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

CityState / Province

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

Vacant Land1 - 4 Family Residential UnitCommercialCondominiumManufactured/Mobile HousingOwner OccupiedTenant Occupied
I have searched (or caused to be searched) and examined, the title to the above referenced premises
From

MonthDayYear
Date
Through

MonthDayYear
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 / PurchaseRefinanceHome Equity LoanOther
The present fee simple owner(s) of record is(are)
ATTACH FULL COPY OF THE INSTRUMENT VESTING TITLE

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

MonthDayYear
Date
Scheduled / Estimated closing date

MonthDayYear
Date
The Purchase Price is
Owner Insurance Required?

YesNo
First Mortgage Amount
Loan Insurance Required?

YesNo
First Mortgagee’s Name
Second Mortgage Amount
Loan Insurance Required (Second Mortgage)

YesNo
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):

FHAVAConventionalHELOCConstruction
Policy or Policies Requested:

Standard (06-17-06) Owner’s Policy OnlyStandard (06-17-06) Mortgagee Policy OnlyStandard (06-17-06) Simultaneous Owners & Mortgagee PoliciesEnhanced (1-1-08) Homeowner’s Enhanced Policy OnlyEnhanced (1-1-08) Expanded Coverage Residential Loan Policy OnlyEnhanced Simultaneous Homeowner’s & Expanded Coverage Residential Loan PoliciesShort Form Residential Loan PolicyResidential Limited Coverage Junior Loan Policy
Policy Endorsements to be Issued:

1003008.1Other(s)
Are any of the Record Owners Deceased?

YesNo
Name(s) of Deceased Owner(s), if any:
Provide copies of any Estate Documents (if applicable)

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

YesNo
Provide copies of any POA, which we must review and approve.

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

YesNo
Provide a copy of any Survey.

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

YesNo
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
3
4
5
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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2
3
Are there any existing violations of recorded covenants, conditions, restrictions, etc.?

YesNo
If yes, please explain
Do any of the covenants, conditions, restrictions, etc. contain reversionary or forfeiture clauses?

YesNo
If yes, please explain
OTHER LIENS, OBJECTIONS, DEFECTS (Lis pendens, suits, etc.)
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2
3
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5
SPECIAL INSTRUCTIONS
SPECIAL INSTRUCTIONS (additional)
Do you require a Closing Protection Letter?

YesNo
If Yes, Povide the Loan Number
Lender's Address
If Yes, Also Provide the Lender's Address

Street Address

Street Address Line 2

CityState / 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

Clear
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