Community Title Associates, Inc.
632 E. Ocean Avenue
Boynton Beach, FL  33435
561-735-9902  Fax:  561-735-9937

 

Community Title Associates, Inc.
3045 N. Federal Hwy #60
Fort Lauderdale, FL  33306
954-565-9200  Fax:  954-567-1441

 

Please print and fax to the office closest to you.
 
Part I - Request
To:
Community Title Associates, Inc.
632 E. Ocean Ave.
Boynton Beach, FL  33435
561-735-9902  Fax: 561-735-9937
From:



Signature of Lender

 

Title

Date

Lender's No.

Name and address of Applicant

 

 

Part II - Property and Mortgage Information
Occupancy Status Loan Purpose
 Primary Residence  Purchase
 Second Home  Cash-Out Refi
 Investment Property  No Cash-Out Refi
Sales Price:
$
Loan Amount:
$
Property Address:

 

Legal Description:

 

Home Owner's Name and Phone Number

 

 

Property Type

Detached Attached Condo Pud Co-op

Seller:

 

Mortgagee:


Part III - Request for Title Commitment
Attachment:

Prior Title Policy               Title Insurance Requirements           Contract

Warranty Deed                  Survey

Type of Policy:

 

Estimated Closing Date:

 

Mail Away:

  Yes            No
Part IV - Special Instructions