Stearns County Abstract Co.


	STEARNS COUNTY ABSTRACT CO. 21 Courthouse Square PO Box 1011 St. Cloud, MN 56302 Phone: (320) 251-5920 Fax: (320) 251-0367 e-mail: info@stearnscountyabstract.com

		Application for Title Insurance


	Please fill out this application and click on the submit button at the bottom of the page to send it to SCAC.


	Date:

Applicant

Account No:

Address:

City:

State:

Zip Code:

Phone:

Contact:

Reference:

Listing Co:
Address:
Agent:
Phone:

Selling Co:
Address:
Agent:
Phone:

Send Copy of Commitment to:

Transaction Data

Type of Policy Ordered


	Mortgage:


	Owner´s:


	Both:

Date Needed:
(not closing date)


	Yes No

Special Assessment Search:


	Mortgage Amount:


	Mortgagees Plat Drawing:


	Sale Price:


	Closing at Stearns Co. Abstract:


	Owner´s Policy Amount:


	Arm Endorsement:


	Special Instructions:


	Proposed Insured:

Property Information

Residential:

Commercial:


	Property Address:


	City:


	County:


	State:


	Legal Description: (E-mail to SCAC@cloudnet.com if necessary)


	Property is: Abstract:


	Torrens:


	Certificate No.:


	Location of Abstract:


	Property is: Existing Bldgs.:


	New Construction/Improvements:


	Vacant Land:


	Present Owner(s):


	Work Phone:


	Home Phone:


	Occupant (if not owner):


	Claiming As:


	Buyers Present Address:


	Does Buyer Request an Owner's Policy? Yes:


	No:




					Agent For:


	Thank you for your order!

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