Law Office of Lloyd H. Teitelbaum
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Submit Your Buyer Information


BUYER INFORMATION
 


Personal Information (*required field)

Your New Lender:*
Your Name:*
Loan/Transaction Type:  Are you Purchasing a house?
Are you Refinancing your Existing Mortgage?
Are you taking out an Equity Mortgage?

Your Telephone:
Home:
 
Work:
Your Email Address:
Co-Borrower:
Co-Borrower Telephone:
Home:
 
Work:
Property Address:*
City*, State*, Zip:
Your Current Address:
City, State, Zip:

Purchase Information
Title Preference: Joint Tenancy
Tenants in Common
Tenants by the Entirety
Individually (One Owner)


Your Attorney (If any or, If not our office):
Your Attorney Address:
City, State, Zip:
Phone:
Your Insurance Agency:
Phone:

Refinance Information

Current First Mortgage Lender:
Loan/Account Number:
Lender Telephone:
Current Equity / Second Mortgage Lender:
Loan/Account Number:
Lender Telephone:
   
Notes or Special Instructions to us:
 
 

 

 

 

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First American Title Insurance Company
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