This application is for placing a title insurance order for a new construction project where the borrowers have a contract with a builder on land they already own or are in the process of purchasing. Normally the owner/borrower will be the person paying for title insurance and construction escrow fees. Please call our office at (920) 235-0017 for assistance in determining all fees involved. The owner(s) would receive an Owner’s Policy insuring them up to the contract price and the lender would receive a Loan Policy insuring them for the mortgage amount. Assurance Title requires a copy of the building contract and cost breakdown to handle the construction draw process.  These documents can be uploaded using the application form below.

If you would prefer to download the PDF verison of this form you can do so here: 

Searching and Rates

A sixty year search is required on all construction loan policies, unless Assurance Title is supplied with a copy of a current Owner's or Loan policy in effect, or if the lot is a take-off from a master policy with our company. Prior title evidence can also be uploaded using the application form below.

If Assurance Title is supplied with a copy an existing title policy we will see that you receive the proper rate, either Re-Issue Rate or Take-Off Policy Rate, if applicable. If a copy an existing policy cannot be supplied, then Original Rate would apply.

Refer to Title Insurance Rate Schedule for the current Wisconsin title insurance rates.

Please refer to our Assurance Title New Construction Services page for a complete listing of our services and construction escrow expertise.
For any additional questions, please call us at (920) 235-0017.

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Application for Title Insurance:
New Construction Contract (Owner's & Loan)

Directions:  To ensure accuracy, please complete all asterisk items below and as many of the non-asterisk items to assist us in completing the title order process.

All supplied information will be kept strictly confidential.
Assurance Title complies with the ALTA Best Practice Policies. View our "Privacy Policy Notice."

	Applicant Information
Name of Person Placing Order:(*)	Invalid Input
Lending Institution:(*)	Invalid Input
Email:(*)	Please enter a valid email address.
Phone(*)	Please enter a valid phone number (xxx-xxx-xxxx)
Billing Address:(*)	Invalid Input
Billing Address 2	Invalid Input
Billing City:(*)	Invalid Input
Billing State:(*)	Invalid Input
Billing Zip(*)	Invalid Input
Date Needed By:(*)	... Invalid Input
Fax:	Please enter a valid fax number (xxx-xxx-xxxx)
Loan Reference Number:	Invalid Input
	New Construction Spec. Policy Information
Loan Amount:(*)	Please enter amount of loan
Property Owner/Builder:(*)	Invalid Input
Property Address or Lot Info:(*)	Please enter a property address.
Proposed Insured:(*)	Same as above To read as follows: Invalid Input
	Invalid Input
Anticipated Closing Date(*)	... Invalid Input. Please use MM/DD/YY format for date
How many parcel(s) does the subject property contain?(*)	Please enter only numbers.
Legal Description or Parcel ID/Tax Key No:	Invalid Input
Requested Endorsements:	Invalid Input
Special Instructions:	Invalid Input
	Important: Upon completion of the above order form you will receive an email confirmation that we have received your title order request. If you do not receive the confirmation, please contact us at (920) 235-0017.
(*)
Submit this Application:	Submit