Title Company of Colorado, LLC.

Title Ordered By:    

Company Name:          

Phone Number:           

Fax Number:                

E-mail Address:           

Loan Closing Date:       (mm/dd/yyyy)

Loan Type:
Purchase Refinance 2nd Mortgage Construction Loan

Property Address:

Street Address:           

Street Address 2:        

City, State, Zip:             ,  

County:                        

Current Owner Information:

Full Name:                    

Purchaser Information:

Purchaser Name(s):   

Purchase Price:        $

Loan Information:

(Please select one of the options below)

1st Mortgage 2nd Mortgage 1st & 2nd Mortgage

Homeowner Association:

Property is in a subdivision with a Homeowner Association:  Yes  No

Name of Association:   

Street Address:           

Street Address 2:        

City, State, Zip:             ,  

Phone Number:             

Current Dues:             $

Payable:  Monthly    Quarterly    Annually

Comments:

Payoff Information

1st Mortgage

Full Name:              

Phone Number:      

Loan Number:        

2nd Mortgage

Full Name:            

Phone Number:    

Loan Number:      

In order to expedite payoff, please provide the borrower authorization to release.