Southern Title Order Entry


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We understand that you may not be able to fill out every box on the form and that's okay. Just fill out as much as you can and your transaction will process that much faster.

To start your order, fill out the form below and click the Submit button. We will begin processing promptly.
Thank you.


Transaction Type:
Buyer/Borrower(s): Example: John Q. Smith
Example: Sally R. Smith
Seller(s):
Example: Christopher K. Public
Example: Jennifer Public
Contract Sales Price: Example: 195000.00
Earnest Money: Example: 5000.00
Held/Received By:
Property Address: Example: 1024 Elm Street
City:
Example: Raleigh
State:
Example: NC
Zip:
Example: 27606
County/Parish:
Example: Wake
Listing Agent Company Name:
Example: Remax
Phone:
 (###)###-####
Example: (919)555-1234
Total Commission Rate %:
Example: 6
Selling Agent Company Name:
Example: United Realty
Phone:
 (###)###-####
Example: (919)555-4321
Lender Name(s):
Example: Bank of USA
Street Address:
Example: 123 Main Street
City, State, Zip
Example: Raleigh, NC 27609
Settlement Date:
 MM/DD/YYYY
Example: 10/03/2004
Time:
 hh:mm
Example: 09:27
Settlement Status:
Order Notes:

Please include your email address below.
You should receive a confirmation email shortly
after you submit this form.
Your Email Address: