STG Associates

A Division of Fidelity National Title Insurance

North Shore

A Division of STG Associates

Guardian Land

A Division of STG Associates

 

1010 Northern Blvd.  Suite 336
Great Neck, NY 11021

Phone: 516-488-8811
516-466-6050		 Fax: 516-488-8611
516-466-6011


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CLIENT INFORMATION                 Fields Marked with * are required.

Contact Name: *
Firm/Company Name: *
Loan Officer (If Applicable):
Loan/Reference Number:
Street Address: *
City: *
State: *

Zip Code: *
Phone:  *
Fax: *
Email: *

 TITLE SEARCH INFORMATION
Title Search:

Purchase Search 
 Refinance Search
 Other, Specify:

Mortgage Amount: $
Sale Price: $
Coop Name (if applicable):
Mortgage Lender (if available):
Survey Instructions:

Municipality/Dept. Instructions: Standard Search by County
 Tax and Bankruptcy Only

 PROPERTY INFORMATION
Street Address: *
City: *
County:
State:

Zip Code:

District:   Section:   Block:   Lot:

 PARTICIPANT INFORMATION
Owner #1: *

 SSN:

Owner #2:

 SSN:
Purchaser #1:

 SSN:
Purchaser #2:

 SSN:

 LENDER'S ATTORNEY
Firm:

Attention:
Street Address:
City:
State:
Zip Code:
Phone:
Fax:
Email Address:

 PURCHASER'S ATTORNEY  (if different than applicant)
Firm:

Attention:
Street Address:
City:
State:
Zip Code:
Phone:
Fax:
Email Address:

 SELLER'S ATTORNEY
Firm:

Attention:
Street Address:
City:
State:
Zip Code:
Phone:
Fax:
Email Address:

 ADDITIONAL INFORMATION FROM YOU THE CLIENT

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