All items marked with * are required fields and must
be filled out.
1) Law Firm Information:
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:
(Please include Street, City and Province.) (For additional properties, please
attach a Blanket Properties Form)
11) *Legal Description:
12) Survey Information:
**If yes, please describe all discrepancies, encroachments or additions
(including but not limited to encroachments of fences and boundary walls,
encroachments for which an encroachment agreement has been entered into and/or
violations of setback requirements (and provide a copy of the survey/Real
14) *Title Search Results:
1. Existing Mortgages:
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:
2. How long has the Borrower and / or Vendor owned the property?
3. Details of ALL other Registered Instruments (OR provide copy(ies) of
the Title(s) and indicate what Instruments will be discharged):
15) *Additional Questions:
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"
and click on "Print" button on your browser's toolbar.