Title Company Demand Request

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Welcome to the NEW Title Company Demand Request e-form.

Please complete all fields and click "Submit".

What is the Debtor's full name?

What is the Debtor's Date of Birth?

What is the Debtor's SSN or ITIN?

Is the Debtor known by any other names?

What is this Debtor's Current Mailing Address?

Apartment, Unit, or Space Number

What is the address of property with lien(s) attached?

Apartment, Unit, or Space Number

What is the Escrow Number?

When is the expected escrow closing date?

REGEX: Transaction Type=Purchase Only

What type of transaction is the Debtor attempting?

Sell a home/property

Refinance a home/property

Purchase a home/property

Purchase ONLY transactions do not require Local Child Support Agency (LCSA) action.

You may close/terminate this request because no lien is attached to property not yet owned by this debtor.

Purchase-ONLY transactions will be rejected - If there is a sale or refinance associated with this transaction, please change the transaction type to proceed with your submission.

Which county is managing this Debtor's child support case? If the debtor has multiple cases, select the managing county for ONE case from this list. Value is not selected

County of Recorded Lien Value is not selected

What is the instrument number?

When was this lien recorded?

HIDDEN: County of Recorded Lien1

HIDDEN: Instrument Number1

HIDDEN: Recording Date1

HIDDEN: County of Recorded Lien2

HIDDEN: Instrument Number2

HIDDEN: Recording Date2

HIDDEN: County of Recorded Lien3

HIDDEN: Instrument Number3

HIDDEN: Recording Date3

HIDDEN: County of Recorded Lien4

HIDDEN: Instrument Number4

HIDDEN: Recording Date4

HIDDEN: County of Recorded Lien5

HIDDEN: Instrument Number5

HIDDEN: Recording Date5

HIDDEN: County of Recorded Lien6

HIDDEN: Instrument Number6

HIDDEN: Recording Date6

HIDDEN: County of Recorded Lien7

HIDDEN: Instrument Number7

HIDDEN: Recording Date7

HIDDEN: County of Recorded Lien8

HIDDEN: Instrument Number8

HIDDEN: Recording Date8

HIDDEN: County of Recorded Lien9

HIDDEN: Instrument Number9

HIDDEN: Recording Date9

HIDDEN: County of Recorded Lien10

HIDDEN: Instrument Number10

HIDDEN: Recording Date10

Please upload a copy of each lien Requests received without an abstract will be rejected.

Please upload a signed Authorization for Release of Information Requests received without a signed authorization will be rejected.

Title Company Name

Title Company Main Email Address

Title Company Main Phone Number

Title Company Fax Number

Where do you want hardcopy documents mailed?

Unit or Suite Number (if applicable)

Who is the Point of Contact for this request?

Point of Contact's Phone Number

Point of Contact's Email Address

Use this field to upload any additional documents you want the child support office to receive. For example: Overnight shipping labels to expedite the return of signed documents

Additional comments or details about this request

What date are you submitting this request? Please enter today's date

REGEX: Submission Date

Please review and confirm provided addresses:

Debtor's Mailing Address:

Address of Property with Lien:

Address Hardcopy Documents Will be Mailed:

If any address above is incorrect, close this popup and click the Back button at the bottom of your window to make corrections.

HIDDEN: Title Co Address Street Number

HIDDEN: Lien Address Street Number

HIDDEN: Mailing Address Street Number

HIDDEN: 3 day met?

HIDDEN: Date of Return for Edits +3

HIDDEN: Date of Return for Edits

HIDDEN: SSN or ITIN

HIDDEN: Lien Address Convert to String

HIDDEN: Mailing Address Convert to String

HIDDEN: Title Company Address Convert to String

HIDDEN: LCSA Name

HIDDEN: LCSA Email Address

HIDDEN: 2nd LCSA Email Address

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Title Company Demand Request