LAMONT TITLE CORPORATION - Title Insurance Application

LaMont Title Corporation is delighted to meet your title insurance and escrow needs. To request our services, please complete the form online and press the “submit” button at the bottom of the page. Or, print and fax the form to our office at 313-963-5488. Please note that should your transaction fail to close, we may need to charge a cancellation fee.

Please feel free to call us with any questions about our services or pricing.

* Fields are required.

PERSONAL INFORMATION:
Name:	*	Firm:
Address:
City:		State:	Zip:
Phone:	*	Fax:	Email:
Request delivery by? Telephone Fax Email
Order needed by date: *

SERVICES REQUESTED:* (check all that apply)
Title Search	Foreclosure Guaranty
Initial Title Work	Tax Forfeiture-related Services (“Old Act”)
Title Commitment	Tax Foreclosure-related Services (“New Act”)
Escrow Services	Tax Lien Purchaser-related Services

TRANSACTION TYPE:

PROPERTY PROFILE
Property Type:
Property Location:
Town,Village,City:	*
County:	*	State:	*
Property Address:	*	Tax Parcel ID:	*
Legal Description:	*
Current Owner:
Outstanding Interest:
Existing Title Work: Please fax to LaMont Title Corporation at 313-963-5488.

IF SEEKING TITLE INSURANCE:
Proposed Insured Owner:	Insured Amount:	$
Proposed Insured Lender Name:	Proposed Loan Amount:	$
Where commitments should be sent (in addition to above):*

	Purchaser/Purchaser’s Counsel
	Name:	Firm Name:
	Address:
	City:	State:	Zip:
	Phone:	Fax:	Email:
	Lender/Lender’s Counsel
	Name:	Firm Name:
	Address:
	City:	State:	Zip:
	Phone:	Fax:	Email:
Special Instructions:

IF SEEKING A TITLE SEARCH:

Search Period:

If selected “Number of Years” indicate number:

Documents sought within period: (please check all that apply)

All Recorded Instruments

Taxes

All Mortgages

All Monetary Liens

All Deeds

Special Instructions:

After submitting this Application, if you do not receive an email verification, your order has not been properly received. Please call our office at 313-963-3100 to complete your order.

If you should have any questions, please contact Joyce Josaitis, our office manager, by calling 313-963-3100 or emailing her at jjosaitis@lamonttitle.com.