Blue And Gray Title - Closing Order Form

1101 International Parkway, Suite 109
Fredericksburg, VA 22406

Phone - 540.752.1121
Fax - 540.752.8852

Responsive, Reliable & Timely
Real Estate Closing Services

Request Closing Services

To request closing services, please complete and send the form below. Also, please fax your Contract of Sale and any financing pre-approval or qualification letters to us at (540) 752-8852.

Your Name
Your Email Address
Type:	Cash Transaction Seller-Financed Transaction Financed Transaction

Buyer 1 Information
Name
Street
City, State
Zip Code
Work Phone
Home Phone
Email Address

Buyer 2 Information
Name
Street
City, State
Zip Code
Work Phone
Home Phone
Email Address

Seller 1 Information
Name
Street
City, State
Zip Code
Work Phone
Home Phone
Email Address

Seller 2 Information
Name
Street
City, State
Zip Code
Work Phone
Home Phone
Email Address

Property Address
Property Type	Single Family Multi-Family Condo 2nd Home Other
If "Other" is selected above, please specify:
If Condo, please provide homeowners' association Contact name & phone number

Listing Agent/Broker Inormation
Name
Street
City, State
Zip Code
Work Phone
Home Phone
Email Address
Total Commission
Other fees to be collected at closing on behalf of agent

Selling Agent/Broker Inormation
Name
Street
City, State
Zip Code
Work Phone
Home Phone
Email Address
Total Commission
Other fees to be collected at closing on behalf of agent

Services Requested Closing services include title search, title examination, document preparation, representation at closing, recording and preparation of title insurance.
Preparation of deed and Declaration of Consideration for Sellers
Buyer's Mortgage Information (if applicable)
Name of Lender
Originator Name
Originator Phone Number
Lender Contact Name
Lender Contact Phone Number
Loan Amount

Loan Type:	Purchase Refinance Construction	FHA/VA:	Yes No