Online Title Application

Please fill out the application form completely to order Title Insurance from Realstar Title.

Attachments such as Purchase Agreements (if applicable) must be faxed to Realstar Title at (952)895-1517.

Thank you for your order!

**NOTE**: If you have problems when submitting this form, send your info request via email to: sales@realstartitle.com -or- print the form and fax it to: (952)895-1517

General Information and Services Requested:

Ordered By

Company Name:
Your Name:
Address 1:
City/State/Zip/County:
Email address:
Phone number:
Fax number:

Property Information

Street address 1:
City/State/Zip:
Legal Description:
Tax ID Number:
	Abstract... Location:
	Torrens

Buyer/Borrower
Name of Buyer:
Address:
City/State/Zip:
Work Phone Number:
Home Phone Number:
Agent Name:		Office:	(P)	(F)

Seller
Name of Seller:
Address:
City/State/Zip:
Work Phone Number:
Home Phone Number:
Agent Name:		Office:	(P)	(F)

Loan Information (Click more than one if needed)

Do You Need:

Special Assessments	24 Mo. Chain of Title
Plat Drawing	Insured Closing Protection Letter
Priority Pictures	Notes:

Locations

LAKEVILLE OFFICE
16233 Kenyon Avenue
#101
Lakeville, MN 55044
P: 952-895-1093
F: 952-895-1517

EDINA OFFICE
680 Southdale Office Centre
6600 France Avenue South
Edina, MN 55435
P: 952-767-0800
F: 952-767-0801

OAKDALE OFFICE
7551 9th Street North
#100
Oakdale, MN 55128
P: 651-702-7560
F: 952-702-7566

WAYZATA OFFICE
215 Walker Avenue S
Wayzata, MN 55391
P: 952-847-4478
F: 952-847-4479