This application is for placing a title insurance order for a residential Split Loan Policy, a.k.a. Bifurcated Loan Policy. Lending institutions can now choose the title company they want for insuring them on residential purchase transactions and for conducting the loan closing. Please call our office at (920) 235-0017 for the cost of our closing fee. (Note: Assurance Title honors the same closing fee rate that is quoted to their lender customers on standard purchase closings). The Owner's Policy, in this situation, would be issued by a different title company authorized to issue title insurance in Wisconsin.
If you would prefer to download the PDF verison of this form you can do so here:
The title rate for the Residential Bifurcated Loan Policy is $250.00 up to the sale price of the property. If the loan amount would exceed the sale price, the rate per thousand for that rate category would apply. Refer to Title Insurance Rate Schedule on our website for the current Wisconsin title insurance rates. A sixty year search is required on all Bifurcated Loan Policies, unless Assurance Title is supplied with a copy of the existing Owner's or Loan Policy in effect. (Note: Title evidence can be uploaded using the application form below.)