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HOME
ABOUT
SERVICES
SERVICES
COMMERCIAL
OUR TEAM
Order Forms
REVIEWS
LOCATIONS
RATE CALCULATOR
CLIENT PORTAL
Click on the +/- to choose one of the forms to fill out below
Application for Title Insurance Refinance / Second Transaction
*REQUIRED
Please enable JavaScript in your browser to complete this form.
Previous HBW Order #
Mortgage Amount
*
Borrower's Name
*
Borrower's Full Address
*
Property Street Address
Property Address, PIN #, and/or Legal Description
*
Will the closing be conducted by HBW Title Company?
*
Yes
No
Chain of Title Required
12 Month
24 Month
Other
None
If you chose Other, please explain
Is this New Construction
Yes
No
Endorsements Requested
*
Location
ALTA 6
ALTA 8.1
ALTA 9
PUD
Standard Endorsements
Other
None
If you chose Other, please explain
Applicant's Name
*
Applicant's Company Name
*
Applicant's Full Address
*
Applicant's Phone Number
*
please Legal If
Applicant's Email
*
Lender Company Name
Loan Officer
Lender Phone Number
Loan Officer's Email Address
Lender's Full Address
Additional Notes
Additional Email
(if you would like to have someone else receive a copy)
File Upload
Drag & Drop Files,
Choose Files to Upload
You can upload up to 15 files.
Submit
Application for Title Insurance Buy / Sell Transaction
*REQUIRED
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Previous HBW Order #
Type of Transaction
*
Cash
Sale with Mortgage
Contract Purchase
Contract Payoff
Sales Price
*
Seller / Owners' Name
*
Seller's Full Address
Seller's Phone Number
Seller's Email Address
Buyer / Borrowers' Name
*
Buyer / Borrower's Full Address
Buyer / Borrower's Phone Number
Buyer / Borrower's Email Address
Property Street Address, Pin # or Legal Description
*
Property County (if known)
Will the closing be conducted by HBW Title Company?
*
Yes
No
Mortgage Amount (if applicable)
Lender Company Name
Loan Officer
Lender Phone Number
Loan Officer's Email Address
Lender's Full Address
Chain of Title Required
12 Month
24 Month
Other
None
If you chose Other, please explain
Is this New Construction
Yes
No
Endorsements Requested
*
Location
ALTA 6
ALTA 8.1
ALTA 9
PUD
Standard Endorsements
Other
None
If you chose Other, please explain
Applicant's Name
*
Applicant's Company Name
*
Applicant's Full Address
*
Applicant's Phone Number
*
Applicant's Email
*
Seller's Attorney Firm Name
Seller's Attorney Name
Seller's Attorney Phone Number
Seller's Attorney Email Address
Seller's Attorney Full Mailing Address
Buyer's Attorney Firm Name
Buyer's Attorney Name
Buyer's Attorney Phone Number
Buyer's Attorney Email Address
Seller's Phone Full
Buyer's Attorney Full Mailing Address
Listing Realtor's Name
Listing Realtor's Email Address
Listing Realtor's Full Mailing Address
Selling Realtor's Name
Selling Realtor's Email Address
Selling Realtor's Full Mailing Address
*
Additional Email
(if you would like to have someone else receive a copy)
Additional Notes
File Upload
Drag & Drop Files,
Choose Files to Upload
You can upload up to 25 files.
Submit
Application for Report / Search
*REQUIRED
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Type of Report / Search (select one)
*
Type of Report
ATG Report
Search Package – 10 Years
Search Package – 20 Years
Search Package – 30 Years
Search Package – 40 Years
Ownership and Lien
Name Search
Beginning Search Date for Search Packages and ATG Reports
Owner/Seller Name (type unknown, if unknown)
*
Property Address, PIN number and/or Legal description
*
Buyer's Name (if applicable)
Type Owner/Seller Packages
Applicant Name
*
Email
*
Company Name and Address (City, State, Zip)
*
Phone Number
*
Additional Email
(if you would like to have someone else receive a copy)
File Upload
Drag & Drop Files,
Choose Files to Upload
You can upload up to 10 files.
Additional Instructions
Submit
Realtor Application for Title Insurance and Escrow Closing
*REQUIRED
Please enable JavaScript in your browser to complete this form.
Seller(s)
*
Seller's Address
*
Buyer(s)
*
Buyer's Address
*
City, State, Zip
*
Sales Price
*
Mortgage / Loan Amount
*
PROPERTY INFORMATION – Address
*
City, State, Zip
*
PIN No.
*
Email Zip State,
Brief Legal
*
Is the seller represented by an attorney?
*
Yes
No
If yes, who is the seller's attorney?
Phone
Email Address
If not, would you like us to order any of the following?
Galena Territory Paid Assessment Letter
Deed Prep
Mortgage Payoffs (Please have Payoff Authorization Completed, if marked)
NOTE: Any fees in acquiring these items, will be added to the seller’s side at closing time.
LENDER INFORMATION – Lender Name
*
Contact Person
*
Email
*
Phone
*
BUYER'S ATTORNEY – Name
*
Email
*
Phone
*
LISTING REALTOR – Name
*
Email
*
Phone
*
SELLING REALTOR – Name
*
Email
*
Phone
*
Customer / Title Work Ordered by
*
Listing Realtor
Selling Realtor
AUTHORIZATION TO RELEASE PAYOFF INFORMATION
*
Phone Number
*
Loan Number
*
Signature
*
Social Security Number
*
Date
*
Signature
Social Security Number
Date
Additional Email
(if you would like to have someone else receive a copy)
File Upload
Drag & Drop Files,
Choose Files to Upload
You can upload up to 25 files.
Please check
*
Yes
I (We) hereby authorize my (our) mortgage holder to release loan payoff information to H.B. Wilkinson Title Company. This information is to be used for the sole purpose of gathering information necessary to prepare a closing statement and disburse necessary funds to pay off the existing mortgage at the time of the sale or refinance of my (our) property. A faxed copy of this authorization may be deemed to be equivalent of the original and may be used as a duplicate original.
Submit
Downloads
Application for Title Insurance Refinance / Second Transaction
Application for Title Insurance Buy / Sell Transaction
Application for Report/Search
321 North Bench Street | Galena, IL 61036
p. 815.777.3318 |
f. 815.777.1754
For Closing:
closings@hbwtitle.com
For Orders:
orders@hbwtitle.com
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