Long & Foster Settlement Services, LLC

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LONG & FOSTER SETTLEMENT SERVICES
Pennsylvania Title Application

Phone 610-225-6059 ~ Fax 610-225-2418

Please provide AS MUCH information as possible to expedite order.
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Contact Information

Your Name:

Phone:

Fax:

E-mail

Premises to Be Insured:

New Construction:

Yes No

Property Address:

City:

State:

Zip:

Twp/Borough:

County:

Property/Parcel Tax ID:

Sale Price:

Seller Assist:

Mortgage Amount:

2nd Mortgage Amount:

Projected
Settlement Date:

Present Owner/Seller Name:

Mailing Address:

Purchasers Name:

Mailing Address:

Mortgage Company:

Mortgage Contact:

Phone:

Fax:

Selling Broker:

Office:

Agent:

Phone:

Fax:

Email:

Listing Broker:

Office:

Agent:

Phone:

Fax:

Email:

Other Information

Thank you for your business. Please call 610-225-6050
if you have any questions.

DO NOT PRESS SUBMIT UNTIL YOU HAVE CHECKED YOUR ORDER FOR ACCURACY! Thank you.

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