Re-Finance/Reverse Mortgage Form

We’re delighted you have chosen Blue & Gray Title to close your Re-Finance or Reverse Mortgage transaction.  Your Blue & Gray Title team takes great pride in working hard to make sure that your closing is accurate, smooth and efficient.
In response to the PROPERTY BUYER'S LETTER you received from us,

Please complete and send the form below.

Name:

E-mail address:

Daytime Phone#

Evening Phone#

Order Number:

FAX number:

The name of your Homeowner's
Insurance Agent:

Insurance agent's telephone #:

The amount of your first annual
insurance premium:

Did you ask your Insurance Agent to include a mortgagee clause?
Yes No

Buyers' names as they should legally appear on the closing documents:

Buyer 1 Legal Name

Buyer 2 Legal Name

Comments or Questions? Feel free to enter them here: