Dewrell Sacks - Transaction Portal Order Form

Order Information
Select Order Type:
Select Closing Location:
Who can we thank for this order (realtor, builder, etc..)?

New Lender Contact

*Loan Officer:

*Phone Number:

*Fax Number:

*Company Name:

*Loan Officer Email:

Please separate multiple email addresses with a comma.

New Loan Information
	Loan Info	Lender Name	Lender Address (full address needed for closing protection letter)
1st Loan:	$ Amount: Loan Number:	1st Lender Name:	Street Address: City, State Zip:
2nd Loan:	$ Amount: Loan Number:	2nd Lender Name:	Street Address: City, State Zip:
Purchase Fax purchase agreement to: (678) 636-3199		Refinance	Equity Line / Second
Full Title Search (Purchases Only) Limited Title Search (Refinance Transactions) Survey		Provide E&O Certificate Closing Protection Ltr Wiring Instructions 24 Month Chain Preliminary HUD	Alta 9.0 Alta 8.1 Alta 6.1 Alta 5.0

Property Information
*Current Owner:
*Address:
*State:	*City:	*County: calculate
Subdivision: (only for new construction)	Lot:	Block:

Borrower Information
*Borrower(s)/Purchaser(s):	(All borrower(s) first and last names required)
Social Security #'s	#1:	#2:
Home Phone:
Work Phone:

Current Mortgage Information
Would you like Dewrell Sacks to obtain current mortgage payoffs? Yes, obtain the current mortgage payoffs for me. No, I do NOT want Dewrell Sacks to obtain mortgage payoffs for me.

Additional Instructions

Please provide complimentary Express Title Report and Comparable Sales Report if available.

Comments:

**Note: You must have Adobe Acrobat Reader installed to view the title order receipt

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