Old Masters Title

Title Insurance Order Form Please use this Online Order Form to place a new order for a Title Insurance Policy. If you have a question or other request, please use our Information Request Form or call our office at (651) 288-2111. We welcome all of your questions and comments.
APPLICATION FOR TITLE INSURANCE POLICY Old Masters Title 312 East County Road D St. Paul, MN 55117 Office: 651-288-2111 Fax: 651-288-2112 E-mail: info@oldmasterstitle.com

Order Placed By:

First Name: Last Name:

Company Name: Phone:

Address: City, State, ZIP

Fax No: Email:

Type of Transaction:

Sale Refinance Other

Type of Policy:

Lender's Owners's Both

Sale Price:

Property Address:

City, State, ZIP:

County:

Sellers:

Seller(1) Name: Seller(2) Name:

Phone(work): Phone(home):

Buyers:

Buyer(1) Name: Buyer(2) Name:

Phone(work): Phone(home):

Listing Agent (Seller):

Agent Name: Phone:

Agent Co:

Selling Agent (Buyer):

Agent Name: Phone:

Agent Co:

Type of Mortgage:

First Mortgage Junior Mortgage Both First & Junior Mortgages

LENDER TO BE INSURED (Mortgagee Clause):

Mortgage Amount:

Junior Mortgage Information:

Mortgage Amount for Junior:

Lender to be insured for Junior:


Closing Date:

Date Commitment Needed:

Send copy of the commitment to me by:

Fax
E-mail

In addition to commitment, we need:

Wiring Instructions Gap Letter Insured Closing Protection Letter*

(Note: 24 month chain of title will appear on the commitment)

*If Insured Closing Protection Letter is needed, please indicate Lender Name and address :

Lender Name:

Lender Address:

The materials contained within this page may not be reproduced without the express written consent of OLD MASTERS TITLE. The information herein is believed to be accurate and timely, but no warranty as such is expressed or implied.

APPLICATION FOR TITLE INSURANCE POLICY