Order for Title Work Form Customer InformationYour Name Email* Company Name Address City Zipcode Phone NumberFax Your Metropolitan Escrow Office?*Choose OneAngolaBlufftonElkhartFt. Wayne - NorthFt. Wayne - SWHuntingtonIndianapolis - NorthKokomoLafayetteLaPorteLogansportMishawaka - Edison LakesMonticelloNiles, MIPlymouthSyracuseWarsawDon't knowType of OrderBusiness SegmentChoose OneResidentialCommercialNew Home / SubdivisionTransaction TypeChoose OneConstruction LoanRefiREOSale w/MortgageSale w/CashSearchSales PriceNew Loan AmountMetropolitan to perform Closing? Yes No Expanded Processing Yes No (only applicable for Mishawaka and Elkhart markets)Property InformationProperty TypeChoose OneSingle FamilyCondominiumVacant LandApartmentRetailIndustrialCounty Tax ID/APN Lot/Unit Section Subdivision Name Street Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZipcode Buyer/Borrower InformationBuyer Type* Husband & Wife Individual Corp/Estate or Trust HiddenHW Name 1First Name M.I. Last Name Last 4 HiddenHW Name 2First Name M.I. Last Name Last 4 HiddenI Name 1First Name M.I. Last Name Last 4 HiddenI Name 2First Name M.I. Last Name Last 4 HiddenI Name 3First Name M.I. Last Name Last 4 HiddenCorpCorp/Estate/Trust Name TIN Number HiddenBuyer MiscAdditional Buyers or Corp/Trust Name Current Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZipcode Buyer's Contact Info Seller InformationSeller Type* Husband & Wife Individual Corp/Estate or Trust HiddenHW Name 1First Name M.I. Last Name Last 4 HiddenHW Name 2First Name M.I. Last Name Last 4 HiddenI Name 1First Name M.I. Last Name Last 4 HiddenI Name 2First Name M.I. Last Name Last 4 HiddenI Name 3First Name M.I. Last Name Last 4 HiddenI Name 4First Name M.I. Last Name Last 4 HiddenCorpCorp/Estate/Trust Name TIN Number HiddenSeller MiscAdditional Sellers or Corp/Trust Name Current Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZipcode Seller's Contact Info New Lender InformationAre you the Lender?YesNoLender Name Lender Name Name of Loan Officer Name of Loan Officer Email Email Address Address PhonePhoneFaxFaxLicense # License # Loan # Listing Agent InformationAre you the Listing Agent?YesNoName Name Email Email PhonePhoneOffice Name Office Name Address Address FaxFaxSelling Agent InformationAre you the Selling Agent?YesNoName Name Email Email PhonePhoneOffice Name Office Name Address Address FaxFaxOptional NotesNeed By MM slash DD slash YYYY Metropolitan to Order Survey Yes No From Metro to Prepare Deed Yes No Metropolitan to Order Deed Yes No From Homeowner’s Association Commission Split Prior Title Policy? Yes No File Number Special InstructionsSend Title Order Confirmation to Sales Rep Listing Agent Selling Agent Lender Other Preferred Delivery Method Email Fax File UploadFile Drop files here or Select files Accepted file types: docx, xlsx, doc, xls, pdf, txt, xsl, zip, Max. file size: 10 MB. * Please Note - 10 meg per file size limit
