Illinois Real Estate Title Center - Application for Title Work

You can save time by using our quick and easy online title work application. Simply provide us with some basic information about your transaction and we will get back to you with an estimated completion date. If you have any questions or concerns about our online application, please contact us.

Instructions: Fill this form out completely and accurately. Submit your completed application by pressing "Submit" once you are finished. If you have any questions or concerns about this application, please contact us.

Bank Name:

Loan Officer:

Address:

City:

State:

Zip:

E-mail Address:

Processor:

Phone:

Fax:

TRANSACTION DETAIL

Borrower #1:		Borrower #2:
Address:
City:		State: Zip:
Telephone Number:
Marital Status: Husband & Wife Married Unmarried Other:

Seller(s):
Address:
City:		State: Zip:
Telephone Number:
Marital Status: Husband & Wife Married Unmarried Other:

PROPERTY INFORMATION

Property Address:
City:		Zip: County:
Lot(s):		Block:
Section:		Tax ID:
	Prior Policy	(Provide copy if available)

POLICY DETAIL

POLICY TYPE REQUESTED:
Mortgage Policy	Loan Amount: $	Alta Loan (1992) or Short Form
Owners Policy	Req. Amount: $	Alta Owner Policy (1992)
TYPE OF TRANSACTION:
Purchase	Refinance	Construction
2nd Mortgage or Equity Loan		Other
PROPERTY TYPE:
1-4 Family residential	Manufactured Housing	Commercial
Condo	PUD	Other
ENDORSEMENTS REQUESTED
Standard (ALTA 8.1, 9, Location)	Other

ADDITIONAL SERVICES REQUESTED

Search:	Regular Search	Letter/Lien Search
	Please use as search agent
Deed and Green:	Warranty Deed:
	Exact Vesting Names
	Joint Tenants	Tenants by Entirety Tenants in Common
	Quit Claim Deed:
Insured Closing Letter/Closing Service Letter (anticipated close date)
Closing Services (Sangamon County Only)
Construction Escrow
Send Commitment to:
Loan Officer	Buyer/Borrower	Settlement Agent:
Other

2055 W. Iles, Suite B, Springfield, IL 62704
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