Order Title

Capital Title Branch Location*

—Please choose an option—Ann Arbor – Briarwood Circle (Closings only)Ann Arbor West StadiumBirminghamBloomfield HillsClarkstonClinton TownshipCorporate OfficeDearbornFrankfort / BeulahGrosse PointeOxfordRochesterRoyal OakSouthfieldSouthgateTraverse City – Front StreetTraverse City – Randolph StreetTroyWest Bloomfield

Name*

EmailPlease leave this field empty.*

Phone*

Company*

Seller Name*

Seller's Current Address*

Seller's EmailPlease leave this field empty.*

Seller's Phone*

Buyer Name*

Buyer's Current Address*

Buyer's EmailPlease leave this field empty.*

Buyer's Phone*

Sale Price*

Lender*

Loan Officer Name*

Lender's Email AddressPlease leave this field empty.*

Upload Pre-Approval Letter
(Max 12MB, File Types: .gif, .png, .jpg, .pdf, .xls, .doc, .docx)

Loan Amount*

Property Address*

Property City*

State*

Property Zip*

Contract Upload
(Max 12MB, File Types: .gif, .png, .jpg, .pdf, .xls, .doc, .docx)

Link to contract file (For larger documents or from mobile devices please paste the cloud storage link to the shared document - Dropbox, Google Drive, OneDrive, etc.)

Notes (i.e., Realtor name, other pertinent information)

For security purposes, please answer this question:What is the sum of 6 and 4?

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