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Friday, May 18, 2012
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1-800-974-6657

Closing Request Form

Arrange your real estate settlement online

Customer Information

Schedule Closing

Complete this short form to schedule a real estate closing and obtain a quote for title insurance and approximate settlement fees.

Name:

Email:

Phone:

Fax:

Address:

Sales Information

If the request is for a purchase closing, enter the contract sales information in this section.

Loan Amount: $

Sales Price: $

Date Requested:

Enter the date of this request.

Closing Date:

Enter the closing date on your purchase agreement.

Property Information

Enter the property information in this section.

Owner's Name:

Enter the current property owner's name.

Property Address:

Legal Description:

If known.

City:

County:

Tax Identification #:

If known.

Real Estate Agent Information

If a real estate agent is involved in the transaction, please enter their contact information here.

Agent's Name:

Agent's Company:

Enter the company name and address including city, state and zip.

Agent's Phone:

Mortgage Lender Information

Enter the mortgage lender's contact information here.

Mortgage Lender's Name:

Lender's Address

Enter the company name and address including city, state and zip.

Lender's Phone:

Title Policy Information

If a current title policy exists on the property, please enter the Information for the existing title insurance policy.

Prior Title Policy Available?

Title Company:

Policy Date:

By clicking the "Submit" button below, I hereby acknowledge that I have read and understand Bloomkey's Terms of Use.

Licensing and disclosure information.