REQUEST FOR TITLE SERVICES - Commonwealth Title and Mortgage Services, INC

The undersigned do/does hereby request Commonwealth Title & Mortgage Services, Inc. to perform the title search, title insurance, and closing for him/her/them in connection with the loan that I/we am/are applying for through you as a lender.

This form shall act as my/our request to use Commonwealth Title & Mortgage Services, Inc. for all my/our title services (title search, title insurance, and closing) in connection with the loan with you.
Property Address
Signature*
Signature
Date*
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Date
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