Request for Title Search

Client Requesting the Title Search

Send Report to (your fax number):

Send Report to (your e-mail address):

Please provide contact telephone number:

Lender's Loan Number:

Send Report to Attention of (your name):

About the Title Search You are Requesting:

1st Owner's Full Name
(include middle initial if any) :

2nd Owner's Full Name
(include middle initial if any) :

Name of Business Entity (if Commercial Loan):

Is Title in Business Name?

Street Address of Property to be Mortgaged:

Mortgage Property City:

Mortgage Property State:

MA NH RI

Mortgage Property Zip Code (if known):

Year Purchased (if known):

Is this a Refinance or Purchase?

Seller's Name(s) (if a sale):

For commercial loans, please forward the firm a copy of the draft commitment letter or your term sheet by fax to (781) 449-6600 or by e-mail to rel@lgw.com.  For purchases, please forward copy of purchase and sale agreement (or offer to purchase) if available.

Additional Information / Comments: