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Congratulations on your decision to buy a home and to protect that investment with title insurance. Please fill out the form below and submit it for our review. You can also fax or email your purchase agreement or print this page and mail or fax it to us. We will process your application and get back with you just as quickly as possible.
Fields in red are required.
Lender Information
Today's Date: (MM/DD/YY)
Lender:
Contact:
Address:
City:
State:   Zip Code:  
Phone:
Fax:
Proposed Insured, If Different Than Lender:
Date Commitment Needed by:
(MM/DD/YY)
Closing Date:
(MM/DD/YY)
Type of Loan:
  FHA
VA
CONV
Other
     If other:
     
Type of Transaction:
  REFI
Purchase
Loan Amount:
Sales Price, if Applicable:
Should the Title Company order a plat drawing:
  Yes
No
Special Instructions:
 
 
Borrower Information
Borrower #1:
Present Address:
City:
State:   Zip Code:  
Home Phone:
Work Phone:
 
Borrower #2:
Present Address:
(if different)
City:
State:   Zip Code:  
Home Phone:
(if different)
Work Phone:
 
Property Information
Property Address:
City:
State:   Zip Code:  
Legal Description:
Abstract Number:
Abstract Location:
 
Seller Information
Seller #1:
Seller #2:
 
Realtor Information
Listing Company:
Agent:
Selling Company:
Agent:
Please Fax a Purchase Agreement To 701-232-7340

NOTICE: We are aware that you may recieve an error message upon completion of the application. If you do recieve an error message, disregard it as we do recieve your application.
Thank you for you patience as we address this issue.

The Title Company
17 S. 7th St., PO Box 1625
Fargo North Dakota, 58107-7340
701-241-9282, Fax 701-232-7340
E-mail brianne@thetitlecompany.com