Please complete the following form to place a title order. The form will create and send an email to us. Please include your fax number so that we can send a written confirmation of your order, with an expected delivery date. Call us at 877-775-0900 or email us if you do not receive a confirmation by the next business day.

Contact Information
Your name:

Your company:

Your phone number:

Your fax number:

Your email address:

Do you prefer fax, email, or hand delivery?
Fax Email Hand Delivery

Property Information
Current Owner's name:

County:

Property address:

Property legal description:
Lot number:
Block number: Subdivision name:
If this is not in a subdivision, please provide the quarter, section, township, and range information:

Metes and bounds legal description (If you have it.):

Additional Information
Please enter the type of order:

Buyer's name:
Buyer's Ownership type:

Purchase price:

Lender's name:

Loan Amount:

Listing Agent name:

Selling Agent name:

Additional comments: