"*" indicates required fields Customer InformationThis field is hidden when viewing the formBrandBrandATAAbsoluteGrecoMidstateSeaverGMTYour Name*Your Company NameAddressCityState*State *MichiganIndianaIllinoisZipDaytime Phone*FaxEmail* Branch*-- Select A Branch --Ann ArborBattle CreekBloomfield HillsCharlotteClarkstonClinton TownshipDouglasEast LansingFarmington HillsFlintGaylordGrandvilleGrand RapidsGrosse Pointe WoodsHarbor SpringsHillsdaleHollandJacksonKalamazooLansingLapeerLivoniaMuskegonOwossoPetoskeyPort HuronShelby Township - GrecoShelby Township - SeaverSt. ClairSt. JohnsTraverse CityTrentonBranch (Michigan Greco)*-- Select A Branch --Clinton TownshipFlintGrosse Pointe WoodsPlymouthShelby TownshipBranch (Michigan Midstate)*-- Select A Branch --CharlotteEast LansingGrand RapidsGrandvilleHillsdaleHollandJacksonLansingMuskegonOwossoSt. JohnsBranch (Michigan Seaver)*-- Select A Branch --Bloomfield HillsClarkstonShelby TownshipBranch (Indianapolis)*-- Select A Branch --Indianapolis NorthGreenfieldGreenwoodBranch (Illinois)*-- Select A Branch --Arlington HeightsChicagoChicago (Loop)JolietOak BrookOswegoTinley ParkVernon HillsBranch (GMT)*-- Select A Branch --Arlington HeightsChicago (Loop)Oak BrookVernon HillsBranch (Ohio)*-- Select A Branch --DublinPickeringtonUpper ArlingtonWestervilleSales Rep*-- Select A Rep --Amber MajtykaAshley KlaasenAshley RuokisBrad NoblitBrian PiggottCheryl BruceGrace QuerciagrossaHeather SolomonJeff SmigielskiJudy LaSageLisa GonzalezMary SeelySandra SwansonShelby WolaninTerry RavenTerry PingelUnknownSales Rep (Michigan Greco)*Sales Rep *Ashley RuokisBrian PiggottFred SchroederJeff SmigielskiMichele ProbeNikki TaylorUnknownSales Rep (Michigan Midstate)*Sales Rep *Audrey GreenBonnie GlombJudy LaSageLisa GonzalezRebecca StaffordRich HicksSandra SwansonTodd JonesUnknownSales Rep (Michigan Seaver)*Sales Rep *Cheryl BruceGrace QuerciagrossaJohn CookUnknownSales Rep (Indiana)*Sales Rep *Beverly SwalleyKaren WillitsJulie CattonPhyllis OoleyVicki GastineauUnknownSales Rep (Illinois)*Sales Rep *Christopher BarrMichael McNamaraBob PetersR. Michael WoodTom PilafasUnknownSales Rep (Ohio)*Sales Rep *Bonnie LustnauerCaryl CaitoLauren ReeseRhonda KellyJoAnn O'BrienCommercial/Builder Dept.Quality Choice TitleUnknownPropertyPlease provide as much information as possible so we may process your order promptly.Property TypeProperty TypeResidential (1-4 Family)Vacant LandCondominiumNew ConstructionShortsale/ForeclosureProperty AddressCityState*State *MichiganIndianaIllinoisOhioZipCounty*County *AlconaAlgerAlleganAlpenaAntrimArenacBaragaBarryBayBenzieBerrienBranchCalhounCassCharlevoixCheboyganChippewaClareClintonCrawfordDeltaDickinsonEatonEmmetGeneseeGladwinGogebicGrand TraverseGratiotHillsdaleHoughtonHuronInghamIoniaIoscoIronIsabellaJacksonKalamazooKalkaskaKentKeweenawLakeLapeerLeelanauLenaweeLivingstonLuceMackinacMacombManisteeMarquetteMasonMecostaMenomineeMidlandMissaukeeMonroeMontcalmMontmorencyMuskegonNewaygoOaklandOceanaOgemawOntonagonOsceolaOscodaOtsegoOttawaPresque IsleRoscommonSaginawSanilacSchoolcraftShiawasseeSt. ClairSt. JosephTuscolaVan BurenWashtenawWayneCounty*County *AllenBartholomewBentonBlackfordBooneBrownCarrollCassClarkClayClintonCrawfordDaviessDearbornDecaturDe KalbDelawareDuboisElkhartFayetteFloydFountainFranklinFultonGibsonGrantHamiltonHancockHarrisonHendricksHenryHowardHuntingtonJacksonJasperJayJeffersonJohnsonKnoxKosciuskoLagrangeLakeLawrenceMadisonMarionMarshallMartinMiamiMonroeMontgomeryMorganNewtonNobleOhioOrangeOwenParkePerryPikePorterPoseyPulaskiPutnamRandolphRipleyRushSt. JosephScottShelbySpencerStarkeSteubenSullivanSwitzerlandTippecanoeTiptonUnionVanderburghVermillionVigoWabashWarrenWarrickWashingtonWayneWellsWhiteWhitleyCounty*County *AdamsAlexanderBondBooneBrownBureauCalhounCarrollCassChampaignChristianClarkClayClintonColesCookCrawfordCumberlandDeKalbDe WittDouglasDuPageEdgarEdwardsEffinghamFayetteFordFranklinFultonGallatinGreeneGrundyHamiltonHancockHardinHendersonHenryIroquoisJacksonJasperJeffersonJerseyJo DaviessJohnsonKaneKankakeeKendallKnoxLakeLa SalleLawrenceLeeLivingstonLoganMcDonoughMcHenryMcLeanMaconMacoupinMadisonMarionMarshallMasonMassacMenardMercerMonroeMontgomeryMorganMoultrieOglePeoriaPerryPiattPikePopePulaskiPutnamRandolphRichlandRock IslandSt. ClairSalineSangamonSchuylerScottShelbyStarkStephensonTazewellUnionVermilionWabashWarrenWashingtonWayneWhiteWhitesideWillWilliamsonWinnebagoWoodfordCounty*CountyAdamsAllenAshlandAshtabulaAthensAuglaizeBelmontBrownButlerCarrollChampaignClarkClermontClintonColumbianaCoshoctonCrawfordCuyahogaDarkeDefianceDelawareErieFairfieldFayetteFranklinFultonGalliaGeaugaGreeneGuernseyHamiltonHancockHardinHarrisonHenryHighlandHockingHolmesHuronJacksonJeffersonKnoxLakeLawrenceLickingLoganLorainLucasMadisonMahoningMarionMedinaMeigsMercerMiamiMonroeMontgomeryMorganMorrowMuskingumNobleOttawaPauldingPerryPickawayPikePortagePreblePutnamRichlandRossSanduskySciotoSenecaShelbyStarkSummitTrumbullTuscarawasUnionVan WertVintonWarrenWashingtonWayneWilliamsWoodWyandotParcel #Sale PriceTransaction AmountTransaction TypeTransaction TypeSale with MortgagePremium for New Listing (No Buyer Yet)CashRefinanceRequested Closing DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Prior Owner's Policy NumberUnderwriterSellersName 1Marital StatusMarital StatusMarriedSingleName 2Marital StatusMarital StatusMarriedSingleWork PhoneHome PhoneSeller's Attorney NameSeller's Attorney Phone NumberPayoff InformationFirst Mortgage LenderFirst Mortgage Amount(Actual payoff amount will be verified)PhoneLoan NumberSecond Mortgage LenderSecond Mortgage Amount(Actual payoff amount will be verified)PhoneLoan NumberHomeowners/Condo AssociationPhoneListing Broker/Agent InformationAgent NameBroker NameOffice NumberCell NumberEmail Commission %Buyers/BorrowersName 1Marital StatusMarital StatusMarriedSingleName 2Marital StatusMarital StatusMarriedSingleAddress 1Address 2Work PhoneHome PhoneLenderLoan OfficerLoan Officer PhoneLoan AmountLoan TypeLoan TypeConventionalFHAVAOtherBuyer Attorney NameBuyer Attorney PhoneSelling Broker/Agent InformationAgent NameBroker NameOffice NumberCell NumberEmail Commission %NotesAdditional InformationFilesPlease attach any word or PDF documents that pertain to this order here. 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