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              Please provide your account information:
                 *Required Fields

 
Ordered By             Company
Phone #             Fax #
       
Date  

      Due Date

Section

Block 

 Lot 

    

 

*   Refinance

* Purchase

* Loan Amount

 $

 Fee Amount

  $

Commercial      Residential      Condo      Co-Op

 

*Premises

   
                   Street Address  
                   Address (cont)
                  City
                  State
                  Zip code
   

Description

 

 
*Record Owner
 
LAST NAME FIRST NAME SS#

1.

   

2.

   

3.

   
     
BUSINESS TAX ID#  
 
*Purchaser
 
LAST NAME FIRST NAME SS#

1.

   

2.

   

3.

   
     

BUSINESS

TAX ID#  
 
 
* Mortgagee
 
LAST NAME FIRST NAME SS#

1.

   

2.

   
     

 LENDER NAME

LENDER PHONE #
     
LENDER FAX# LENDER CONTACT
 
* Purchasers Attorney
 

First Name       

Last Name
Street Address  
Address (cont)
City
State
Zip code

Phone #

 
* Lender Attorney
 

First Name       

Last Name
Street Address  
Address (cont)
City
State
Zip code

Phone #

 
* Sellers Attorney
 

First Name       

Last Name
Street Address  
Address (cont)
City
State
Zip code

Phone#

 

BANKRUPTCY and PATRIOT SEARCH
(Please include Social Security number if any)

 BANKRUPTCY SEARCH   PATRIOT SEARCH
LAST NAME FIRST NAME MIDDLE 
INITIAL
SS#

1.

     

2.

     

3.

     

4.

     

COMMERCIAL BUSINESSES (COMPANY NAME) FEDERAL TAX ID#

1.

2.

PETITIONS: 
DOCKETS:  
CASES:  

INCLUDE CASE NUMBER IF AVAILABLE
 

* Survey Instructions
 
Order  Survey
 
Special Instructions


 


 

 

 

Majestic Title
Services, Inc.
"Protecting your
Modern Day Castle
"
 

1900 Hempstead Tpke. Suite 306
East Meadow, NY 11554

Phone: (516) 640-5049
Fax: (516) 706-2984  

E-mail:
 info@
majestictitleservices.com

 

 

 

 





 

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