Order a Policy Online
- Québec -

All items marked with * are required fields and must be filled out.

Law Firm Information:

Your File No.:
*Notary: Contact:
Firm: *Address:
*Tel. (include area code): *Fax (include area code):

*Transaction Information:

*Property Information:

Purchase/transfer: Price $ Single Family Residential
Refinancing (debtor already owns the property) Residential 2 to 6 units: # of units
Other Condo

*Policies Required:

Lender      Purchaser(s)      Both Commercial or 7 units and more
Existing Owner (residential only) Price: $

*Schedule closing date:

French      English

*Hypothec Information

1) Lender:
  Reference No.: Rank: 1st      2nd      3rd
  Hypothec Amount: $
2) Lender:
  Reference No.: Rank: 1st      2nd      3rd
  Hypothec Amount: $
3) Lender:
  Reference No.: Rank: 1st      2nd      3rd
  Hypothec Amount: $

*Purchaser/Debtor Name (as will appear on Deed/hypothec)

*Municipal Address

*Legal Description (include all Parcels and fax/email additional metes and bounds description if property is a part of lot)

Lot No.: Registry Division:
Instrument Number of Last registered Deed which contains good legal description (if it is a part of lot):

*Certificate of Location Information

Do you have a certificate of location? Yes      No      To come soon
  Please fax a copy of the certificate of location.
If yes, does it disclose any discrepancies/encroachments/additions? Yes      No


Paid Will be paid on closing


Municipal Well Other: Don't know I want Coverage Yes   No


Municipal Septic System Other: Don't know I want Coverage Yes   No

*Additional Questions:

Note that additional information or documentation may be requested based on your responses.

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
       1.a) If “No”: Have you known the client(s) personally for more than one year? Yes   No
2)  Does the money serving for the purchase transaction will transit via your trust account (purchase only)? Yes   No
3)  Are the hypothec proceeds being paid to anyone OTHER than an existing lender or to the borrower directly (refinance only)? Yes   No
       3.a) If “Yes”: Are the funds being used to pay debts for which you have proof of the debts owing? Yes   No
4)  Have there been any transfers or hypothec discharges registered within the last 6 months? Yes   No
       4.a) If “Yes”: Which kind of transfer was it?   Date of transfer?  
5)  Has another title insurer refused to issue a policy of title insurance in respect to this transaction? Yes   No
6)  Is a private lender providing the new mortgage? Yes   No
       6.a) Is the subject property mortgage free? Yes   No
       6.b) Is the subject property vacant land? Yes   No
       6.c) Will the transfer to the purchaser/borrower be for nominal consideration? (If the transfer is an estate conveyance, or a            transfer from trustee to beneficiary or an inter-family/inter-spousal transfer, please answer “yes” to this question.) Yes   No

Title Search Results

List the details of any instruments or issues which affect good and marketable title that you will be qualifying in your opinion including but not limited to all easements, restrictions and agreements: (If the hypothec is 2nd or 3rd priority, please indicate the information of the 1st rank hypothec)

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.

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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.