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PLACE AN ORDER

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Order for Title Work Form

Customer Information

Your Name

Email(Required)

Company Name

Address

City

Zipcode

Phone Number

Fax

Your Metropolitan Escrow Office?(Required)

Type of Order

Business Segment

Transaction Type

Sales Price

New Loan Amount

Metropolitan to perform Closing?

Yes

No

Expanded Processing

Yes

No

(only applicable for Mishawaka and Elkhart markets)

Property Information

Property Type

County

Tax ID/APN

Lot/Unit

Section

Subdivision Name

Street Address

City

State

Zipcode

Buyer/Borrower Information

Buyer Type(Required)

Husband & Wife

Individual

Corp/Estate or Trust

This field is hidden when viewing the form

HW Name 1

First Name

M.I.

Last Name

Last 4

This field is hidden when viewing the form

HW Name 2

First Name

M.I.

Last Name

Last 4

This field is hidden when viewing the form

I Name 1

First Name

M.I.

Last Name

Last 4

This field is hidden when viewing the form

I Name 2

First Name

M.I.

Last Name

Last 4

This field is hidden when viewing the form

I Name 3

First Name

M.I.

Last Name

Last 4

This field is hidden when viewing the form

Corp

Corp/Estate/Trust Name

TIN Number

This field is hidden when viewing the form

Buyer Misc

Additional Buyers or Corp/Trust Name

Current Address

City

State

Zipcode

Buyer's Contact Info

Seller Information

Seller Type(Required)

Husband & Wife

Individual

Corp/Estate or Trust

This field is hidden when viewing the form

HW Name 1

First Name

M.I.

Last Name

Last 4

This field is hidden when viewing the form

HW Name 2

First Name

M.I.

Last Name

Last 4

This field is hidden when viewing the form

I Name 1

First Name

M.I.

Last Name

Last 4

This field is hidden when viewing the form

I Name 2

First Name

M.I.

Last Name

Last 4

This field is hidden when viewing the form

I Name 3

First Name

M.I.

Last Name

Last 4

This field is hidden when viewing the form

I Name 4

First Name

M.I.

Last Name

Last 4

This field is hidden when viewing the form

Corp

Corp/Estate/Trust Name

TIN Number

This field is hidden when viewing the form

Seller Misc

Additional Sellers or Corp/Trust Name

Current Address

City

State

Zipcode

Seller'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

Office Name

Address

Fax

Selling Agent Information

Are you the Selling Agent?

Name

Email

Phone

Office Name

Address

Fax

Optional Notes

Need By

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 Instructions

Send Title Order Confirmation to

Sales Rep

Listing Agent

Selling Agent

Lender

Other

Preferred Delivery Method

Email

Fax

File Upload

File

Drop files here or

Accepted file types: docx, xlsx, doc, xls, pdf, txt, xsl, zip, Max. file size: 10 MB.

* Please Note - 10 meg per file size limit