National Title Policy Order Form

UCS Closing Service, Inc.
6565 Kinne Road - 2nd floor
Syracuse, New York 13214
Phone Number: (800) 665-0272
Fax Number: (315) 445-4909


Complete the Order Form and hit Print for a hard copy and then just click Submit. 

Borrower Name:

Owner of Property:

Street Address:  

 State:           Zip Code:

County:          City/Town/Village:

Estimated Mortgage Amount:

Lender: 

  Type of Policy:    Refinance     Purchase     

Please complete the preliminary title report and return it to me as follows:

Fax: ( xxx ) XXX - XXXX    Date of Request

Email:

Phone Number: ( xxx ) XXX - XXXX   Ext # XXXX

Broker/Lender Name  Requester Name             

Special Instructions or Comments:

      Thank you.   Any questions please call Michael J. Wallace, Esq., (800) 665-0272