinnea Ridge, Suite 2, Southaven, MS 38671, USA
662-400-6297
neworder@legacytitleandescrow.com
admin@legacytitleandescrow.com
(Fax) 833-689-1201

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