Ready to begin the closing process on your real estate transaction? We’re ready to help. Please complete as much of the following information as possible. When completed, click “Submit” to transmit to us. Or you can print the completed form and fax it to our Order Center, 225-769-6663 or email it.

 

Perkins

TRANSACTION TYPE:   Residential  Commercial
Refinance
Sale Please forward a copy of the Purchase Agreement to FAX 225-769-6663 or send an email with attachments to: perkins.orders@commercetitle.com
New Construction
CUSTOMER	PROPERTY
First Name:	Street Address:
Last Name:	City:
E-mail:	State:
Company:	Zip Code:
Phone:	County:
Fax:	Parcel ID:
	Legal Description :
BUYER/BORROWER
Borrower's Name:	Borrower's SSN:
Co-Borrower's Name:	Co-Borrower's SSN:
Marital Status:	Borrower's Phone:
Occupancy Status:	Agent:
Borrower's Address:	Agent Phone:
City:	Deposit Held By:
State:	Deposit Amount:
SELLER (Leave blank if refinancing)
Seller's Name	Seller's SSN:
Co-Seller's Name:	Co-Seller's SSN:
Marital Status:	Seller's Phone:
Seller's Address:	Agent:
City: