Title Services Order Form

TITLE SERVICES ORDER FORM

Seller/Owner		Marital Status
Phone Number	e.g. 417-667-1111
Seller's Address
Buyer/Mortgagor		Marital Status
Phone Number	e.g. 417-667-1111
Buyer's Address
Bowman's Previous Case #
	Transaction Information
Purchase Price
Lender's Name on Policy
Loan Amount
REFI	Disbursement Date DD-MM-YY
Principle Residence	Yes No (three-day rescission)
Loan Position
Loan Officer		Phone
Lender's Address		Fax
Legal Description
	(If legal description is long, you may fax to 417-667-7995)

Property
Address

Additional Collateral for
financing, if any

Check if required

Survey Coverage Mechanics' Lien Coverage

Closing Date

e.g. MM-DD-YY

Time

Location

FILL OUT ONE, TWO OR ALL THREE OF THE OPTIONS SHOWN BELOW, IF APPLICABLE

Broker Information, if applicable
Broker's Name
Broker's Address
Contact Person
Broker's Phone #	e.g. 417-667-1111
Broker's Fax #	e.g. 417-667-1111

Complete only if Bowman's Title is to prepare the documents

Warranty Deed

Deed of Trust

(If Deed of Trust is checked,
complete this part)

Trustee

Interest Rate

Principal Sum

1st Payment Due

Lender's Name

Payment Amount

Length of Term

To be paid:

Monthly

Annually

Semi-Annually

Other

Please explain

Complete only if Bowman's Title closes

Will all parties be present
at closing?

Yes No

If not, name and address to mail papers

Seller's Name

Seller's SSN

Pro-Rate Taxes

Yes No

Earnest Money

Yes No

Earnest Money

Held by

Existing loan or financing statement to be paid off

Yes No

Loan Number

(Fax in Payoff Authorization - 417-667-7995)

Lender's Name
Lender's Phone #
Lender's Address

Agent Information

Listing Agent

Selling Agent

Realtor/Auct.

Commission %
Total Price
Total Commission
Settlement Charges	Buyer	Seller	Paid To
Closing Fee
Closing Protection
Survey
Home Warranty
Pest Inspection
Sewer
Other

SPECIAL NOTES: i.e., If you are not splitting the costs in the traditional manner, please give
detailed information in the space below.

NOTE: Please provide copies of all inspections and bills to be paid at closing with this order.

Bowman's Vernon County Title Company is proud to
be an Authorized Issuing Agent for:

	First American Title Insurance Company and TICOR Title Insurance Company
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