Title Report – Refinance Applicant InformationName Street AddressTelephoneEmail FirmCity / State / ZipFaxI am theBuyer's AttorneyLenderBuyerSeller's AttorneyLender's AttorneyBrokerGeneral InformationPurchase PriceProposed Closing Date Date Format: MM slash DD slash YYYY Seller(s)Loan AmountBuyer(s)Seller(s)PremisesAddressCity / State / ZipSectionBlockLotType of PropertyResidentialCommercialProperty Description1-2 familyCondominium3 familyCo-op with insurance4-6 familyCo-op without insurance7+ familyVacant Land / All OtherLender's AttorneyNameFirmStreet AddressCity / State / ZipTelephoneFaxEmail Borrower's AttorneyNameFirmStreet AddressCity / State / ZipTelephoneFaxEmail Additional ReportNameStreet AddressCity / State / ZipSpecial InstructionsNotes
