On-Line Application

Simply complete this form for Commitment for Title Insurance and click Submit.
Upon receipt, Allstates Title will forward a confirmation along with a file number to your e-mail address.

Choose One Refinance  Home Equity   Purchase
Seller’s Name(s) 
Borrowers Name(s) 
Purchase Price:
Mortgage Amount
Email:
Lenders Name, Address and any required clause:

PROPERTY INFORMATION

Street Address:
Municipality: 
State:

Zip: 

                   (If Available)
Tax Lot: 

 Tax Block:

Check all items required from Allstates Title Service, Inc.

Flood Search  Life of Loan Certification  Tax & Assessment Search 
Survey with corner markers Survey without corner markers
 Judgment Search  Maiden name Search
Back Title Available Date title work is needed:

    Date of Closing:
Send Commitment to:

This section to be completed by lenders and/or attorneys

Company Name: 
Contact Person:
Phone Number:
Fax Number:

 

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