Order Form

You may simply call us at 929-468-6023 or email us at kwan.lee@kltitlesolutionsnj.com to order a title insurance policy.

If it is more convenient for you, you may also complete and submit the order form below with as much information as you currently know.

If certain information is unknown, only the fields marked with an asterisk (*) are required in order to submit the order form.

Applicant Name *

First

Last

Applicant Email *

Applicant Phone *

Subject Property Address *

Please provide the full property address, including unit number (if applicable), city, state, and ZIP code.

Tax Block

If unknown, you may leave it blank.

Tax Lot

If unknown, you may leave it blank.

Municipality

If unknown, you may leave it blank.

County

If unknown, you may leave it blank.

Subject Transaction Type

• Purchase
• Refinance

If unknown, you may leave it blank.

Estimated Closing Date

If unknown, you may leave it blank. The estimated closing date does not need to be 100% accurate, but it should be reasonably approximate.

Purchaser 1

First

Last

Purchaser 2

First

Last

If there is only one purchaser, you may leave this blank.

Purchaser 3

First

Last

If there are one or two purchasers, you may leave this blank.

Seller 1

First

Last

Seller 2

First

Last

If there is only one seller, you may leave this blank.

Seller 3

First

Last

If there are only one or two sellers, you may leave this blank.

Purchase Price

In USD

Mortgage Amount

In USD

Prior Title Policy/Deed

• Attached
• To Follow
• None

Survey

• Please order
• To Follow
• Affidavit of No Change
• Attached
• To be Attached
• None

Flood Search: Shall we order it for you?

• Yes
• No

Mortgagee (the lender or bank providing the mortgage loan)

If unknown, you may leave it blank.

Mortgagee's Address

You may provide the full or partial address, if the full address is unknown, including suite number, city, state, and ZIP code.

Contact Person for the Mortgagee

First

Last

If unknown, you may leave it blank.

Mortgagee or for

Email of Contact Person for the Mortgagee

If unknown, you may leave it blank.

Phone of Contact Person for the Mortgagee

If unknown, you may leave it blank.

Seller's Attorney

First

Last

If unknown, you may leave it blank.

Seller's Attorney Law Firm Name

If unknown, you may leave it blank.

Seller Attorney's Address

You may provide the full or partial address, if the full address is unknown, including suite number, city, state, and ZIP code.

Phone of Seller's Attorney

If unknown, you may leave it blank.

Email of Seller's Attorney

If unknown, you may leave it blank.

Send Binder to

• Seller’s Attorney
• Lender

If unknown, you may leave it blank.

Estimated Settlement Date

If unknown, you may leave it blank.

Special Instruction

If none, you may leave it blank.

Submit