Security Title Services - STS Order Form


* Required Fields
* Name and contact information of person placing the order Name:
* Company:
* E-Mail:
* Phone:
Fax:
* Type of Order:
If 'Other' please explain:
* Full Property Address:
* Sales Price:
Legal Description (if any):
* Buyer (Borrower) Information: Name(s) [First - Middle Initial - Last]:
* How are they taking title?
If 'Other' please explain:
Buyer's Lender information Company:
Name:
E-Mail:
Phone:
Fax:
Loan Amount:
* Seller Information Name(s) [First - Middle Initial - Last]:
Payoff Information 1^st Payoff - Name of Lender - Loan # - Phone #:
2^nd Payoff - Name of Lender - Loan # - Phone #:
3^rd Payoff - Name of Lender - Loan # - Phone #:
Home Owners Association Info (if any):
Listing Agent Company:
Name:
E-Mail:
Phone:
Fax:
Selling Agent Company:
Name:
E-Mail:
Phone:
Fax:
Commission and Commission Split:
Special Information Section:
* Required Fields