1030 W. Higgins Road, Suite 365, Park Ridge, IL 60068	Phone:# 847-696-1000  Fax:# 847-696-1001

APPLICATION FOR TITLE INSURANCE
Fax New Orders to 847-696-1001 or 773-305-2570 
or through Paperless Closer at www.saturntitle.com

SELLER(S):
            NAME (First, Last name)    		     SOCIAL SECURITY #	PHONE 
(A) 						   	-	-	   			
(B) 						   	-	-	   			
(C) ________________________________________   	-	-	   			
BUYERS/BORROWER(S): 
            NAME (First, Last name)         	   SOCIAL SECURITY #	         PHONE
(A) 						   	-	-	   			
(B) 						   	-	-	   			
(C) ________________________________________  	-	-	   			
1ST LENDER:____________________________________________________________
ADDRESS: _____________________________________________________________	
PHONE: ____________________________ FAX: ______________________________
2ND LENDER: __________________________________________________________
	
1ST LOAN AMOUNT: $________________   PURCHASE PRICE:$______________
2ND LOAN AMOUNT: $________________

PROPERTY ADDRESS: __________________________________________________

PIN#:__________________________________CLOSING DATE: ________________

*HAS THE PROPERTY HAD ANY CONSTRUCTION WORK DONE WITHIN THE PAST 6 MTHS? YES OR NO                                   
If so, we will need waivers & contractor’s sworn statement prior to closing for review.
PROPERTY TYPE:	           TYPE OF TRANSACTION:	  ENDORSEMENTS: 
    RESIDENTIAL 		                  SALE W/LOAN  		__EPA
__1 Unit __ 2 Units 		                  CASH SALE			__COMP
__3 Units __ 4 Units 		                  REFINANCE			   LOCATION
    MULTI-FAMILY (5+) #Units ___	     ___HELOC				__ADJUSTABLE
__COMMERCIAL	     ___SEARCH ONLY			   CONDO	  
    VACANT LAND		              ___SECOND MTG			__PUD	
__NEW CONST*	                       ___NEW CONST LOAN	         __BALLOON
__CONDO                                                		
__TOWNHOUSE								
UNDERWRITER
__Chicago Title      __Stewart Title   ___Fidelity Title

SELLERS ATTORNEY:				MORTGAGE BROKER:
NAME:___________________________             NAME: _______________________________
ADDRESS:________________________		ADDRESS: ____________________________
PHONE:__ ________________________		PHONE: ______________________________
FAX:_____________________________		FAX: _________________________________
EMAIL:___________________________		EMAIL: _______________________________
ATTN: ____________________________		ATTN: ________________________________
ORDER PLACED BY:	                                           CPL LETTER REQUEST
NAME: ____________________________		LENDER:______________________________ 	
ADDRESS: _________________________          ADDRESS:_____________________________	
PHONE: ___________________________	         ________________________________
FAX: ______________________________          REFERENCE:__________________________
EMAIL: ____________________________	           
ATTN: _________________________     

IF AVAILABLE, PLEASE ATTACH LEGAL DESCRIPTION OR POLICY.