Title Exam Request Form

Please fill out the form below to submit a title examination request. We’ll receive your request right away and be in touch within 1 business day. If your request is approved, we’ll get to work right away to ensure your closing is the least stressful part of the transaction.

First Name

Last Name

Company Name

Phone

Order Date

Loan Amount

Loan Officer

Loan Officer Contact Information

Investor

Investor Contact Information

Property Address Display

Property Address

Please include the county on address line 2

Country

Address Line 1

Address Line 2

City

State

ZIP Code

Borrower's Name(s)

First Name

Last Name

Borrower's Contact Information

Selling Brokerage & Agent

Selling Brokerage Phone Number

Seller's Name(s)

First Name

Last Name

Seller's Phone Number

Listing Brokerage & Agent

Listing Brokerage Phone Number

Would you like to use Prodigy Title to order payoffs?

Yes No

First Mortgage: Lender & Account Number

Second Mortgage: Lender & Account Number

Is a survey required?

Yes No

Estimated Closing Date

Special Instructions