LAND TITLE & CLOSING SERVICES, LLC
Janesville Phone: (608) 756-0300
Beloit Phone: (608) 365-4454
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Refinance Web Order Entry

To send an order, please fill out the form below following the format shown in the examples.
Please complete all fields marked with bold text.
Please do not use all capital letters. Example: Not SMITH, but Smith
Processing will begin promptly. Thank you.
Please send prior title work (if available) to ltcsjvlle@ptitle.com

Transaction Type:	Refinance
Buyer/Borrower(s):		Example: First M. Last
		Example: First M. Last
Mortgage Amount:	Do not include commas or $ signs	Example: 195000.00
Property Address:		Example: 1024 Elm Street
City:		Example: Raleigh
State:		Example: NC
Zip:		Example: 27606
County/Parish:		Example: Wake
Lender Name:		Example: Bank of USA
Lender Phone:	Please use the same format as the example.	Example: (919)555-1234
Loan Officer:		Example: First M. Last
Loan Officer Phone:	Please use the same format as the example.	Example: (919)555-4321
Loan Officer Email Address:		Example: smith@domain.com
Street Address:		Example: 123 Main Street
City, State, Zip		Example: Raleigh, NC 27609
Settlement Date:	MM/DD/YYYY	Example: 10/03/2004 Please do not include a leading "0" in the month format.
Order Notes:
Please include your email address below. You should receive a confirmation email shortly after you submit this form.
Your Email Address:
Enter the text from the image below