Application for Title Guaranty
Date:
Request for: Commitment Certificate
1. Property Address: 2. Type of Property:
Residential Bare Land
Commercial, Industrial, Agricultural
Cash Transaction Construction Loan
Installment Contract End Loan
Refinance/Form 900 Rental Property
Refinance/Abstracting Mortgage (Other)
4. Buyer(s) / Borrower(s):
6.
Coverage and Amount:
Lender 1st Mortgage
Lender 2nd Mortgage
Owner's Coverage
(Purchase Price)
$ Guaranteed - Name and Address:
Eligible for Free Owner's? Yes ___
_
8. Lender Endorsements 1st 2nd
a) Comprehensive 1 ____ ____ ____
b) Condo (ALTA 4.0) ____ ____
c) EPA-Environmental (ALTA 8.1) ____ ____ ____
d) Gap ____ ____ ____
e) Location (ALTA 22.0) ____ ____ ____
f) Manufactured Home (ALTA 7.0) ____ ____ ____
g) PUD (ALTA 5.0) ____ ____ ____
h) Variable Rate (ALTA 6.0) ____ ____ ____
i) Other _
_
____ ____ ____
10. Contact for further information: 11. Deliver Commitment/Certificate to:
Name:
Company:
Phone:
Email:
Fax:
Owner
12. Bill to - Name and Address:
Deliver Owner Certificate to:
Address Above
Mail Certificate Applications to:
Title Guaranty Processing Center
1963 Bell Ave, Suite 200
Des Moines, IA 50315
Email:
Fax:
(Payable to Title Guaranty)
e) Appraisal (if applicable)
f) RPIR, Survey, Assessor Information
(only if applicable)
g) Other (please specify)
b) Final Title Opinion
c) Preliminary Title Opinion
d) Composite Mortgage Affidavit
a) Premium Check
9. Documents to Attach:
7. Lender- Name and Address:
5. Seller(s):
3. Other Information (check only those that apply):
$
$
$
No ___
_
Iowa Title Guaranty Division
1963 Bell Avenue, Suite 200, Des Moines, IA 50315
Help Desk: 515.452.0484 Email: TGDCommitments@IowaFinance.com Fax: 515.725.4901
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