Ordering

PLACED BY

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Fax

Email *

ARE YOU REFINANCING?

Yes
No

SELLER INFO

Seller's Name

First

Last

Seller's Address

Address Line 1

Address Line 2

City

State

Zip Code

Seller's Phone

Seller's Email

BUYER / BORROWER

Buyer's Name

First

Last

Buyer's Address

Address Line 1

Address Line 2

City

State

Zip Code

Buyer's Phone

Buyer's Email

Are Realtors involved in this transaction?

Yes
No

Seller's Realtor

First

Last

Buyer's Realtor

First

Last

Sale Price

IS THERE A MANUFACTURED HOME INVOLVED IN THE TRANSACTION?

Yes
No

WILL THIS BE FINANCED?

Yes
No

Loan Amount

Lender Name

Lender Address

Address Line 1

Address Line 2

City

State

Zip Code

Lender Phone

LOAN TYPE

Purchase
Improvement
Refinance
Home Equity (Cash Out)

TITLE REPORT ONLY?

Yes
No

Number of Years?

BRIEF DESCRIPTION OF WHAT IS NEEDED for your Title Report

PROPERTY INFO

PROPERTY TYPE AND DESCRIPTION

Improved Property
Unimproved Property

Layout

Lots

Subdivision

Acres

Block

City of

Survey

PRIOR REFERENCES: To your knowledge, has Cherokee Title performed services with regard to this property in the past?

Yes
No

Please provide any information related to those prior services:

PAYMENT

How will you pay Earnest Money?

ZOCCAM
Check
Wire Transfer
Not Applicable

IMPORTANT NOTICE: BEWARE WIRE TRANSFER FRAUD!

Email hacking and fraud are on the rise to fraudulently misdirect funds. Please call your escrow officer immediately using contact information found from an independent source, such as the sales contract or internet, to verify any funding instructions received. Cherokee Title Company is not responsible for any wires sent by you to an incorrect bank.

ANY SPECIAL INSTRUCTIONS?

Please provide any information or special instructions that you believe we should have to quickly respond and provide better service.

Ordering Title Services

PLACED BY

SELLER INFO

BUYER / BORROWER

PROPERTY INFO

PAYMENT

IMPORTANT NOTICE: BEWARE WIRE TRANSFER FRAUD!

ANY SPECIAL INSTRUCTIONS?

Underwriters and Affiliations

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