Application for Title Insurance

APPLICATION FOR TITLE INSURANCE BUY/SELL TRANSACTION

REQUIRED ITEMS ARE HIGHLIGHTED

DATE ORDERED: PREVIOUS HBW ORDER #:

SALES PRICE: MORTGAGE AMOUNT:

BUYERS’/BORROWERS’ NAMES & ADDRESSES: SELLERS’ NAMES & ADDRESSES:

Name: Name:

Phone No.: Phone No.:

Email Address: Email Address: ______

Address: Address:

ONE OF THE FOLLOWING MUST BE FILLED OUT

· PROPERTY STREET ADDRESS:

CITY: STATE: ZIP: COUNTY:

· LEGAL DESCRIPTION: SEE ATTACHED __________

· PIN NO.:

ADDIITIONAL PARTIES IN TRANSACTION

WWW.HBWTITLE.COM BLANK BUY/SELL APPLICATION REV. 2/2016

APPLICANT:

Name: ___________________

Phone No.:

Email Address: ______

Address:

LISTING BROKER:

Name: ___________________

Phone No.:

Email Address: ______

Address:

SELLER’S ATTORNEY:

Name: ___________________

Phone No.:

Email Address: ______

Address:

LENDER:

Name: ___________________

Phone No.:

Email Address: ______

Address:

SELLING BROKER:

Name: ___________________

Phone No.:

Email Address: ______

Address:

BUYER’S ATTORNEY:

Name: ___________________

Phone No.:

Email Address: ______

Address:

WWW.HBWTITLE.COM BLANK BUY/SELL APPLICATION REV. 2/2016

WILL THE CLOSING BE CONDUCTED BY HBW TITLE COMPANY? YES / NO

IF HBW IS DOING THE CLOSING, PLEASE PROVIDE THE FOLLOWING: DATE: ________ TIME: ________

CIRCLE WHICH OFFICE Dixon Freeport Galena Moline Morrison Mt. Carroll Princeton Sterling

WILL FLOOD CERTIFICATION BE PROVIDED BY HBW TITLE COMPANY? YES / NO

IS THIS NEW CONSTRUCTION? YES / NO

CIRCLE ENDORSEMENTS REQUESTED: Location ALTA 8.1 ALTA 9 Other:

CIRCLE PROPERTY TYPE: Residential Multi-Family Commercial Farmland Only Farmland & Residence

Vacant Land Condominium Townhouse Other:

WWW.HBWTITLE.COM BLANK BUY/SELL APPLICATION REV. 2/2016