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Place Title Order by Email

Fill in all spaces that apply to this order. Additional Information may be required. You will be contacted within one business day by email or fax to acknowledge your order and inform you of the title number assignment. If you do NOT receive an acknowledgement message, contact us immediately by telephone at 845-496-6775.

Originator/Applicant
Name of person making this order. Required

The Applicant, person or office originating this order, is the:

Originator's E-mail address
Required

Your Originating Office Code
Please use this code if known


OR

Originating Office & Contact Information
If Office Code was entered, then only your personal mail-stop, or telephone extension is necessary. For small offices, the Office Code alone should be sufficient.


Type of Search Required

Requested Delivery Date

Priority:

Transaction Type

Fee Amount:

Check here if this is New Construction.

Mortgage 1 Amount:

Check HERE if Mortgage 1 is a Building Loan

Mortgage 2 Amount:

Check if Mortgage 2 is to be insured

Check HERE if Mortgage 2 is a Building Loan

Premises Address


Check here if the property is known to be currently vacant land.

Municipality
If known


County
Required


Tax Designation
If known


Type of Property
Required. Enter the selection that best describes this property.


Survey Instructions
Required


Note: If owners or purchasers currently reside outside the county where the property is located, please indicate the county and state of residence. This information is used for Bankruptcy Searches.

It is Standard Procedure to run Patriot Searches on all names a part of this transaction.

Record Owner(s)
Borrower if a refinance


Owner's Attorney Information


Check HERE if Purchaser Attorney is same as Originator.
If so, You may leave Attorney Info Box blank.

Purchaser


Purchaser Attorney Information


Check HERE if Lender Attorney/Agent is same as Originator.
If so, You may leave Attorney Info Box Blank.

Lender Information


Lender Attorney/Agent Information


Municipal Searches

NO Municipal Search required
Street Report Only

Standard Searches:

Standard Upstate - includes Certificate of Occupancy, Violation, and Street Report.
Standard New York City - includes Certificate of Occupancy, Housing & Building, Fire Department, Emergency Repairs, and Street Report
Standard Long Island - includes Certificate of Occupancy, Housing & Building, Fire Department, Highway Dept., and Street Report


Additional Searches(where available):

Emergency Repair
Health Dept.
Vault Search
Air Resources
Fuel Oil Permit
Dept of Highways
Sewer Search
Landmark Search
Zoning Search
Certificate of Good Standing
Certificate of Incorporation
Flood Search

Please add any additional remarks, supplementary information, or special requests. If you have any supplementary documentation, please describe it below.



Please Check here if Supporting Documentation, such as survey, prior title, etc. is being faxed and/or mailed separately.

Copyright © 2003-2009 Sapphire Title & Settlement Agency, LTD. All rights reserved.
TEL(845) 496-6775 FAX (845) 496-0250 55 East Main Street, Washingtonville, NY 10992