Clipper Title Form

Clipper Title Company, LLC.

Clipper Title Company, LLC banner photo

Clipper Title Company, LLC banner photo

Clipper Title Company, LLC banner photo

Clipper Title Company, LLC banner photo

To order a closing, please complete and send the form below.

Please also fax your P&S, Legal Description, a copy of the Tax Bill, your commission statement and other closing adjustments to us at 603.422.0717.

Your Name		Your Email

Services Requested

	Closing services include title search, title examination, document preparation, representation at closing, recording at registry and preparation of title insurance. Owner's Title Insurance required on all cash transactions. Please call for a quote.

	Preparation of deed and Declaration of Consideration for Sellers


Transaction Information
Transaction Type: Cash Transaction Seller-Financed Transaction Financed Transaction


Lending Institution Information (if applicable)
Name of Lender
Originator Name & Phone Number
Lender Contact Name & Phone Number
Loan Amount
Loan Type: Purchase Refinance Construction FHA/VA Equity N/A


Property Information
Property Type: Single Family Multi-family Condo Land 2nd Home Other
If "Other" is selected above, please specify:
Property Address
If Condo, please provide homeowners' association contact name & phone number
Estimated Closing Date


Buyer 1 Information		Buyer 2 Information
Name		Name
Street		Street
City, State		City, State
Zip Code		Zip Code
Work Phone		Work Phone
Home Phone		Home Phone
E-mail Address		E-mail Address


Seller 1 Information		Seller 2 Information
Name		Name
Street		Street
City, State		City, State
Zip Code		Zip Code
Work Phone		Work Phone
Home Phone		Home Phone
E-mail Address		E-mail Address


Listing Agent/Broker Information		Selling Agent/Broker Information
Name		Name
Agency		Agency
Street		Street
City, State		City, State
Zip Code		Zip Code
Office Phone		Office Phone
Fax		Fax
E-mail Address		E-mail Address