Realty Settlement Services: Title Application

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Title Application

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Complete our title application.
Complete the form below and click the submit button. One of our agents will review your information and call you to schedule a settlement. We may require additional information.

* Indicates a required field.

Property Address

Borough or Township

Present Owners

Owner's Address

Owner's Phone Number

Purchasers Address

Purchaser's Phone Number

Lender

Mortgage Amount

Mortgage Officer

Mortgage Officer Phone Number

Sales Price

Settlement Date (approx.)

Transfer Taxes

Split
Buyer
Seller

Special Conditions: (check all that apply)

Power of Attorney
Divorce
Estate
Equitable Owner
Other

Applicant (selling agent)
Name *
Code
Office
Address
Phone Number *
E-mail Address

Listing Agent
Name
Office
Address
Phone Number

* Indicates a required field.

	Office Location
	1550 Lititz Pike Lancaster, PA 17601 717-295-5400 Fax 717-295-4511