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Title Application
Close with Midland Title and have us help you create a memorable closing experience.
General Information
Estimated Closing Date:
Type of Order:
Purchase
Commercial
Refinance
O & E
Other
Information
Owner to be insured
Purchase Price / Amount of Coverage
Lender to be Insured
Loan Amount / Amount of Coverage
Lender Information
Loan Officer
Phone
E-mail
Processor Name
Processor Phone
Processor E-mail
Property Information
Street Address
City
State
Zip Code
County
Property Information
PID
Legal Description
Property Type
Existing Building
Vacant Land
New Construction
Seller Information
Seller's Name(s)
Realtor / Attorney
Buyer Information
Name(s)
Street Address
City
State
Zip Code
Buyer Information
E-mail(s)
Home / Cell Phone(s)
Work Phone(s)
Marital Status
Buyer's SS#(s)
Realtor / Attorney
Additional Information
Broker Admin Fee
Midland Title Closer
Additional Information
Attach purchase agreement or closing information sheet
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