Title Report – Refinance Applicant InformationName Street Address Telephone Email Firm City / State / Zip Fax I am the Buyer's Attorney Lender Buyer Seller's Attorney Lender's Attorney Broker General InformationPurchase Price Proposed Closing Date MM slash DD slash YYYY Seller(s) Loan Amount Buyer(s) Seller(s) PremisesAddress City / State / Zip Section Block Lot Type of Property Residential Commercial Property Description 1-2 family Condominium 3 family Co-op with insurance 4-6 family Co-op without insurance 7+ family Vacant Land / All Other Lender's AttorneyName Firm Street Address City / State / Zip Telephone Fax Email Borrower's AttorneyName Firm Street Address City / State / Zip Telephone Fax Email Additional ReportName Street Address City / State / Zip Special InstructionsNotes
