(509) 248-6210
1-800-666-8308
117 N. 4th St. Yakima, WA 98901
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Customer Information
Name
*
First
Company
Address
*
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State
State
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Delaware
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Zip
Phone (Required)
*
Fax
Email
Property Information
Address: (Required)
*
Tax Acct. #:
Legal Description:
Lot:
Block:
Plat:
Property Type
Vacant
Family (1-4)
Commercial/Ag.
Mobile Home
Property Loan Type
New Construction
First Mortgage
Second Mortgage
Parties to Transaction
Seller 1:
Seller 2:
Buyer/Borrower 1:
Buyer/Borrower 2:
Products Requested:
Owners Policy:
Standard
Extended
Sale Amount:
Lenders Policy:
Standard
Extended
Smart
Loan Amount:
Closing At Fidelity Title?
Yes
No
Comments/Requirements:
Collection Account To Be Set Up At Fidelity Title?
Yes
No
Copies To:
Copies1 Name
First
Copies1 Company
Copies1 Address
Copies1 City
Copies1 State
State
Washington
Alabama
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Vermont
Washington D.C.
West Virginia
Wisconsin
Wyoming
Copies1 Zip
Copies1 Phone
Copies1 Fax
Copies1 Email
Copies To :
Copy2 Name
First
Copy2 Company
Copy2 Address
Copy2 City
Copy2 State
State
Washington
Alabama
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Vermont
Washington D.C.
West Virginia
Wisconsin
Wyoming
Copy2 Zip
Copy2 Phone
Copy2 fax
Copy2 Email
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