Stearns County Abstract Co.
21 Courthouse Sq., St. Cloud, MN 56303
Phone: 320-251-5920 * Fax: 320-251-0367
Toll Free: 1-800-501-5920
Email: [email protected]
Title Insurance Application
Application Date:
Applicant
Address
City
Phone
Order No.
State
Contact
Zip Code
Listing Company/Address
Selling Company/Address
Agent
Phone
Send a copy of the Commitment to
Agent
Phone
Transaction Data
Date Needed
Type of Policy Ordered
Mortgage
Owner’s
Yes
No
(not closing date)
Mortgage Amount $
Sale Price $
Owner’s Policy Amount $
Special Assessment Search
Mortgagees Plat Drawing
Closing at SCAC
Anticipated Closing Date
Special Instructions
Proposed Insured
Property Information
Residential Property
Property Address
City
Legal Description
Commercial Property
County
State
Property is: Abstract
Torrens
Certificate No.
Location of the Abstract
Property is: Existing Bildings
New Construction
Vacant Land
Present Owner(s)
Work Phone
Home Phone
Occupant (if not owner)
Buyers Name(s)
Buyers Present Address
Does Buyer Request an Owner’s Policy Yes
No
For Minnesota Title Use Only:
Code
Amount Charged
AGENT FOR: OLD REPUBLIC NATIONAL TITILE INSURANCE CO.
THANK YOU FOR YOUR ORDER