All items marked with * are required fields and
must be filled out.
1) Law Firm Information:
Do you prefer documents to be sent by:
Lawyer acknowledges that they have obtained consent from their clients to
have their personal information transmitted over the internet, being a non-secure
If no selection is made, policy(ies) will be delivered by fax.
2) *Transaction Information:
3) *Property Information:
4) *Policies Required:
5) Select Applicable Items for Policy Customization:
7) *Interest In Land:
8) Purchaser/Borrower Name(s) (as will appear on the mortgage):
(Please provide at least one individual name and/or
at least one company name.)
9) Mortgage Information:
If Private Lender, what is the term of the mortgage?
What is the mortgage interest rate?
10) *Municipal Address:
(For additional properties, please attach a Blanket Properties Form):
(Please include Street, City and Province.)
11) *Legal Description:
12) Survey Information:
**If yes, please explain (and provide a copy of the survey):
14) *Title Search Results:
1. Does the vendor or borrower own abutting lands?
2. Existing Mortgages: [NOTE: Private mortgages must be discharged prior to or on closing]
To Be Discharged (please specify which mortgages are being discharged)
No Existing Mortgages on Title
Remaining on Title (Please list details below and add separate sheet if required)
Date of Registration:
3. How long has the Borrower and / or Vendor owned the property?
4. 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):
Are there any adverse matters disclosed by title or off title searches that will
not be removed or remedied on closing? Yes
If ‘Yes’, please explain
15) OFF-TITLE SEARCH RESULTS:
16) *Additional Questions: (Please answer
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.
To obtain a printed copy of your order submission, click on "Preview Before Submit"
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