Please enter the following information to order title insurance and closing services.
Please note that all RED fields marked with a asterisk (*) are required.

          

        General Information

          *Date Ordered:                
          *Ordered By :                 
 
          *Telephone No.               
 
          *Fax No.                        

          *Email:         
                

         Legal Description 

          Street Address:              
          City/State/Zip:                

          *Seller                             
        
 *2nd Seller (if any):         
           Address:                      

           City/State/Zip:               

           Telephone:                    

          *Purchaser/Borrower:        
        
 *2nd Purchaser (if any)    
            Address:                      

            City/State/Zip:              

            Telephone:                   

            Sales Price:                 

            Down Payment:            

         *Loan Company:              

         * Loan Amount:                
  

          * Loan Purpose               

         * Tax Certificates Info:      
         * Insured Closing Letter :  

         * 24-Month Chain of Title:
 

        COMMENTS

        
        

   PLEASE ENTER THIS SECURITY CODE TO SECURELY SEND THIS INFORMATION:

   XLPLGND56   ---> Enter Code Here    

 

 
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6699 McPherson Rd. North town Professional Plaza Ste102
     Laredo, TX 78041 Phone. 956.722.5700

 
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