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Crystal Settlement Services, LLC

          




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If you have any questions while completing this form please call 844.Css.Title or email: NewOrders@CssTitle.com
     
 
 Requested By 
Full Name
Company
Phone * Client #
E-mail Address *  
Comment
 
 Order Information 
Type  
Settlement Date  
Purchase/Refi  
Sales Price $ *     Loan Amount $    
 
 Buyer 
Last Name First Name
Address Line 1 Address Line 2
ZIP Code City, State
 
 Property 
Address Line 1 Address Line 2
ZIP Code * City, State
 
 Tax Jurisdiction & Condition 
State *  
     
 
 Government Recordings 
Deed Pages   Mortgage Pages   Release Pages  
 
 Prior Coverage 
Lender's Amount $   Owner's Amount $