The undersigned has examined the record title on the * County records (and municipal tax and assessment records if within a municipality) for the period shown below relative to title to the real property described below, and give the following opinion of status:
Fields marked with a red asterisk* are required to submit this form.
*Owner's Name:
Address:
City:
State:
Zip code:
Additional Owner's name:
Interest or estate: Marketable Fee Simple
*Subject to the uninitiated STANDARD EXCEPTIONS on reverse side hereof. Also subject to the following SPECIAL INFORMATION AND EXCEPTIONS:
Property Description: Use this scrollable field for the full legal description of the property.
*1. Ad valorem taxes are paid through and including those for the year:
*2. Taxes now due and payable:
*3. Taxes, a lien, deferred or otherwise, but not yet due and payable:
4.Special levies or assessments now due and payable in future installments:
5.Estate or inheritance taxes:
*Restrictive Covenants? (Attach Copy) Yes No Unknown
1. Book: Page:
*2. Does survey and/or public record indicate a violation? Yes No Unknown
*3. Contain reversionary or forfeiture clause? Yes No
4. Building Setback Line(s):
Feet from front:
Feet from side:
Feet from side street:
Feet from rear:
5. Easements/Other Matters: OF Record
*Attached? Yes No
*Record Plat? Yes No
1. Plat Book: Page:
2. Building Setback Line(s):
3. Violated?
4. Easements/Other Matters:
*Yes No
*Direct or over private easement. (If private easement, attach copy)
If over private easement, has a search been made of adjoining property on which easement crosses? Yes No
* Owner Buyer Tenant Unknown
* Yes (Attach copy) N o
If “yes”, has a search of the public records been accomplished for such period of time within which judgments, liens or other matters could affect the property, regarding the owner(s) of the property on and after the sale of said policy? Yes N o
Deed Book:
at Page:
Please describe any other easements, liens, deeds of trust, objections or defects.
Owner's Insurance:
Insured:
*Use of property: Residential Business Other
Mortgage Insurance:
*Loan is: Conventional FHA VA Other
The following Standard ALTA Endorsements are requested:
Send Original Binder to: Include name and complete address
This opinion of title is for the parties to whom it is furnished, is not transferable, and may not be used by any other person or entity without prior written consent of the Undersigned.
This Search Period was from: * to * at 5:00 PM.
*Telephone: * Fax:
*Address: *Email: *By:
You may print for your records BEFORE submitting to keep entered data.
