Title Order Form
Purchase

Colorado Escrow & Title Services, LLC
520 Main Street, Suite C • Longmont, CO 80501
Phone: (303) 678-8500 Fax: (303) 678-8509
Email: orders@coloescrow.com
www.coloescrow.com
Application Type:
    
From:
Account Rep:
Company:
Date Ordered:
Email:
Est. Closing Date:
Phone:
Fax:
Property Address:
Street Address:
 
City:
 
ZIP:
 County:
 
Purchase Price:
Legal Description:
Lot:
 
Block:
 
Subdivision:
 
Metes and Bounds:
 
Section:
 
Township:
 
Range:
Owner/
Seller:
Phone:
SSN/TaxID:
Email:
Mailing Address:

Co-Owner/
Seller:
Phone:
SSN/TaxID:
Email:
Mailing Address:
Buyer/
Borrower:
Phone:
SSN/TaxID:
    
Mailing Address:
Co-Buyer/
Borrower:
Phone:
SSN/TaxID:
    
Mailing Address:

LENDER INFO - NEW LOAN
Lender Contact:
New Loan Amt.(s):
Email:
Phone:
   
Fax:

REAL ESTATE BROKER INFO
Listing Agent:
Phone:
Company Name:
  
Email:
Fax:
Mailing Address:
Selling Agent:
Phone:
Company Name:
  
Email:
Fax:
Mailing Address:
Payoff Information:
 We MUST have a signed Borrower's Authorization, SSN, and correct loan info to obtain payoff statements.
1st Mortgage Lender:
Loan Number:
Phone:
Fax:
2nd Mortgage Lender:
Loan Number:
Phone:
Fax:
 
Name of HOA:
HOA Contact:
 
Utility Co. (Water):
Utility Contact:
Owner's Extended Coverage:
May we contact your seller for additional information needed to obtain payoffs?
In order to proceed with your order, we will need a signed copy of the contract. Please fax or e-mail the signed copy at your earliest convenience.
Special Instructions: