Title Report – Refinance Applicant InformationName Street AddressTelephoneEmail FirmCity / State / ZipFaxI am the Buyer's Attorney Lender Buyer Seller's Attorney Lender's Attorney Broker General InformationPurchase PriceProposed Closing Date MM slash DD slash YYYY Seller(s)Loan AmountBuyer(s)Seller(s)PremisesAddressCity / State / ZipSectionBlockLotType 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 AttorneyNameFirmStreet AddressCity / State / ZipTelephoneFaxEmail Borrower's AttorneyNameFirmStreet AddressCity / State / ZipTelephoneFaxEmail Additional ReportNameStreet AddressCity / State / ZipSpecial InstructionsNotes
