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Refinance Full Search Loan

This application is for placing a title insurance order for a residential refinance Full Search loan policy. Full search refinances include a sixty year search, which will show any easements and/or restrictions and can only be used on residential properties. To speed up the searching process, a current Owner's or Loan Policy can be uploaded using the form below.  By supplying prior title evidence you can expect your "Refinance Full Search" will be expedited.

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

Title Rate

The title insurance premium is $475.00 up to $500,000.00 worth of coverage. Over $500,000.00 add $1.00 per thousand.


Application for Title Insurance:
Refinance Full Search Loan Policy

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:(*)
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Lending Institution:(*)
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Email:(*)
Please enter a valid email address.
Billing Address:(*)
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Billing Address 2
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Billing City:(*)
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Billing State:(*)
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Billing Zip(*)
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Phone(*)
Please enter a valid phone number (xxx-xxx-xxxx)
Date Needed By:(*)
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Fax:
Please enter a valid fax number (xxx-xxx-xxxx)

Full Search Loan Policy Information

Loan Reference Number:
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Loan Amount:(*)
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Loan Type:(*)
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Current Property Owner Name(s):(*)
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Property Address:(*)
Please enter a property address.
Proposed Insured:(*)
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Anticipated Closing Date(*)
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How many parcel(s) does the subject property contain?(*)
Please enter only numbers.
Requested Endorsements:
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Special Instructions:
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Expedite Your Application

To speed up the searching process, upload a current Owner’s or Loan Policy. By supplying prior title evidence you can expect your “Refinance Full Search” will be expedited. Please upload fully completed, scanned PDF images of this documentation now

These forms can be downloaded here.

File types accepted: PDF, JPG, JPEG Max file size: 500KB
If scanned images are not possible, please fax documents to: (920) 235-2122 or drop them off at our office. If you need assistance, we are just a phone call away, please call our office at (920) 235-0017.
Upload Current Owner's or Loan Policy
File types accepted: PDF, JPG, JPEG Max file size: 500KB
If you have additional files, please email them to This email address is being protected from spambots. You need JavaScript enabled to view it..

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:

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We have endorsed and adhere to the "Title Insurance and Settlement Company Best Practices Policies".