Order Form


To request one of our services, please complete the following information.

What type of transaction is it? 

Buyer 1 Full Name: 

Buyer 2 Full Name: 

Seller 1 Full Name: 

Seller 2 Full Name: 

Property Address: 

City:    State:    Zip: 

Contract to be   Faxed to 614.221.2086

                        E-mailed to Frank Farkas

Sellers Payoff Information

First mortgage lender: 

Loan #:    Contact #: 


Seller Real Estate Agent: 

Phone #:    Fax #: 



Buyer Real Estate Agent: 

Phone #:    Fax #: 



Sales Price:  $


Buyers Lender Contact Information


Contact Name: 

Phone #:    Loan amount:  $


Additional Notes:


Downtown / German Village
291 E. Livingston Ave.
Columbus, OH   43215
Phone:  614.221.5505
Fax:  614.221.2086
E-Mail:  info@preferredtitleohio.com


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Last modified: July 09, 2007