"*" indicates required fields Customer InformationHiddenBrandBrandATAAbsoluteGrecoMidstateSeaverGMTYour Name* Your Company Name Address City State*State *MichiganIndianaIllinoisZip Daytime Phone* Fax Email* Branch (Michigan ATA)*BranchBattle CreekBay CityBloomfield HillsClarkstonClinton TownshipFarmington HillsFlintGrandvilleGrand RapidsGrosse Pointe WoodsHarbor SpringsHollandLapeerLivoniaMuskegonPetoskeyPlymouthPort HuronShelby Township - GrecoShelby Township - SeaverSt. ClairTraverse CityTrentonBranch (Michigan Greco)*Branch *Clinton TownshipFlintGrosse Pointe WoodsPlymouthShelby TownshipBranch (Michigan Midstate)*BranchCharlotteEast LansingGrand RapidsGrandvilleHillsdaleHollandJacksonLansingMuskegonOwossoSt. JohnsBranch (Michigan Seaver)*BranchBloomfield HillsClarkstonShelby TownshipBranch (Indianapolis)*BranchIndianapolis NorthGreenfieldGreenwoodBranch (Illinois)*BranchArlington HeightsChicagoChicago (Loop)JolietOak BrookOswegoTinley ParkVernon HillsBranch (GMT)*BranchArlington HeightsChicago (Loop)Oak BrookVernon HillsBranch (Ohio)*BranchDublinPickeringtonUpper ArlingtonWestervilleSales Rep (Michigan ATA)*Sales Rep *Amber MajtykaAshley KlaasenAshley RuokisBrad NoblitBrian PiggottCheryl BruceGrace QuerciagrossaHeather SolomonJeff SmigielskiJohn CookJudy LaSageLisa GonzalezMary SeelyNikki TaylorSandra SwansonTerry 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 Address City State*State *MichiganIndianaIllinoisOhioZip County*County *AlconaAlgerAlleganAlpenaAntrimArenacBaragaBarryBayBenzieBerrienBranchCalhounCassCharlevoixCheboyganChippewaClareClintonCrawfordDeltaDickinsonEatonEmmetGeneseeGladwinGogebicGrand TraverseGratiotHillsdaleHoughtonHuronInghamIoniaIoscoIronIsabellaJacksonKalamazooKalkaskaKentKeweenawLakeLapeerLeelanauLenaweeLivingstonLuceMackinacMacombManisteeMarquetteMasonMecostaMenomineeMidlandMissaukeeMonroeMontcalmMontmorencyMuskegonNewaygoOaklandOceanaOgemawOntonagonOsceolaOscodaOtsegoOttawaPresque IsleRoscommonSaginawSanilacSchoolcraftShiawasseeSt. ClairSt. JosephTuscolaVan BurenWashtenawWayneCounty*County *AllenBartholomewBentonBlackfordBooneBrownCarrollCassClarkClayClintonCrawfordDaviessDearbornDecaturDe KalbDelawareDuboisElkhartFayetteFloydFountainFranklinFultonGibsonGrantHamiltonHancockHarrisonHendricksHenryHowardHuntingtonJacksonJasperJayJeffersonJohnsonKnoxKosciuskoLagrangeLakeLawrenceMadisonMarionMarshallMartinMiamiMonroeMontgomeryMorganNewtonNobleOhioOrangeOwenParkePerryPikePorterPoseyPulaskiPutnamRandolphRipleyRushSt. JosephScottShelbySpencerStarkeSteubenSullivanSwitzerlandTippecanoeTiptonUnionVanderburghVermillionVigoWabashWarrenWarrickWashingtonWayneWellsWhiteWhitleyCounty*County *AdamsAlexanderBondBooneBrownBureauCalhounCarrollCassChampaignChristianClarkClayClintonColesCookCrawfordCumberlandDeKalbDe WittDouglasDuPageEdgarEdwardsEffinghamFayetteFordFranklinFultonGallatinGreeneGrundyHamiltonHancockHardinHendersonHenryIroquoisJacksonJasperJeffersonJerseyJo DaviessJohnsonKaneKankakeeKendallKnoxLakeLa SalleLawrenceLeeLivingstonLoganMcDonoughMcHenryMcLeanMaconMacoupinMadisonMarionMarshallMasonMassacMenardMercerMonroeMontgomeryMorganMoultrieOglePeoriaPerryPiattPikePopePulaskiPutnamRandolphRichlandRock IslandSt. ClairSalineSangamonSchuylerScottShelbyStarkStephensonTazewellUnionVermilionWabashWarrenWashingtonWayneWhiteWhitesideWillWilliamsonWinnebagoWoodfordCounty*CountyAdamsAllenAshlandAshtabulaAthensAuglaizeBelmontBrownButlerCarrollChampaignClarkClermontClintonColumbianaCoshoctonCrawfordCuyahogaDarkeDefianceDelawareErieFairfieldFayetteFranklinFultonGalliaGeaugaGreeneGuernseyHamiltonHancockHardinHarrisonHenryHighlandHockingHolmesHuronJacksonJeffersonKnoxLakeLawrenceLickingLoganLorainLucasMadisonMahoningMarionMedinaMeigsMercerMiamiMonroeMontgomeryMorganMorrowMuskingumNobleOttawaPauldingPerryPickawayPikePortagePreblePutnamRichlandRossSanduskySciotoSenecaShelbyStarkSummitTrumbullTuscarawasUnionVan WertVintonWarrenWashingtonWayneWilliamsWoodWyandotParcel # Sale Price Transaction Amount Transaction TypeTransaction TypeSale with MortgagePremium for New Listing (No Buyer Yet)CashRefinanceRequested Closing DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Prior Owner's Policy Number Underwriter SellersName 1 Marital StatusMarital StatusMarriedSingleName 2 Marital StatusMarital StatusMarriedSingleWork Phone Home Phone Seller's Attorney Name Seller's Attorney Phone Number Payoff InformationFirst Mortgage Lender First Mortgage Amount (Actual payoff amount will be verified)Phone Loan Number Second Mortgage Lender Second Mortgage Amount (Actual payoff amount will be verified)Phone Loan Number Homeowners/Condo Association Phone Listing Broker/Agent InformationAgent Name Broker Name Office Number Cell Number Email Commission % Buyers/BorrowersName 1 Marital StatusMarital StatusMarriedSingleName 2 Marital StatusMarital StatusMarriedSingleAddress 1 Address 2 Work Phone Home Phone Lender Loan Officer Loan Officer Phone Loan Amount Loan TypeLoan TypeConventionalFHAVAOtherBuyer Attorney Name Buyer Attorney Phone Selling Broker/Agent InformationAgent Name Broker Name Office Number Cell Number Email Commission % NotesAdditional InformationFilesPlease attach any word or PDF documents that pertain to this order here. 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