Pacific Title Company

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Order Title & Escrow

    Ordered By (required)

    Your Company

    Your Email (required)

    Your Reference #

    Your Phone

    Your Fax

    Your Address

    Your Email (required)

    Check this box if you'd like to use our escrow services:YesNo

    If you have a preference of underwriter, make your selection here:
    Old Republic National TitleFirst American Title

    Type of Transaction:
    SaleLoanTSG/LitGuarOther

    Sales Price:

    For Owner's Policy, select the type and policy amount, if different from Sales Price:
    StandardExtended
    Amount:

    For Loan Policy, select the type and policy amount:
    StandardExtendedSMART
    Loan Amount:

    Type of Property
    Single Family Res.Vacant LandCommercialDuplexMulti-FamilyApartment Bldg.

    Check this box if there is a mobile home included in the sale.

    Property Address

    Legal Description (Please include information such as: Parcel Number, Lot, Block, Addition, etc.)

    Seller Name

    Phone

    Seller Mailing Address (if different from the property address)

    Purchaser/Borrower Name

    Phone

    Purchaser/Borrower Mailing Address

    Please check this box if this is a new construction and list the builder below.
    Builder Name

    Lender's Name as it should appear on the Commitment for Title Insurance

    Company

    Address

    Phone

    Fax

    Email

    Closing Agent, if different from above selection

    Company

    Address

    Phone

    Fax

    Email

    Listing Realtor

    Company

    Address

    Phone

    Fax

    Email

    Selling Realtor

    Company

    Address

    Phone

    Fax

    Email

    Additional Information

    If you would like to print a copy of this order, please print from your browser window before clicking on the submit button. After you click "submit", confirmation will be displayed in the green box at the bottom of the screen. (You may have to scroll down to view this, depending on your browser.) Pacific Title Company thanks you for your order!

    133 1st Street S
    P.O. Box 670
    Montesano, WA 98563
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    Phone: (360) 249-4031
    Fax: (360) 249-4106
    Email us

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