Order Form
Name
Address
City, State & Zip
E-mail
Fax Number
Telephone Number
How fast do you need your Commitment?
Rush (2 to 3 days)
Normal (3 to 5 days)
Deliver by:
Email
Fax
Mail
Overnight Delivery
Hand Delivery
Legal Description:
Property County
Street Address
Parcel ID Number:
Is this a Purchase or a Refinance?
Purchase
Refinance
Owner Name, Marital Status & SS#:
Buyer Name, Marital Status & SS#:
Purchase Price
Lender Mtgee Clause & Loan Amount
Any Addional Information:
What else do you need from us?
Need CPL? Chain Letter? Wiring Instructions? Let us know exactly what you need:
Please Note:
Fax (407-872-6205) or email (info@RegencyTitle.net) prior deeds, owner title policies, loan payoff information, hazard insurance, or any other documents that may assist us at closing.