Law Firm Information:

*Solicitor:	*Contact:
*Firm:	Your File No.:
*Address:	*City:
*Province: British Columbia Alberta Saskatchewan Manitoba Ontario Québec New Brunswick P.E.I. Nova Scotia Newfoundland Northwest Territories Yukon Territory Nunavut	*Postal Code: (no spaces please)
*Telephone: (include area code) e.g. 1-416-307-3305	*Fax: (include area code) e.g. 1-416-307-3305
E-Mail:
*Have you ordered from Stewart Title before?	Yes No
Do you prefer documents to be sent by:	Fax Email No Preference
*Are you/your firm acting for:	Borrower/Purchaser   Lender
Please list the names of any other solicitors acting on this transaction:

Policy Information:

*Transaction Type:	Purchase Refinancing
*Property Type:	Commercial Condominium Vacant Land Farm
	Commercial (please specify use):
*Policies Required:	Owner Lender Both	Purchase Price:       *Closing Date:
*Interest In Land:	Fee Simple Leasehold (If Assignment of Lease: Instrument No. , Registration Date .)             Other:

Mortgage Information:
If the mortgage blankets over additional properties please complete and attach our "Blanket Properties Form" (available on request)

1.	Lender:		Mortgage Amount:
	Private Lender?	Yes No	Reference/Loan Number:
	Priority:	First Second Other	Construction Mortgage	VTB
2.	Lender:		Mortgage Amount:
	Private Lender?	Yes No	Reference/Loan Number:
	Priority:	First Second Other	Construction Mortgage	VTB
3.	Lender:		Mortgage Amount:
	Private Lender?	Yes No	Reference/Loan Number:
	Priority:	First Second Other	Construction Mortgage	VTB
4.	Lender:		Mortgage Amount:
	Private Lender?	Yes No	Reference/Loan Number:
	Priority:	First Second Other	Construction Mortgage	VTB

Owner / Property Information:

*Purchaser / Borrower Name(s): (If corporate borrower/purchaser, please provide name(s) of Corporate Signing Officer(s))

*Municipal Address of Property to be Insured:

*Full Legal Description of Property to be Insured:(OR PROVIDE COPY OF PARCEL REGISTER OR METES + BOUNDS DESCRIPTION)

P.I.N.                  (LT)       (R) Fax a complete copy of metes and bounds description or copy of Reference/Boundary Plan (if applicable)

Title Search Results:

1.	Existing Mortgages:
	To Be Discharged	(please specify which mortgages are being discharged)
	No Existing Mortgage on Title	NOTE: Private mortgages must be discharged prior to or on closing
	Remaining on Title	(List details below and/or fax a separate sheet where required)
	Lender:
	Date of Registration:		Instrument Number:
	Original Principal:	$	Priority:	First Second Third
	Other (Specify):
2.	*How long has the Borrower and/or Vendor owned the property?
3.	Details of ALL other Registered Instruments including but not limited to all easements, restrictions and agreements (other than subdivision, development or site plan agreements). (Fax additional explanations, the Parcel Package or General Register when applicable):

Are there any other matters affecting title which you would qualify on your opinion?     Yes No
If "Yes", please explain:

Survey Information:
*Do you have a survey?     Yes No
If no survey is available, further underwriting may be necessary and you will be contacted by us.
If "Yes", please fax a copy of the survey for our review.

Does the survey disclose any defects or are you aware of any changes made since the survey date?     Yes No
If "Yes", please explain:

Off-Title Search Results:
(Please refer to our commercial search requirements to determine whether an off title search is required)

1.	*Tax Search Results
	Paid to Date	Arrears to be Paid from Closing Funds	Other:
2.	*Execution Search Results (search Borrower and/or Vendor, when applicable)
	Clear	Execution(s) against current parties being paid out and lifted
	Similar Name Execution(s)	Client affidavit being obtained for writs under $50K
		Solicitor affidavit being obtained for writs over $50K
3.	*Building/Zoning Search Completed?	Yes No
	If "Yes" are Search Results clear?	Yes No
	Use of Property:

	a)	Is the property currently under construction?		Yes No
	b)	If property is currently under construction, has a compliance search been completed for all Subdivision Agreements and Development Agreements on title?
		Yes	No	Will obtain (please advise us of any outstanding issues)	None on title

4.	*Fire Work Order Search Completed?	Yes No
	If "Yes" are Search Results clear?	Yes No
5.	WHEN ORDERING A LOAN POLICY - Borrowing Resolution for the Borrower
	Obtained	Not yet, but will be obtained before closing	Not a Corporate Borrower
	Have there been any recent changes (within the last 12 months) of any officers/directors?		Yes No
	I have confirmed that the borrower has the authority to enter into this mortgage		Yes No
6.	Current Corporate Certificate of Status/Corporate Profile for the Borrower and/or Vendor
	Obtained	Not yet, but will be obtained before closing	Not Applicable
7.	Utility Search Results (to the extent that they may form a lien against the property)
	Paid to Date	Arrears to be paid from closing funds	There are no arrears forming a lien
8.	Condominium Status Certificate
	Clear Certificate	Not clear  (Please fax a copy for our review)	Not required: Refinance under $2million

Additional Questions - A

1.	*Have you/your firm ever acted for the Purchaser/Borrower in the past?	Yes	No
	If "No", the clients were referred by:
2.	IF PURCHASE:  Was a real estate agent involved?	Yes	No
	If "Yes", provide the name and phone number of the agent:
	Name:       Phone Number:
	If "No", please fax a copy of the Agreement of Purchase and Sale together with a copy of the P.I.N. page

Additional Questions - B

1.	*Will you be obtaining Canadian/Provincial government issued photo ID for the purchaser/borrower prior to closing and keeping a legible copy in your file?	Yes	No
	If "No", is the borrower/purchaser a long term client of yours?(ie. They have been your client for at least 1 year)	Yes	No
	If "No", please explain:
	Please note - if the borrower/purchaser is a corporation, photo ID must be obtained from the Signing Officer
2.	IF PURCHASE:  Was any portion of the deposit paid directly to the Vendor?	Yes	No
	If "Yes", please explain:
3.	IF REFINANCE:  Are the mortgage proceeds being paid to anyone other than an existing lender or the borrower directly, or the solicitor in trust?	Yes	No
	If "Yes", please explain:
4.	*Have there been any transfers or discharges of mortgages registered within the last 6 months?	Yes	No
	If "Yes", please explain:
5.	*Has another insurer refused to issue a title insurance policy for this transaction?	Yes	No
	If "Yes", please explain:
6.	Is a Power of Attorney being used in this transaction?	Yes	No
	If yes, please fax a copy of the Power of Attorney to our office for review.
7.	Is a Private Lender providing the new mortgage?	Yes	No
	a) Is the subject property mortgage free? (i.e. Presently no mortgages on title)	Yes	No
	b) Is the subject property vacant land?	Yes	No
	c) Is the transfer to the borrower for nominal consideration? (If the transfer is an estate conveyance or transfer from trustee to beneficiary, or an inter-family / inter-spousal transfer, please answer "yes" to this question.)	Yes	No

Stewart Title is committed to protecting the privacy and personal information of those insured under Stewart Title policies. The information provided about them is kept confidential and used for the issuing of policies and administering any claims which may arise under those policies. For a copy of our complete privacy policy, please visit our website at www.stewart.ca, or contact our Privacy Officer at 1-888-667-5151.

To obtain a printed copy of your order submission, click on "Preview" and click on "Print" button on your browser's toolbar.

For purposes of the Insurance Companies Act (Canada), this document was issued in the course of Stewart Title Guaranty Company's insurance business in Canada.