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855-952-0665

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REALTORS INFORMATION

Seller's Realtor

Seller's Realtor Phone

Seller's Realtor Email

Seller's Realtor Fax

Buyer's Realtor

Buyer's Realtor Phone

Buyer's Realtor Email

Buyer's Realtor Fax

REAL ESTATE BROKER COMPANY INFORMATION

RE Company Name

RE Company Address

RE Broker's Name

RE Company Email

RE Company Phone

RE Company Fax

LOAN INFORMATION ((FOR LENDERS ONLY))

Choose One:

Purchase

Refinance

How Many Borrowers

One

Two

If purchase then, select purchase type

First-time Homebuyer

If Refinance, then select refinance type

Second Home

Loan Number (Required by some lenders)

Approximate Loan Amount

Est. Settlement Date

Closing Address (In Person or Remote)

Should Pronto Titles request a title survey?

Yes

No

Is anyone being added or removed from title?

Yes

No

If yes, please explain

BORROWER/BUYER INFORMATION

Borrower/Buyer #1 Name*

Borrower/Buyer #2 Name

Main Phone

Social Security Number

Other Phone

SELLER INFORMATION

Seller #1 Name

Seller #2 Name

Social Security Number

PROPERTY INFORMATION

Property Address

Address Line 1

Address Line 2

State

ZIP Code

County

PAYOFF INFORMATION

Should Pronto Titles request payoffs?

Yes

No

If Yes then fill up these,

1st Mortgage*

Phone Number

Fax Number

Account Number

2nd Mortge*

Phone Number*

Fax Number*

Account Number*

Are there any open judgements or tax liens?

Yes

No

If yes, please explain

ADDITIONAL INFORMATION

Account Manager Name (if applicable)

Any additional information we should know?

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For general inquiries, please e-mail to: TeamPronto@prontotitles.com

T. +1-855-952-0665 - F. 786-706-5004 - Click Here to Find Us

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