Title Application
Order Date
TPAC File No
Date Needed
Closing Date
Policy Type:
Mortgage Amt
Purchase Price
2nd Mortgage Amt
Transaction Type
Loan Type
Construction in the Last 120 Days:
Mechanic's Lien Coverage
Other Coverage's Endorsements
Lender Name
Primary Phone
Address Line 1
Contact Name
Address Line 2
Fax
Alternate Phone
E-mail Address
Buyer's Name
Primary Phone
Address Line 1
Address Line 2
Fax
Alternate Phone
E-mail Address
Seller's Name
Primary Phone
Address Line 2
Address Line 1
Fax
Alternate Phone
E-mail Address
Name of Existing Mortgage Lender
Primary Phone
Address Line 1
Address Line 2
Fax
Alternate Phone
E-mail Address
Address Line 1
Address Line 2
County
Parcel Number
Legal Description
Property Type
Abstract Location
Certificate No
Listing Agent
Primary Phone
Fax
Alternate Phone
E-mail Address
Selling Agent
Primary Phone
Fax
Alternate Phone
E-mail Address
Name
Address Line 1
Address Line 2
Name
Address Line 1
Address Line 2
Name
Address Line 1
Address Line 2
Ordered By:
City
Phone
Address Line 2
Contact Name
Address Line 1
Fax
E-mail Address
State
Zip
Applicable Dates:
Transaction Information:
Lender to be Insured:
City
State
Zip
Buyer Information:
City
State
Zip
Seller Information:
City
State
Zip
Existing Mortgage Information:
City
State
Zip
Property Information:
City
State
Zip
Agent Information:
Commitment Copies to be Sent to:
City
State
Zip
City
State
Zip
City
State
Zip
Title Professionals and Abstract Company
"Your Problem Solvers"
24 8th Avenue South
PO Box 873
St. Cloud, MN 56302-0873
Phone: 320-251-2933
FAX: 320-251-7583
Toll Free: 800-944-2584
E-mail: seh@titleprofessionals.com
Closing By
Martial Status
Martial Status
Fax or E-mail to Title Professionals
Fax: (320)-251-7583 E-mail: seh@titleprofessionals.com
1. Applicable Purchase agreement and any Addendums or Exhibits thereto.
2. Applicable Building Contracts.
