Download and fax in the Order Title Request PDF Document
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-To Complete and Submit the Order Title Online please fill out the form below.

Online Order Title Form

Form Instructions: Please complete as much of the Online Order Title Form below as applicable, if known, and click submit when finished. Request for Title TO: FROM: Rashfal & Associates, LLC.: 912 Holcomb Bridge Road, Suite 100 Roswell, GA 30076 Phone:(678) 358-3933 Facsimile:(678) 691-8452 Email:mrashfal@rashfallaw.com Company: Person Ordering Title: Fax Number: Phone Number: Email:     INFORMATION REGARDING THE PARTIES TO THE TRANSACTION Borrower/Buyer 1 Name: Name of Seller 1: Borrower/Buyer 1 SS#: SS# for Seller 1: Borrower/Buyer 2 Name: Name of Seller 2: Borrower/Buyer 2 SS#: SS# for Seller 2: Borrower/Buyer Phone#: Seller Phone#: Borrower/Buyer Email: Seller Email: Current Address of Buyer: Address of Seller: (if different from property address) Name of Selling Agent: Name of Listing Agent: Selling Agent Phone#: Listing Agent Phone#: Selling Agent Email: Listing Agent Email: Mortgage Broker Name: Mortgage Broker Company: Mortgage Broker Phone#: Mortgage Broker Email:   TRANSACTION INFORMATION Property Address: Sale Price:$ Loan Amount: Earnest Money Deposit:$ Loan#: Commissions Estimated Closing Date: Listing Agent: Selling Agent: Transaction Type: Purchase (if purchase, please forward a copy of the purchase agreement to our office at your earliest convenience)   Refinance   Property is/will be: Residential Commercial Land/Lot Other:   LOAN PAYOFF INFORMATION 1st Mortgage Loan#: 2nd Mortgage Loan#: 1st Mortgage Lender Name: 2nd Mortgage Lender Name: 1st Mortgage Lender Contact Phone#: 2nd Mortgage Lender Contact Phone#: Loan Information: Payoff Current Loan   New Loan   SPECIAL INSTRUCTIONS Please use the space below to list anything else you believe our office should know: