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Title Work Order Form

MOUNTAIN STATES TITLE CORPORATION
4155 E Jewell Ave Suite 318
Denver, Colorado 80222
(303) 639-5643, (303) 758-2051 Fax
info@haloholdings.net
DATE:
 COMMITMENT DUE DATE:
CLOSING DATE:
 SALES PRICE $:
PROPERTY ADDRESS:
CITY:
 STATE:
 ZIP:
LEGAL DESCRIPTION:
COUNTY:

SELLER(S) NAME:
CURRENT ADDRESS:
CITY:
 STATE:
 ZIP CODE:
HOME PHONE:
 WORK PHONE:
 FAX #:

BUYER(S) NAME:
CURRENT ADDRESS:
CITY:
 STATE:
 ZIP CODE:
HOME PHONE:
 WORK PHONE:
 FAX #:

LISTING COMPANY:
 AGENT:
ADDRESS:
CITY:
 STATE:
 ZIP CODE:
WORK PHONE:
 FAX #:

SELLING COMPANY:
 AGENT:
ADDRESS:
CITY:
 STATE:
 ZIP CODE:
WORK PHONE:
 FAX #:

NEW LENDER:
ADDRESS:
CITY:
 STATE:
 ZIP CODE:
WORK PHONE:
 FAX #:

EXISTING 1ST LOAN COMPANY:
WORK PHONE:
 FAX NUMBER:
LOAN NUMBER:
 LOAN BALANCE $:

EXISTING 2ND LOAN COMPANY:
WORK PHONE:
 FAX NUMBER:
LOAN NUMBER:
 LOAN BALANCE $:

HOA–MANAGEMENT COMPANY:
WORK PHONE:
 FAX NUMBER:

SPECIAL INSTRUCTIONS:

 
             
 
         
Your real estate purchase may be one of the largest investments that you will ever make.
Title Insurance makes sure that your investment is protected.		  
    What is Title Insurance    
         
 
         
                    Buying a Home?
Please fill out this simple form to order title insurance and closing services for your home purchase.		  
Order Title
 
 
         
             Refinancing a Home?
Please fill out this simple form to order title insurance and closing services for your mortgage refinancing.		  
Refi Order
 
 
             
Mountain States Title Corporation           4155 East Jewell Avenue, Suite 318, Denver Colorado 80222           Phone 303-639-5643, Fax 303-758-2051