Michigan Title Residential listing Title Order Form Residential listing Title Order Form Account Executive * --- No Account Executive Michael Coil Chris Felton Paul Ivezaj Amanda Shamoun Wendy Smith Alisha Stambaugh Frances Royston Monica Ahrens Order Type * --- Cash Purchase Full Mortgage Purchase Buyer Side Split Seller Side Split Commercial Purchase Land Contract Purchase Ordering Party Title * --- Listing Agent Selling Agent Lender Buyer Seller Listing Agent Attorney Selling Agent Attorney First Name * Last Name * Email * Phone * Fax Company Name * Company Address: Property Information Property Address * County Mail Address (if different from property address) Listing Agent Listing Agent First Name Listing Agent Last Name Listing Agent Email Listing Agent Phone Listing Agent Fax Listing Agent Company Listing Agent Company Address Purchase Price Legal Description/Parcel ID Seller's Information Seller's First Name (1) Seller's Last Name (1) Seller's Email (1) Seller's Phone (1) Marital Status (1) --- Married Single Seller's First Name (2) Seller's Last Name (2) Seller's Email (2) Seller's Phone (2) Marital Status (2) --- Married Single Listing Agent Attorney Attorney's First Name Attorney's Last Name Attorney's Email Attorney's Phone Selling Agent Selling Agent First Name Selling Agent Last Name Selling Agent Email Selling Agent Phone Selling Agent Fax Selling Agent Company Selling Agent Company Address Buyer's Information Buyer's First Name (1) Buyer's Last Name (1) Buyer's Email (1) Buyer's Phone (1) Marital Status (1) --- Married Single Buyer's First Name (2) Buyer's Last Name (2) Buyer's Email (2) Buyer's Phone (2) Marital Status (2) --- Married Single Buyer's Current Address Selling Agent Attorney Attorney's First Name Attorney's Last Name Attorney's Email Attorney's Phone Lender Information Lender's First Name Lender's Last Name Lender's Email Lender's Phone Lender's Fax Lending Company Lending Company Address Mortgage Amount Loan Officer Loan Officer's Email Loan Officer's Phone Loan Processor Loan Processor's Email Loan Processor's Phone Commission Commission %: Total Based On $: Listing Agent %: Selling Agent %: Listing Agent Fees: Selling Agent Fees: Home Warranty & HOA Home Warranty Company: Warranty Amount: Paid By: Homeowner's/Condo Association Dues? * * Yes No HOA Name: HOA Fees: HOA Email: HOA Phone: Additional Instructions Please provide additional instructions in the box below. Documents For purchase transactions, please send an executed Purchase Agreement in any of the following format: (doc, docx, xls, xlsx, pdf, jpg, jpeg, gif, png) (Max File Size: 20MB) You can upload up to 10 files. Send
