Order FormWhen you are ready to order our services, fill out the form below. Please fill in as many fields as possible to help us better serve you. When you are done, click the Submit My Order button at the bottom of this page. If you still have any questions, please do not hesitate to ask us. All of our contact information can be found in our Contact Us section.

 

Please fill out as much information as possible so we can complete your order in a more timely and accurate manor. The first few fields below are required, once you fill them out the appropriate fields will automatically be displayed below. If you would rather print out this form and fax or mail it to us, a printable version is available here.

 

To move between fields you can use the tab button on your keyboard. If you press the enter or return key, you will prematurely submit the application before it is complete.

 

Order Information (Please provide as much information as possible)

Order Type:	Purchase / Sale Refinance
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Washington D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgina Washington West Virginia Wisconsin Wyoming
Residential Commercial

 

Submitted By

Name:
Phone Number: Home Work Cell Fax:
Company:
E-Mail:
Before we continue, please tell us your relation to this order:
I Am the...	Seller Buyer / Borrower Listing Realtor Buying Realtor Seller Attorney Buyer's Attorney Bank

 

Seller Information

Name:
Social Security #:
Additional Name: Additional Social Security Number:
Phone Number: Home Work Cell Fax:
E-Mail:
Company:
Attorney Name: Phone Number: Attorney E-Mail: Attorney Fax:

 

Buyer / Borrower Information

Borrower:
Social Security #:
Co-Borrower: Additional Social Security Number:
Phone Number: Home Work Cell Fax:
E-Mail:
Company:
Attorney Name: Phone Number: Attorney E-Mail: Attorney Fax:

 

Listing Realtor Information

Realtor Name:
Phone Number: Work Cell Fax:
E-Mail:
Agency:

 

Buying Realtor Information

Realtor Name:
Phone Number: Work Cell Fax:
E-Mail:
Agency:

 

Financing Information (If Known)

Finance Amount:	$
Lender's Name:
Street Address:
City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Washington D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgina Washington West Virginia Wisconsin Wyoming Zip-Code:
Loan Officer:
Phone Number: Fax:
Processor Name (If Different From Loan Officer):
Phone Number: Fax:
Bank Attorney Name:
Phone Number: E-Mail:
Are you applying for an Equity line/Second Mortgage: Yes No

 

Second Mortgage Information

Lender's Name:
Street Address:
City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Washington D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgina Washington West Virginia Wisconsin Wyoming Zip-Code:
Loan Officer:
Phone Number: Fax:
Processor Name (If Different From Loan Officer):
Phone Number: Fax:

 

Property Information

Street Address:
City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Washington D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgina Washington West Virginia Wisconsin Wyoming Zip-Code:
County: Hillsborough Pasco Pinellas Polk Sarasota Collier Lee Orange Osceola Manatee St. Lucie Broward Miami-Dade Charlotte Palm Beach Hernando Other County: Bronx Kings Queens New York Richmond Nassau Suffolk Westchester Rockland Orange Putnam Other Municipality: City of Glen Cove City of Long Beach Town of Hempstead Town of North Hempstead Town of Oyster Bay Municipality: Islip Babylon Huntington Brookhaven Smithtown Riverhead Southhold East Hampton South Hampton Shelter Island Municipality: New York City District (If Available): Section (If Available): Block (If Available): Lot or Parcel ID (If Available): County: Atlantic Bergen Burlington Camden Cape May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Union Warren
Purchase Price:	$
Projected Closing Date:
When Title Commitment is Needed:
Requested Office For the Closing:

 

Additional Searches

Notice of Settlement Survey Instructions: Need Endorsement Order New Survey Try to Locate Will Send a Copy

Certificate of Occupancy Street Report Housing & Building Emergency Repair Fire Violation Repair Bankruptcy Other Survey Instructions: Need Endorsement Order New Survey Try to Locate Will Send a Copy

 

Additional Services

Would You Like us to Order Floor Certification:

Survey: If a survey is available, please provide a copy.

 

Additional Services

Would You Like us to Order Floor Certification:

Would you like Majesty to order a Survey (Prepayment maybe required):

 

Additional Services

Would You Like us to Order Floor Certification:
Would you like Majesty to order a Survey (Prepayment may be required): Survey Instructions: Need Endorsement Order New Survey Try to Locate Will Send a Copy
Comission Split: Listing Agent % Buyer's Agent %
Who Pays...
MLS Fee: Listing Agent Buyer's Agent Cost: $
Bonus to Buyer's Agent Seller Selling Agent Builder Cost:$
Transaction Fee by Real Estate Company Buying Agent Selling Agent Cost:$
Home Warranty
Who Pays: Buyer Seller Cost: $
Name:
Address:
Home Inspection
Who Pays: Buyer at Closing Out of Closing Cost: $
Name:
Address:
Phone:
Termite Inspection
Who Pays: Buyer at Closing Out of Closing Cost: $
Name:
Address:
Phone:
Home Owners Association #1
Annual Cost: $
Name:
Address:
Contact Name:
Phone:
Home Owners Association #2 (If Necessary)
Annual Cost: $
Name:
Address:
Contact Name:
Phone:
C.D.D. Cost:	$

 

Notes

Would you like Majesty Title to handle the closing?:

Who is the primary point of contact? Submitter Buyer Seller Listing Realtor Buying Realtor Seller Attorney Buyer's Attorney

E-Mail Commitment to Bank Attorney?

Would you like an:

Electronic Copy of Title Commitment

Hard Copy of Title Commitment

Both

Please tell us anything unique we should know about the transaction, such as the property, the participants, the timing, etc, so that we can serve you better.