COOP Order Form – Atlantic Title Agency

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COOP Order Form

Firm Name

Contact Name

Address

Suite #

City

State

Zip

Phone

Email

Premises Address

Premises Apt/Unit#

Premises City

Premises State

Premises Zip

Cooperative Corporation

Seller(s) / Owner(s)

Purchaser(s)

Type of Transaction:

Purchase / New Loan Refinance / New Loan Purchase / Cash Secondary Loan

Name of Lender

Copies to 1:

Copies to 1 choice:

Buyer's Attorney Seller's Attorney Purchase / Cash Bank Attorney

Copies to 2:

Copies to 2 choice:

Buyer's Attorney Seller's Attorney Purchase / Cash Bank Attorney

Preferred Method of Delivery:

Contact

Atlantic Title
31 Stewart Street
Floral Park, NY 11001
‭(914) 418-2443 ph
(914) 961-0367 fax

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