Apex Title Agency, Ltd.
6500 Busch Blvd  
Suite 250
Columbus, OH 43229

Local:
Phone: 614-846-7890
Fax:     614-846-7805

Toll Free:
Phone: 866-458-APEX
                             (2739)
Fax:     866-849-APEX
                             (2739)


Email:   apextitle@gmail.com



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Site Designed and Maintained by Design on a Stick, LLC.
Request For Title Commitment
Below you can fill out the online form and your request will be submitted to us via email. If you would prefer to use the paper version, click here to view and print a PDF version on this form. We look forward to hearing from you.

* indicated required field
From:
Name:
*required
Company:
*required
  If you already have your contact information on file, you may proceed to the Borrower(s) section. If any of your contact information has changed, or if you are submitting an order for the first time, please check the appropriate button and fill out the entire section below.
 
  I have submitted orders previously.
I have submitted orders previously AND there is updated information below.
I have never submitted an order via this form.
Address:
Address Line 1:
Address Line 2:
City:     
State:   
Zip:      

Phone:
Office:  ( ) -   
Mobile: ( ) -   
Fax:     ( ) -   
E-mail:
 
Borrower(s):
Borrower 1 Name:
First:    *required
Middle:
Last:    *required
Phone:
Home:  ( ) -   *required
Work:   ( ) -   
Mobile: ( ) -   
Social Security Number
- - *required
Marital Status:
*required


Borrower 2 Name:
First:   
Middle:
Last:   
Phone:
Home:  ( ) -   
Work:   ( ) -   
Mobile: ( ) -   
Social Security Number
- -
Marital Status:
 
Seller(s):
Seller 1 Name:
First:   
Middle:
Last:   
Phone:
Home:  ( ) -   
Work:   ( ) -   
Mobile: ( ) -   
Social Security Number
- -
Marital Status:


Seller 2 Name:
First:   
Middle:
Last:   
Phone:
Home:  ( ) -   
Work:   ( ) -   
Mobile: ( ) -   
Social Security Number
- -
Marital Status:
 
Property Information:
Address:
Address Line 1: *required
Address Line 2:
City:     *required
State:   *required
Zip:    *required
  
County:    *required
Loan Information:
Lender:
  Loan Amount   Sale Price
Occupancy Status :   
Loan Purpose:       
 Payoffs:
Current Mortgage:

  
Account Number:

Second Mortgage/Equity Line:
  
Account Number:
 
Additional Information or Instructions: