Submit Lender Order Please enable JavaScript in your browser to complete this form.SELECT YOUR REGIONAL OFFICE OF THE CONTRACTED PROPERTY *--- Select Choice ---CortezDurangoGrand JunctionMontrosePagosa SpringsFind My Office Part I - RequestTo (Name and address of title company)To (Name and address of title company)To (Name and address of title company)To (Name and address of title company)To (Name and address of title company)From (name and address) *Email *Phone *Loan Officer *Title: Processor *Date *Lender's No: *Name and address of Lender * Address for Special Part II - Property and Mortgage InformationOccupancy Status PrimaryResidence SecondHome InvestmentPropertyLoan Purpose *PurchaseCash-Out RefiNo Cash-Out RefiSales Price:Loan Amount: *Property Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCounty *Select a CountyAdams CountyAlamosa CountyArapahoe CountyArchuleta CountyBaca CountyBent CountyBoulder CountyBroomfield CountyChaffee CountyCheyenne CountyClear Creek CountyConejos CountyCostilla CountyCrowley CountyCuster CountyDelta CountyDenver CountyDolores CountyDouglas CountyEagle CountyEl Paso CountyElbert CountyFremont CountyGarfield CountyGilpin CountyGrand CountyGunnison CountyHinsdale CountyHuerfano CountyJackson CountyJefferson CountyKiowa CountyKit Carson CountyLa Plata CountyLake CountyLarimer CountyLas Animas CountyLincoln CountyLogan CountyMesa CountyMineral CountyMoffat CountyMontezuma CountyMontrose CountyMorgan CountyOtero CountyOuray CountyPark CountyPhillips CountyPitkin CountyProwers CountyPueblo CountyRio Blanco CountyRio Grande CountyRoutt CountySaguache CountySan Juan CountySan Miguel CountySedgwick CountySummit CountyTeller CountyWashington CountyWeld CountyYuma CountyLegal DescriptionBorrower's Name *Borrower's Email Address *Borrower's Cellphone Number *Property TypeSelect a Property TypeDetachedAttachedCondoPUDCO-OPParcel Number or Assessor’s Account NumberSellerLender Case #Mortgagee Clause *Part III - Request for Title CommitmentAttachmentPrior Title PolicyTitle Insurance RequirementsContractWarranty DeedSurveyAttachment Upload Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Type of Policy *--- Select a Policy ---ALTA Loan PolicyJunior Loan PolicyShort Form Loan PolicyOtherOther *Estimated Closing Date *Mail OutYesNoPart IV - Special InstructionSpecial InstructionSubmit
