Please complete and submit the following form. You will receive a copy of the information via email for your records.

You will be contacted within 1 business day of submission by the appropriate representative of Chicago Title.

Contact Information
Name
Company
Address
Phone
Fax
Email
Where is the site located?
City
County
Multiple sites: If so, please list all sites
Legal Description
What is required?
Type of policy: Fee Leasehold Construction
Will a prior policy/policy number be available? Yes No
What is needed?
Search Only Update and record Owner's coverage Lender's coverage
Other requirements?
When is the search needed?
General Comments
Indicate below the method you plan to use to supply additional documentation: In separate correspondence, please forward additional documentation to the appropriate local Chicago Title contact from the list below.
Method to send Legal Description (if not specified above) Email Fax
Charlotte, fax 704-945-0637, scott.mansfield@ctt.com Greensboro, fax 336-665-9652, jeff.hrdlicka@ctt.com Raleigh, fax 919-833-6905, robbie.cox@ctt.com Winston-Salem, fax 336-759-2144, robert.rascoe@ctt.com Wilmington, fax 910-772-5492, jay.williams@ctt.com
Select your local Chicago Title office (this will help us direct your information to the correct person) -- Select -- Charlotte Greensboro Raleigh Winston-Salem Wilmington