LIGHTNING TITLE

Residential Purchase Title Order Form

Request a Quote

Please provide your information below.

Fields marked with an * are required.

Property Information

Mailing Address ( If different from subject property )

City

Region/State/Province

Postal / Zip code

Street Address

City

Region/State/Province

Postal / Zip code

Listing Agent

Listing Agent's Full Name:

Listing Agent Company:

Listing Agent's Email:

Listing Agent Company Address:

Listing Agent's Phone Number:

Selling Agent

Selling Agent's Full Name:

Selling Agent Company:

Selling Agent's Email:

Selling Agent Company Address:

Selling Agent Phone Number:

Seller's Information

Seller's Full Name:

Seller's Email:

Seller's Phone Number:

Seller's (2) Full Name:

Seller's (2) Email:

Seller's (2) Phone Number:

Buyer's Information

Buyer's Full Name:

Buyer's Phone:

Buyer's Email:

Buyer's Current Address

Buyer's Current City

Buyer's Current State

Buyer's Current Postal / Zip code

Lending Information

Loan Officer:

Loan Officer Email:

Loan Officer Phone:

Lender's Name:

Lender's Email:

Lender's Phone Number:

Mortgage Amount:

Commission

Commission %:

Total Based on $:

Listing Agent %:

Selling Agent %:

Listin Agent Fees:

Selling Agent Fees:

Home Warranty & HOA

Homeowner's / Condo Association Dues?

Yes

Home Warranty Company:

Warranty Amount:

Paid By:

Additional Instructions

Please provide additional instructions in the box below.

Documents

For purchase transactions, please send an executed Purchase Agreement in any of the following format:
(doc, docx, xls, xlsx, pdf, jpg, jpeg, gif, png)

Upload File

Upload supported file (Max 15MB)

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customerservice@lightning-title.com

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1537 E Hill Rd Suite 100

Grand Blanc, MI 48439