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CONTACT / LOCATIONS
ACCESS TITLE AGENCY

Home
ABOUT
Services
Order Forms
- ORDER FORMS
- CONSTRUCTION ESCROW FORMS
HBW ONLINE
CONTACT / LOCATIONS
ACCESS TITLE AGENCY

“A legacy of quality with a future you can trust.”

Click on the +/- to choose one of the forms to fill out below

Application for Title Insurance Refinance / Second Transaction

*REQUIRED

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? *

Chain of Title Required

12 Month
24 Month
Other
None

If you chose Other, please explain

Is this New Construction

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 *

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

Click or drag files to this area to upload. You can upload up to 10 files.

Comment

Application for Title Insurance Buy / Sell Transaction

*REQUIRED

Previous HBW Order #

Type of Transaction *

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? *

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

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

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

Click or drag files to this area to upload. You can upload up to 10 files.

Comment

Application for Report / Search

*REQUIRED

Type of Report / Search (select one) *

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)

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

Click or drag files to this area to upload. You can upload up to 10 files.

Additional Instructions

Website

Realtor Application for Title Insurance and Escrow Closing

*REQUIRED

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. *

Brief Legal *

Is the seller represented by an attorney? *

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

Click or drag files to this area to upload. You can upload up to 10 files.

Please check *

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.

Name

Downloads

Application for Title Insurance Refinance / Second Transaction

Application for Title Insurance Buy / Sell Transaction

Application for Report/Search

LOCATIONS IN ILLINOIS AND FLORIDA

Contact Us

Name *

First

Last

Email *

Comment or Message *

Comment

Click on the +/- to choose one of the forms to fill out below

Application for Title Insurance Refinance / Second Transaction

*REQUIRED

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? *

Chain of Title Required

12 Month
24 Month
Other
None

If you chose Other, please explain

Is this New Construction

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 *

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

Click or drag files to this area to upload. You can upload up to 10 files.

Name

Application for Title Insurance Buy / Sell Transaction

*REQUIRED

Previous HBW Order #

Type of Transaction *

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? *

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

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

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

Click or drag files to this area to upload. You can upload up to 10 files.

Message

Application for Report / Search

*REQUIRED

Type of Report / Search (select one) *

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)

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

Click or drag files to this area to upload. You can upload up to 10 files.

Additional Instructions

Comment

Downloads

Application for Title Insurance Refinance / Second Transaction

Application for Title Insurance Buy / Sell Transaction

Application for Report/Search

LOCATIONS IN ILLINOIS AND FLORIDA

Contact Us

Name *

First

Last

Email *

Comment or Message *

Phone

HBW Title has been providing an innovative range of title insurance, escrow closing and
real estate information products and services since 1883.

Feel free to reach out to HBW for all your title and escrow closing needs today. We look forward to working with you!

H.B. Wilkinson Title Co.

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

Facebook Instagram

H.B. Wilkinson Title Co.

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

Facebook Instagram

“A legacy of quality with a future you can trust.”

“A legacy of quality with a future you can trust.”

Click on the +/- to choose one of the forms to fill out below

Downloads

LOCATIONS IN ILLINOIS AND FLORIDA

Contact Us

Click on the +/- to choose one of the forms to fill out below

Downloads

LOCATIONS IN ILLINOIS AND FLORIDA

Contact Us

HBW Title has been providing an innovative range of title insurance, escrow closing and real estate information products and services since 1883.

Feel free to reach out to HBW for all your title and escrow closing needs today. We look forward to working with you!

H.B. Wilkinson Title Co.

H.B. Wilkinson Title Co.

© Copyright 2020 H.B. Wilkinson Title Co.

HBW Title has been providing an innovative range of title insurance, escrow closing and
real estate information products and services since 1883.