BRIGHTMAN AGENCY, INC.

A FULL SERVICE TITLE AGENCY
Serving New Jersey & Pennsylvania

Member — NJLTA
Member — Chamber of Commerce

Services

  • Refinance, Purchase and Foreclosure Transactions
  • Residential Title Insurance
  • Commercial Title Insurance
  • Property, Lien & Judgment Searches
  • Closing/Settlement Services
  • Signing Services
  • Notary Services
  • Title Examinations
  • Title Reports
  • Other Title and Escrow Related Services Upon Request

Real Estate Professionals:
Click here for a complete Title Order Form.

Financial/Lending Professionals:
Click here for a complete Title Order Form.

Non-Professionals:
Click here for an abbreviated Title Order Form.

DIRECTIONS
  TITLE ORDER FORM
Purchase Transaction

(*required field )
ORDER INFORMATION
*ORDER DATE:
*Company Requesting Services:
*Company Phone:
*Contact Person:
*Contact Person Phone:
Loan Processor:
Loan Processor Phone:
Loan Officer:
Loan Officer Phone:
*Requested Settlement/Closing Date:
(call for time and confirmation)  
*Buyers Agent Phone:
*Sellers Agent Phone:
SERVICES REQUESTED
*Title Commitment Package Yes    No
*Mortgage Payoff(s) Needed Yes    No
*Survey Yes    No
*Termite Inspection  Yes    No
*New Deed Required Yes    No
*Use & Occupancy Yes    No
*Certificate of Occupancy Yes    No
METHOD OF DELIVERY FOR COMPLETED TITLE SEARCH/COMMITMENT
*Select delivery method for completed title search/commitment. Faxed    E-mailed    Pick Up
*E-mail of Person Ordering the Title Work:
*Fax of Person Ordering the Title Work:
SALE PROPERTY INFORMATION
*Amount of Sale/Purchase price:
*Street Address:
 
*City:
*County:
*State:
*Zip Code:
*Purchase is a Primary Residence Second Home Investment Property
Existing Mortgage(s) Information
Mortgage Company(s):
Telephone Number(s):
Loan Number(s):
Amount of New Loan:
Name of New Lender/Investor:
Mortgage Clause:
Name:
Address:
 
City:
State:
Zip:
BORROWER(S) INFORMATION
*Primary Address:
 
*City:
*County:
*State:
*Zip Code:
*Borrower Female     Male
*Legal Name:
*Home Phone:
*Work phone:
*Cell phone:
Social Security Number:
Date of Birth:
DL#:
*Marital Status: married separated divorced single
If you are married you must provide spouse's information
Co-Borrower/Spouse: Female     Male
Legal Name:
Home Phone:
Work phone:
Cell phone:
Social Security Number:
Date of Birth:
DL#:
Marital Status: married separated divorced single
SELLER(S) INFORMATION
*Primary Address:
 
*City:
*County:
*State:
*Zip Code:
*Seller Female     Male
*Legal Name:
*Home Phone:
*Work phone:
*Cell phone:
Social Security Number:
Date of Birth:
DL#:
*Marital Status: married separated divorced single
Co-Seller Female     Male
Legal Name:
Home Phone:
Work phone:
Cell phone:
Social Security Number:
Date of Birth:
DL#:
Marital Status: married separated divorced single
Additional Information//Notes:
 
 
 

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 219 North High Street | Suite B | Millville, NJ 08332 | Tel: 856-293-7777 | Fax: 856-293-7770 | info@brightmanagency.com

© 2007, BRIGHTMAN AGENCY, INC. All Rights Reserved.
Authorized agent of
First American Title Insurance Company
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