Are you ready to make your settlement with PBXSS fast and efficient? Great!

Please take a look at the application below that will let you fill out all your basic information to help us make your settlement with us a great experience. If you have any questions about the application please do not hesitate to give us a call or visit the “Ask a Question” link located at the bottom of this page.

Title Request Order Form (Fields marked with * are required)

Date:
Applicant*:
Phone*:
Fax*:
Email*:
 
Borrowers*:
Phone*:
Office Phone*:
Current Address*:
City*: State*: Zip Code*:
Property Address*:
City*: State*: Zip Code*:
 
If Purchase:
   Listing Agent:
   Selling Agent:
   Sellers:
 
If Refinance: Payoff Information
   First Mortgage:  
   Phone:
   Account #:
   Second Mortgage:  
   Phone:
   Account #:
   Additional Payoffs:
 
Check all that apply:
Refinance
Purchase
 
Please prepare the following (check all that apply):
Subordination Agreement
New Deed
Power of Attorney
 
Attachments (check all that apply):
Loan Application
Trust Agreement
Quick Claim Deed 		Purchase Contract
Divorce Decree
Other: Title Binder 		Copy of Deed or DOT
Separation Agreement
 
Arrangements for Settlement:
Loan Amount:
Estimated Settlement Date:
Estimated Value/Sales Price:
 
Additional Notes: