Foreclosure Commitment

This application is for placing a title insurance order for a lender foreclosure situation.  If you would prefer to download the PDF verison of this form, you can do so here:

Foreclosure title insurance requires a sixty year search, which will show any pending actions and all easements and/or restrictions on the subject property. Any type of property (residential, commercial, agricultural or industrial) can have foreclosure title work performed. To speed up the searching process, a current Owner's or Loan Policy can be uploaded using the application form below. By supplying prior title evidence you can expect your “Foreclosure Title Insurance” will be expedited.

Title Rate

The foreclosure commitment rate is $350.00 for $15,000.00 of liability. Any additional liability will be charged at the applicable Owner's Policy rates. Note: The above stated rate includes two (2) update endorsements to be issued within eight (8) months from the effective date of the foreclosure commitment.


Application for Title Insurance:
Foreclosure Commitment

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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Law Firm or Lending Institution:(*)
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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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Please enter a valid phone number (xxx-xxx-xxxx)
Date Needed By:(*)
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Please enter a valid fax number (xxx-xxx-xxxx)
Loan Reference Number:
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Foreclosure Commitment Information

Property Owner Name(s):(*)
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Property Address:(*)
Please enter a property address.
How many parcel(s) does the subject property contain?(*)
Please enter only numbers.
Lien Priority of Mortgage(*)

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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 “Foreclosure Title Insurance” 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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