Fessel Goldman & Hirsch, Counselors at Law

TITLE & CLOSING ORDER

Thank you for your Title / Closing Order. We will commence the title search immediately and notify you upon its completion. Please furnish us with as much of the following information as possible, keeping in mind that the more completely this form is filled in, the better we can serve you. Also, please furnish us with a copy of the Good Faith Estimate and, for purchases, the Sales Agreement:

Your Name:

Company Name & Address:

Your Phone / Fax / Email:
Phone:
Fax:
Email:

We would like "fgh" to respond by:
Email Fax Mail

Purpose of Transaction:
Purchase Refinance

Mortgage Type:
Conventional Fixed Adjustable
FHA VA RIHMFC
Other

Number of Units:
Single Family Multi Family

Property Address:

Legal Descriptoin:
Plat: Lot:

Borrower / Buyer:

Co-Borrower / Co-Buyer:

Borrower's Present Mailing Address:

Borrower's Home Phone, Work Phone and Email:
Home:
Work:
Email:

Seller(s):

Seller's Mailing Address:

Seller's Home Phone, Work Phone and Email:
Home:
Work:
Email:

Agent for the Seller:

Company Name & Address:

Agent's Phone, Fax and Email:
Phone:
Fax:
Email:

Agent for the Buyer:

Company Name & Address:

Agent's Phone, Fax and Email:
Phone:
Fax:
Email:

Expected Closing Date:

Sales Price:

Loan Amount:

Loan Officer:

Company Name & Address (if different from above):

Loan Officer's Phone, Fax and Email:
Phone:
Fax:
Email:

Comments:

The RI Supreme Court licenses all lawyers in the general practice of law.
The Court does not license or certify any lawyer as an expert or specialist in any field of practice.