APPROVED ATTORNEY'S PRELIMINARY REPORT ON TITLE AND APPLICATION FOR TITLE INSURANCE COMMITMENT:

APPROVED ATTORNEY'S PRELIMINARY REPORT ON TITLE AND APPLICATION FOR TITLE INSURANCE COMMITMENT:
FROM: Approved Attorney
Your Name and Firm Name (if applicable)
TO: Attorneys Land Abstract and Settlement, LLC, Agent for
Name of Title Insurance Company you are approved to transact business on behalf of.
Address of Premises to be insured:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Your File No.
Type of Property (check all that apply):
Type a question

Vacant Land 1 - 4 Family Residential Unit Commercial Condominium Manufactured/Mobile Housing Owner Occupied Tenant Occupied
I have searched (or caused to be searched) and examined, the title to the above referenced premises
From

Month Day Year
Date
Through

Month Day Year
Date
and request that a title insurance commitment covering said premises be issued, agreeing to insure the interests of the buyer(s) and/or mortgagee(s) in the transaction described below:
(check applicable)ion

Sale / Purchase Refinance Home Equity Loan Other
The present fee simple owner(s) of record is(are)
ATTACH FULL COPY OF THE INSTRUMENT VESTING TITLE

Cancel of
The Buyer(s)/Borrower(s) is(are)
The Agreement of Sale is dated

Month Day Year
Date
Scheduled / Estimated closing date

Month Day Year
Date
The Purchase Price is
Owner Insurance Required?

Yes No
First Mortgage Amount
Loan Insurance Required?

Yes No
First Mortgagee’s Name
Second Mortgage Amount
Loan Insurance Required (Second Mortgage)

Yes No
Second Mortgagee’s Name
APPROVED ATTORNEY'S PRELIMINARY REPORT ON TITLE AND APPLICATION FOR TITLE INSURANCE COMMITMENT:
Type(s) of Loan(s) (check all that apply):

FHA VA Conventional HELOC Construction
Policy or Policies Requested:

Standard (06-17-06) Owner’s Policy Only Standard (06-17-06) Mortgagee Policy Only Standard (06-17-06) Simultaneous Owners & Mortgagee Policies Enhanced (1-1-08) Homeowner’s Enhanced Policy Only Enhanced (1-1-08) Expanded Coverage Residential Loan Policy Only Enhanced Simultaneous Homeowner’s & Expanded Coverage Residential Loan Policies Short Form Residential Loan Policy Residential Limited Coverage Junior Loan Policy
Policy Endorsements to be Issued:

100 300 8.1 Other(s)
Are any of the Record Owners Deceased?

Yes No
Name(s) of Deceased Owner(s), if any:
Provide copies of any Estate Documents (if applicable)

Cancel of
Are any Powers of Attorney going to be utilized in this transaction?

Yes No
Provide copies of any POA, which we must review and approve.

Cancel of
Is there an Existing Survey of the Property to be Insured?

Yes No
Provide a copy of any Survey.

Cancel of
Does the Property abut a Publicly Dedicated Road / Right of Way?

Yes No
TAXES AND ASSESSMENTS (Including Homeowner’s Association/Condo Dues)
A) Taxes and Assessments have been paid through and including the year:
B) The following taxes and assessments (including delinquencies) are due and payable:
OPEN LIENS OF RECORD

(Mortgages, judgments, etc.; if not being paid at or prior to settlement, provide separate communication to ALAS).
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2
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APPROVED ATTORNEY'S PRELIMINARY REPORT ON TITLE AND APPLICATION FOR TITLE INSURANCE COMMITMENT:
RIGHTS OF WAY, EASEMENTS, COVENANTS, CONDITIONS, RESTRICTIONS, SUBDIVISION PLANS, ETC., OF RECORD

(If necessary, provide separate communication to ALAS).
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Are there any existing violations of recorded covenants, conditions, restrictions, etc.?

Yes No
If yes, please explain
Do any of the covenants, conditions, restrictions, etc. contain reversionary or forfeiture clauses?

Yes No
If yes, please explain
OTHER LIENS, OBJECTIONS, DEFECTS (Lis pendens, suits, etc.)
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2
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SPECIAL INSTRUCTIONS
SPECIAL INSTRUCTIONS (additional)
Do you require a Closing Protection Letter?

Yes No
If Yes, Povide the Loan Number
Lender's Address
If Yes, Also Provide the Lender's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Application is hereby made for a Title Insurance Commitment covering the above-described transaction. I hereby certify that:

A) The information contained herein is true and that no material information is being withheld;

B) I have personally searched all public records affecting tittle to the premises; or examined an abstract purporting to reflect the contents of all such records, completed by an abstractor with Errors and Omission insurance;

C) In my opinion, the matters set forth herein completely and accurately reflect the status of title to the premises as of the date and time the title search was completed;

D) I am not aware of any dispute among attorneys of the local bar as to the validity of the title to said premises; and

E) Title is in no way dependent upon the sale of the property for delinquent taxes or assessments.
Certified this
day of
, 20
By
Signature

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