Date
Date Needed
Select a CloserSELECTTo Be DeterminedTara GladKimberly JudgeJennifer LaumeyerSteph PetersonMichelle SmallidgeJackie Tix
Select a Closing LocationSELECTTo Be DeterminedApple ValleyEden PrairieHastingsMendota HeightsWoodbury
Anticipated Closing Date
Mortgage Amount
Sale Price
Type of TransactionSELECTCONVVAFHACONSTREHABROLLOVERCASH
EndorsementsSELECTNo EndorsementARMBalloonOther
Property Inspection?SELECTYesNo
Does buyer request an owner's policy?SELECTYesNo
Will there be a simultaneous second mortgage?SELECTYesNo
If YES, will a junior policy be needed?SELECTYesNo
Is contract for deed being paid off?SELECTYesNo
Comments and Special Instructions
Policy Ordered MortgageOwner's
Special Assessment SearchSELECTYesNo
Mortgagees Plat DrawingSELECTYesNo
Priority PicturesSELECTYesNo
Construction DisbursementSELECTYesNo
Insured Closing LetterSELECTYesNo
Chain of Title ReportSELECTYesNo
Number of Months?
Mortgage Policy
Lender's Address
City
StateSELECTAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip
Owner's Policy
Contract for Deed PolicySELECTYesNoVendor'sVendee's
Property Address *
City *
County *
State *SELECTMinnesotaWisconsin
Zip *
Tax Number
Legal Description
Property IsSELECTUnknownAbstractTorrens
Certificate Number
Location of Abstract
File Number
Prior Title EvidenceSELECTOwner's PolicyAbstractNone (Torrens)Unknown
Property IsSELECTVacant LandExisting BuildingsCommercialResidentialProposed ConstructionRecent Improvements/Repairs
Present Owner(s) *
Home Phone
Work Phone
Email Address
Occupant (If Not Owner)
Buyer's Name(s) *
Buyer's Present Address
Special Instructions
Company Name *
Contact Name *
Address *
State *SELECTAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Phone Number *
Fax Number
Email Address *
Loan/Reference Number
Listing Agent & Company
Selling Agent & Company
Copies To
Attach Document
For additional attachments, please send files to applicationdept@dcatitle.com.
