Request For Approval To Issue Policy Form
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2STG Request for Approval to Issue Policy
REQUEST FOR APPROVAL TO ISSUE POLICY
To:
Stewart Title Guaranty Company
Date:
From: ______________________________________________________________ [Name of Sender]
__________________________________________________ [Company/Office, City, and State]
Telephone: ______________; Fax: ______________; Email: ____________________________
Re:
Title/File/Order No. ____________________________
_____________________________________________________ [Property Address/Reference]
1.
Title was examined from ______________ to _______________ [attach commitment, prior and search]
2.
Starter/Prior Examination, if any (Please list prior Company, Date, and Type of prior Policy - Owner or Loan):
_______________________________________________________________
3.
List the Policy Form(s), Type, Insured and Stewart’s Policy amount. If Policy Form not indentified, the form will be
the 2006 ALTA Policy. Attach a copy of Commitments.
Policy Form
Type
Proposed Insured
Amount
(e.g. 2006 ALTA)
(e.g. Loan)
$
$
$
$
4.
Description of Property (e.g., undeveloped, apartments, offices, etc.):
5.
Describe transaction and purpose of financing (Briefly, but in detail):
6.
List any endorsements to be issued:
Owner’s Policy Endorsements: *
Loan Policy Endorsements: *
(Check box and circle endorsement number)
(Check box and circle endorsement number)
ALTA 3 or 3.1 Zoning
ALTA 3 or 3.1 Zoning
ALTA 8.1 Modified, Commercial Environmental Protection Lien
ALTA 6 or 6.2 Variable Rate
ALTA 9.1, 9.2, 9.4, or 9.5 REM
ALTA 8.1 Modified, Commercial Environmental Protection Lien
ALTA 12 Modified, Tie-in
ALTA 9 or 9.3 REM
ALTA 13 Lease
ALTA 12 Tie-in
ALTA 15, 15.1, or 15.2 Nonimputation
ALTA 13.1 Lease
ALTA 16 Mezzanine Financing
ALTA 14, 14.1 or 14.2 Future Advance
ALTA 17 or 17.1 Access
ALTA 17 or 17.1 Access
ALTA 18 or 18.1 Tax Parcel
ALTA 18 or 18.1 Tax Parcel
ALTA 19 or 19.1 Contiguity
ALTA 19 or 19.1 Contiguity
ALTA 21 Creditors’ Rights
ALTA 20 First Loss
ALTA 22 and 22.1 Location
ALTA 21 Creditors’ Rights
ALTA 23 Co-Insurance
ALTA 22 and 22.1 Location
Fairway
ALTA 23 Co-Insurance
Subdivision Map Act
Doing Business
Tax Deed
Subdivision Map Act
Property Description Same as Survey
Tax Deed
Utility Facility
Property Description Same as Survey
Other:
Utility Facility
Usury
Other:
7.
If applicable, creditors’ rights coverage has been reviewed and recommended by the following Underwriters:
Rev 02/08
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