618-239-3750
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Who We Are
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Realtors/Lenders
Homeowners
Order Title
Contact
Order Title
Benchmark Title Direct Order Form
Phone: 618-239-3750
Fax: 618-239-3707
Contact Information
Name
(Required)
First
Last
Company Name
Address
Street Address
Address Line 2
City
State / Province
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District of Columbia
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
(Required)
Phone
(Required)
Order Information
Date Ordered
MM slash DD slash YYYY
Closing Date
MM slash DD slash YYYY
Type of Policy
Select an Option
Commercial Refinance Loan Policy
Post Foreclosure Owner's Policy
Home Equity Loan Policy
Residential Refinance Loan Policy
Amount
Will you have a:
1st
2nd
Letter Report?
Yes
No
Will you need a second Letter Report?
Yes
No
Informational Commitment?
Yes
No
Foreclosure Commitment?
Yes
No
Will the transaction be disbursed by Benchmark?
Yes
No
Property Information
Property Address
Street Address
Address Line 2
City
State / Province
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Borrower Information
Borrower's Name
First
Last
Co-Borrower's Name
First
Last
Seller's Name
First
Last
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