RE Sale

Application for Title Insurance: Real Estate Sale

This application is for the Listing Agent (Realtor) or Lending Institution in a FSBO situation to complete. If you are a "For Sale By Owner" Seller, click here.

We suggest that an "Authorization to Release Confidential Information" be submitted via upload, fax or mail with this application. This form enables us to order payoffs and retrieve information for the Seller's Closing Statement.

To ensure a prompt response, please make sure you fill out as many of the listed fields as possible. Your information will be kept confidential. We won't sell, trade, or lease your information to anyone.

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

Name:(*)
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Email:(*)
Please enter a valid email address.
Property Address:(*)
Please enter a property address.
Sale Price:(*)
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Seller Name(s):(*)
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Current Address:
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Homestead:
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Buyer Name(s):(*)
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Current Address:
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Homestead:(*)
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Buyer's Lender
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Lender Address
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Phone
Please enter a valid phone number (xxx-xxx-xxxx)
Fax:
Please enter a valid fax number (xxx-xxx-xxxx)
Loan Amount:
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Loan Type:
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Requested Endorsements:
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Proposed Insured:
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Anticipated Closing Date(*)
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Property Type:



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Prior Title Evidence:
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Known Conditions of Title:
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(Shared driveway, shared well, easements, etc.)
Attorney for Seller:
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Attorney for Buyer:
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Listing Agent & Firm(*)
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Commission:(*)
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Administration Fee:
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Selling Agent & Firm:(*)
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Special Instructions:(*)
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Ordered By (Name & Co.)(*)
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Submit this Form:

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