Title Order Request Order Help Quit WITHOUT Placing Order Place Order With U S Title
 Instructions  U S Title Agency, Inc.

Our online order form is broken down into tabs which contain data entry fields to help you place your order. U S Title is happy to accept orders ANY way you would like to send them. By Phone: 216-621-1424, By Fax: 216-621-8511, Email: orders@ustitleagency.com or using this form. Fill in as much of the form as possible, mandatory field names appear as bold. If you are or will be placing many orders with U S Title, contact our IT department to see if we can help you to automate the process and save you some time.


 How Can We Reach You? 
 Firm Name
 Contact Name
 EMail Address
 Street Address
 City State, Zip
 Phone

 Transaction Information & Services 
Your Order #
 Type
Sales Price
 Loan $ 
Ernest Money
 Sett. Date 
a
Owner's Policy $
Street Assessment ALTA Form 1.0
Loan Policy $
Zoning ALTA Form 3.0
Title Guaranty $
Zoning(Completed Structure) ALTA Form 3.1
Preliminary Judicial $
Condominium ALTA Form 4.0
Legal And Taxes
EPA ALTA Form 8.1
Survey
Restricts,Encroachments ALTA Form 9.0
Special Assessmt Search
To request additional endorsements, or other specific items, use the order notes section below.
GO THERE
Pest Inspection
Commitment

 Property Information 
Property Address
City, State, Zip ,   
Property County
Select Lot Or Unit
Lot Unit# 
Sub/Condo Name
Instrument #
Volume And Page Vol  Pg 

 Parties Involved In Transaction 
Click To Enter Name(s)  Open
Buyer(s)/Borrower(s)
Close Name Group  Close
Buyer(s)/Borrower(s)
 Buyer 1 Name
 Buyer 1 Spouse
 Buyer 2 Name
 Buyer 2 Spouse
Click To Enter Name(s) Open
 Seller(s)
Close Name Group Close
Seller(s)
 Seller 1 Name
 Seller 1 Spouse
 Seller 2 Name
 Seller 2 Spouse
Click To Enter Name(s) Open
 Lender
Close Name Group Close
 Lender
  Lender Name
  Name (Cont.)
  Name (Cont.)
  Street Address
  City State, Zip
  Phone # 
Click To Enter Name(s) Open
 Listing Agent
Close Name Group Close
 Listing Agent
  Firm Name
  Agent Name
  Phone #
  Total Commission %
Click To Enter Name(s) Open
 Selling Agent
Close Name Group Close
 Selling Agent
  Firm Name
  Agent Name
  Phone #

 Other Order Information 

Feel free to include any other notes or requirements for this order in the space provided below.