Application for Title Insurance
Questions regarding title insurance should be directed to our Red Wing office at 1-800-657-6750. Please fill in all required fields () and all other available information.
Old Republic  First American     No Preference
 Date   Date Needed    Proposed Closing Date   (mm/dd/yy)
The Undersigned Hereby Applies for the Following (on a sale price of $ )
1. Mortgagees Policy $   FHA    VA     Conventional 
2. Owners Policy      $     Refinance         Construction Loan
     Endorsements (please specify)  
                                                                                                                        
3. Special Assessment Search     Yes  No
4. Plat Drawing Yes  No
5. Chain of Title:  6 mos.  12 mos.   
6. Priority Pictures   Yes  No
7. Construction Disbursement Yes  No 
8. Closing at Rice County Abstract Yes  No 
 Proposed Insured Information
Mortgage Policy
Owners Policy    
Contract for Deed Policy  Yes   No  (Vendors) (Vendees) 
 Property Information
Property Address
City    County    State     Zip
Property Is     Unknown Abstract    Torrens       Certificate No.
Location of Abstract  File No.
Legal Description
Tax Parcel No(s)  
Property Is         Vacant Land  Existing Building                       Commercial  Residential 
                                           Proposed Construction    Recent Improvements/Repairs 
 Present Owner(s) Information
Name(s)
Home Phone Work Phone
Occupant (if not owner)
 Buyer(s) Information
Buyer(s) Name
Buyer(s) Present Address
 Ordered By/Send To Information
Company 
Address
City             State     Zip
Phone          Fax     Email
Contact          
Listing Agent   Phone
Selling Agent   Phone 
Copies To      
Comments:     

   

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