Order a Policy Online
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All items marked with * are required fields and must be filled out.

1) Law Firm Information:

* *
Contact: *Address: *City:
*Province: *Postal Code:(no spaces please) E-Mail:
*Telephone:(include area code)
e.g. 1-416-307-3305		 *Fax:(include area code)
e.g. 1-416-307-3305		  
 
     
*Is this your first time using Stewart Title Guaranty Company?      Yes No
     

 Do you prefer documents to be sent by:      Fax       Email       No Preference

 Lawyer acknowledges that they have obtained consent from their clients to have their personal information transmitted over the internet, being a non-secure transmission route.

 If no selection is made, policy(ies) will be delived by fax.
 *Are you/your firm acting for: The Borrower/Purchaser           The Lender
 *Please list the names of any other solicitors acting on this transaction (ie. Vendor’s Solicitor):   
 *Have you received a quote regarding this transaction? Yes No  If yes please provide the quote reference number

2) *Transaction Information:

Property Purchase - Resale Home *Purchase Price 
Mortgage Refinance Other 
Post Purchase / Existing Owner Policy (Residential Properties Only)
Post Purchase/ Existing Owner Details
Original Deed Instrument No.: Original Deed Date:
Original Purchase Price: Assessed Value:

3) *Property Information:

Single Family Residential Vacant Land Farm Property With House
Condominium Other
*Number of Units
*Building/Zoning Search Completed : Yes No N/A
Legal Number of Units (revealed by zoning search)
*Fire Work Order Search Yes No N/A

4) *Policies Required:

Lenders Purchasers Both *Closing Date:

5) Select Applicable Items for Policy Customization:

Tenanted Condominium Gap Septic System
Vacant Land Construction Loan Water Potability StewartPROTECT TM Coverage (for Ontario only)

6) Comments:

7) *Interest In Land:

  Fee Simple
 Leasehold (If assignment of lease, the original lease was registered on as instrument number  )  *If this transaction involves native lands, please contact our underwriting department.
  Other:                    

8) Purchaser/Mortgagor Names (as will appear on the mortgage):
(Please provide at least one individual name and/or at least one company name.)

1)*First Name: 1)Middle Name: 1)*Last Name: OR 1)*Company Name:
2) First Name: 2) Middle Name: 2) Last Name: OR 2) Company Name:
3) First Name: 3) Middle Name: 3) Last Name: OR 3) Company Name:
4) First Name: 4) Middle Name: 4) Last Name: OR 4) Company Name:
Current Vendor Name(s) (if Purchase transaction):

9) Mortgage Information:

1. Mortgagee: Reference No.:
  Mtg. Amount: Priority:
  Insurance Needed?: Yes No Private Lender Yes No
2. Mortgagee: Reference No.:
  Mtg. Amount: Priority:
  Insurance Needed?: Yes No Private Lender Yes No
3. Mortgagee: Reference No.:
  Mtg. Amount: Priority:
  Insurance Needed?: Yes No Private Lender Yes No
4. Mortgagee: Reference No.:
  Mtg. Amount: Priority:
  Insurance Needed?: Yes No Private Lender Yes No

10) *Municipal Address:
(Please include Street, City and Province.)

11) *Legal Description:


PIN/PID: (if applicable)

12) Survey Information:

*Do you have a survey?     Yes No
If Yes are there any discrepancies, encroachments, additions?     **Yes No

**If yes, please outline the discrepancies for which the coverage is requested in the text area below.

13) *Taxes:

Paid Will be paid on closing Other, provide details below:

14) *Title Search Results:

Does the vendor or borrower own abutting lands?  Yes       No

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 or General Register when applicable):
Instrument Number Registration Date Type of Document

How long has the borrower and/or vendor owned the property?

Are there any other matters affecting title which you would qualify in your opinion?  Yes       No
If ‘Yes’, please explain

15) OFF-TITLE SEARCH RESULTS:

OFF-TITLE SEARCH RESULTS Please refer to our residential search requirements (available on request or on our website).
1. *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
2. *Utility Search Results (to the extent that they may form a lien against the property)
   Paid To Date  Arrears to be Paid using closing funds  There are no arrears forming a lien
       
3. Condominium Status Certificate
   Clear Certificate  Not Clear (Please fax a copy for our review)  Not Required: Refinance

16) *Additional Questions:  (Please answer all questions)

1. Will you be obtaining and reviewing prior to closing, a government issued photo ID for your purchaser/borrower client and keeping a legible copy in your file? Yes   No  
  If no, have you known the client(s) personally for more than one year? Yes   No  
  If no, please provide further information     
2. Was any portion of the deposit paid directly to the Vendor? (not applicable for refinances or new home purchases) Yes   No   N/A  
  If yes, please provide further information    
3. Are the mortgage proceeds being paid to anyone OTHER than an existing lender or to the borrower directly? (refinance only) Yes   No   N/A  
  If yes, are the funds being used for debt consolidation for which you have proof of the debts owing? Yes   No  
  If no, please provide further information    
4. Have there been any transfers or discharges of mortgages occurring within the last 6 months? Yes   No  
  If yes, please provide further information    
5. Has another title insurer refused to issue a policy of title insurance in respect of this transaction? Yes   No  
  If yes, please provide further information    
6. Is a Power of Attorney being used in this transaction? Yes   No  
  If yes, please provide further information    
7. a)Is a Private Lender providing the new mortgage? Yes   No   N/A  
  b) Is the subject property mortgage free? (i.e. Presently no mortgages on title)  Yes   No  
  c) Is the subject property vacant land?  Yes   No  
  d) 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.

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.

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