Application for Title Insurance

Trend Title, LLC
7421 Ohms Lane, #200
Edina, MN 55439
952-746-6653 (p)
952-746-6655 (f)
rgoldsby@trendtitle.com

*Indicates Required Fields
*Date Needed:		Application Date:
Closing Date:		Land Title File No.
Customer Reference No.
Purchase Price: $		Owner's Policy:	Yes  No
Loan Policy:		Loan Type:
Buyer/Borrower:
Current Address:		City:
State:	Choose a State Outside US / Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory	Zip:
Lender to be Insured:		Lender Phone:	(ex: xxx-xxx-xxxx)
Seller:		Seller Phone:	(ex: xxx-xxx-xxxx)
Property Address:		City:	, MN
County:		Zip:
Tax ID No.
Legal Description:	Abstract     Torrens (Certificate No. )
Property Type:	1-4 Family Residential   Condo   Vacant Land   Commercial   Existing Structure   New Construction    Date Completed  Other
Prior Title Evidence:	Title Policy   Abstract   RPA   None
Location of Above:
Existing Mortgage With:		Loan No.
Known Claims or Title Difficulties:
Services Required:	Plat Drawing   Priority Photos   Search Assessments   Closing   ARM Endorsement   Flood Search   Other
Copies of Commitment to:
*Your Name:		Bill to Firm:
Firm:
*Address 1:		Address 2:
*Your Phone:	(ex: xxx-xxx-xxxx)	*Your Email:
Your Fax:	(ex: xxx-xxx-xxxx)
FAX ORDERS TO: 952-746-6655