Title Order Request Form Fill out the form below and then hit submit to submit your title order request to Emerald Glen Title Agency. Your Name (required) Your Telephone (required) Your Email (required) Your Company (required) Purpose: Check a box PurchaseRefinanceLien Search Property Address: Seller(s) Name: Seller(s) Address: Seller(s) Phone: Seller(s) Email: Borrower(s) Name: Borrower(s) Address: Borrower(s) Phone: Borrower(s) Email: Listing Agent Name: Listing Agent Phone: Listing Agent Co.: Selling Agent Name: Selling Agent Phone: Selling Agent Co.: Type of Loan: Check a box ConventionalFHAVAHELOCOther Other Loan: Purchase Amount: Loan Amount: Lender Name: Lender Address: Lender Phone: Lender Email: Lender Contact Name: Email Commitments to: Any other details Please Choose From the Following: Title CommitmentSurveyLoan PolicyPrepare DeedOwner's PolicyPest Inspection (EGTA to order)CPL IF CPL, Please Enter Lender Name, Address, and Loan Number Endorsements: PUDARMEPAComprehensiveCondoOther Tax & Legal Request Form Fill out the form below and then hit submit to submit your tax and legal request to Emerald Glen Title Agency. Your Name (required) Your Telephone (required) Your Email (required) Your Company (required) Property Adress: City: Parcel Number: Owner's Name: County: Needed By: Additional Information: