Title Exam Request Form

Please fill out the form below to submit a title examination request. We’ll receive your request right away and be in touch within 1 business day. If you have a prepared title order form please just upload your document and submit. If your request is approved, we’ll get to work right away to ensure your closing is the least stressful part of the transaction.

Name

First Name

Last Name

Company Name

Phone

(###)

###

####

Order Date

YYYY

Loan Amount

Loan Officer

Loan Officer Contact Information

Investor

Investor Contact Information

Property Address

Please include the county on address line 2

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Borrower's Name(s)

First Name

Last Name

Borrower's Contact Information

Selling Brokerage & Agent

Selling Brokerage Phone Number

(###)

###

####

Seller's Name(s)

First Name

Last Name

Seller's Phone Number

(###)

###

####

Listing Brokerage & Agent

Listing Brokerage Phone Number

(###)

###

####

Would you like to use Prodigy Title to order payoffs?

Yes

First Mortgage: Lender & Account Number

Second Mortgage: Lender & Account Number

Is a survey required?

Yes

Estimated Closing Date

YYYY

Upload Contract- UPLOAD

Upload your contract by clicking "UPLOAD" above and attaching your contract as a file. Please be sure to save your file with a clear name. IMPORTANT: You still need to hit "submit" at the bottom of this form to submit your title exam request order

Special Instructions