Title Center of Greater Kentucky, LLC: Application for Title Work

You can save time by using our quick and easy online title work application. Simply provide us with some basic information about your transaction and we will get back to you with an estimated completion date. If you have any questions or concerns about our online application, please contact us.

Instructions: Fill this form out completely and accurately. Submit your completed application by pressing "Submit" once you are finished. If you have any questions or concerns about this application, please contact us.

ORDER FROM AND MORTGAGE INFORMATION

Bank/Firm Name:

Loan Officer/Other:

E-mail:

Address:

City:

State:

Zip:

Telephone Number:

Fax Number:

TRANSACTION INFORMATION/TYPE OF COVERAGE REQUESTED

Mortgage Title Policy
Loan Amount:	$
Lien Position (1st, 2nd):
Type of Loan
Refinance
Purchase
Construction Loan
2nd. Mortgage/Equity Loan
Endorsement Requested:

Other

Owners Title Policy

Insured Amount: $

Cash

Other

Type:

Condo

PUD

COOP

Foreclosure

1-4 family Res.

MultiFamily

Commercial

Leasehold

Mobile Home

Other:

CLIENT INFORMATION
Purchaser/Borrower:
Seller, if known:
Current Mortgage Holder:
Any known liens, judgments, etc.

PROPERTY INFORMATION

Property Address:
City:	State:	Zip:
County:	Lot/Condo #:
Block:	Section:
Subdivision/Condo Name:
Prior Policy Available (send copy if available):
Prior Title Company:
Prior Title Number:

MISC. INSTRUCTIONS/REQUESTS

Survey Instructions:
Survey exists and will be forwarded
New survey will follow
No survey

Insured Closing Letter Requested: Yes No

Closing Instructions:
Who to Close:
Where to Close:
Copies Needed:

Other:

ORDER INFORMATION
Date Needed:
Additional Comments:

2600 Ring Road, Elizabethtown, KY 42701
e-Mail: info@titlecentergreaterky.com Phone: (800) 571-5668

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