Name of Customer Ordering:  *

          Telephone No:  *         Email:  

            Requested Delivery Date:  *

                           Do you prefer working with a specific closer?
                                             If so, please choose from this list...       None KenEtta Fitzgerald-Duff Ann Wolfe Carol Hartmann Michelle Echelberger Stacy Lavoy Deborah Schaftlein Lois Krieg

     Legal Description of Property:  *
                                                                 e.g. "Lot 1, Block 2, Some Subdivison" or "Parcel in section 35-3N-70"

                          Property Address:  *
                                                                 If vacant land, please enter "Vacant Land"

                            Owners Name(s):  *

      Purchasers Name(s) (if sale): 

                Purchase Price (if sale): 

If this is a sale, we will need a copy of the contract. If you have a digital or
scanned version of the contract, it can be emailed to your closer. All of our
email addresses can be found on the "Contact Us" page of this website.
A paper version of the contract can be faxed to 303-449-3273.

      1st Lenders Name(s) (if loan): 

        1st Loan Amount:              Form 8.1     Form 100

     List Other Endorsements on 1st loan policy: 

     2nd Lenders Name(s) (if any): 

        2nd Loan Amount:              Form 8.1     Form 100

     List Other Endorsements on 2nd loan policy: 

Recipients of Title Documents:

         Name:       Telephone No: 

         Email:                Fax No: 
                        enter only if docs are to emailed                                                                  enter only if docs are to be faxed

        Street Address:
                                          enter only if paper docs are to be delivered or mailed

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        Name:       Telephone No: 

         Email:                Fax No: 
                        enter only if docs are to emailed                                                                  enter only if docs are to be faxed

        Street Address:
                                          enter only if paper docs are to be delivered or mailed

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        Name:       Telephone No: 

         Email:                Fax No: 
                        enter only if docs are to emailed                                                                  enter only if docs are to be faxed

        Street Address:
                                          enter only if paper docs are to be delivered or mailed

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        Name:       Telephone No: 

         Email:                Fax No: 
                        enter only if docs are to emailed                                                                  enter only if docs are to be faxed

        Street Address:
                                          enter only if paper docs are to be delivered or mailed

Additional Instructions