Online Title Application

Please enter the following information to order Title Insurance from Old Republic Title:

Please fill in as much information as is known to you -- Except for contact information, none of the fields are required!

Attachments such as Purchase Agreements (if applicable) must be faxed to ORNTIC at 612-371-1129. 

Thank you for your order!

General Information and Services Requested:
Order Type Loan Type
Residential Lender Conventional
Residential Owner FHA
Commercial Lender VA
Commercial Owner Construction Loan
Junior Lender
Tax Search
Special Assessments
Contract for Deed
Other 
Sales Price
Loan Amount
Date Needed:
Closing at Old Republic Title Yes No
Property Information
Street Address:
Address (cont.):
City:
State:
Zip Code:
Legal Description
Tax ID Number:
Primary Buyer
Buyer  is a Company:
Company Name:
Name of First Buyer:
Name of Second Buyer (if applicable):
Additional Buyers:
Street Address:
Address (cont.):
City:
State:
Zip Code:
Work Phone Number:
Home Phone Number:
Primary Seller
Seller is a Company
Company Name:
Name of First Seller:
Name of Second Seller (if applicable):
Street Address:
Address (cont.):
City:
State:
Zip Code:
Work Phone Number:
Home Phone Number:
Ordered By
Company Name:
Your Name:
Street Address:
Address (cont.):
City:
State:
Zip Code:
Phone Number:      
FAX Number:      
E-mail:      
Comments:      

 

Payoff Information
1. Mortgage Company Name
Account Number:
Phone Number:
2. Mortgage Company Name
Account Number:
Phone Number:
3. Mortgage Company Name
Account Number:
Phone Number:
Buyer's Agent Information
Company Name:
Buyer's Agent Name:
Street Address:
Address (cont.):
City:
State:
Zip Code:
Work Phone Number:      
FAX Number:      
Listing Agent Information
Company Name:
Listing Agent's Name:
Street Address:
Address (cont.):
City:
State:
Zip Code:
Work Phone Number:      
FAX Number:      

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