Title Plus
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Order a policy for your client

Apply for a TitlePLUS Policy online

Optional Intake Form for all provinces and territories except Québec
For Québec Order Forms, click here

1. Lawyer Information (*Required fields)

Lawyer's Name:*

Law Society Number (if applicable):

Firm:*
Address:*
City:*
Province:1*
Postal Code:*

Telephone Number:*

Facsimile Number:

E-mail:*

Assistant or Contact Name:

Date & Time clients to sign documents (if known):

1 In Manitoba, contact Reider Insurance at 204-956-7300. In Alberta, contact HUB International Phoenix Insurance Brokers at 780-482-6936 or 1-800-563-5325.

2. Basic Information

 

The transaction is a:

 Purchase (with or without mortgage)
      • Newly constructed dwelling?
       Yes        No
Mortgage only (no purchase is occurring)
I am not acting as mortgage broker in this deal (TitlePLUS coverage is not available if you are acting as mortgage broker in this deal). Correct   Incorrect  
Do you (or any other member of your firm) have a direct or indirect financial or ownership interest in the transaction? Yes         No        
Are you acting for both the purchaser and vendor? Yes         No         N/A
Is this a new home? Yes   No

Your Internal File Number:

Purchase Price:

Expected Closing Date, OR Date of advance (mortgage-only no purchase):

Name of all purchasers (if mortgage-only, name(s) of borrower(s)):

How are purchasers taking title?

Joint Tenants
Tenants in Common
Other

Vendor's Name:

Property's Full Municipal Address:

Realty Tax Account Number (if any):

Property Identification Number (if any) (from land registration system):

Legal Description (if lengthy metes & bounds description, please attach below or fax to 1-800-286-7639):*
Registry Fee Simple
Land Titles Fee Simple (including
      Land Titles Absolute, LTCQ, and Land
      Titles Plus)
Previously unregistered land
N/A
Property will only be used for residential purposes (TitlePLUS coverage is not available if the property is being used for anything other than residential). Correct   Incorrect  
Property is not a timeshare or co-operative building (TitlePLUS coverage is not available if the property is a timeshare or co-operative). Correct   Incorrect  

How many dwelling units on the property? (Maximum number of units: 4. Each condominium unit, accessory apartment or boarding/lodging room constitutes its own dwelling unit for the purposes of this question.)
One
Two to Four
Vacant Land intended for residential
     use

If 2 to 4 units, does purchaser and/or lender want clearance for multiple unit use and related legal issues?
Yes         No        



3. If the transaction involves MORTGAGE FINANCING, please complete the following section(s).

A) Mortgage Information (First Mortgage)

Is the Mortgage:

 Conventional
Insured High Ratio
Line of Credit/Collateral
Construction Loan
Vendor Take-back
     (not eligible for TitlePLUS coverage)
Assumed
     (not eligible for TitlePLUS coverage)
N/A

Mortgage Lender(s):

Principal of Mortgage (in Cdn funds):

Maturity Date of Mortgage:

Mortgage Reference Number:

Interest Rate:

Any guarantor? Yes   No  
 

B) Mortgage Information (Second Mortgage)

Is the Mortgage:

 Conventional
Insured High Ratio
Line of Credit/Collateral
Construction Loan
Vendor Take-back
     (not eligible for TitlePLUS coverage)
Assumed
     (not eligible for TitlePLUS coverage)
N/A

Mortgage Lender(s):

Principal of Mortgage (in Cdn funds):

Maturity Date of Mortgage:

Mortgage Reference Number:

Interest Rate:

Any guarantor? Yes   No  


4. Additional Questions
Water Service: Municipal
Private
Sewage Service: Municipal
Private
Are there any tenancies currently affecting the property?
     • If "yes", continuing after closing? 		Yes   No
Yes   No
Is the property abutting a lake, river or other body of water? Yes   No
Is there a legal right of access to and from the property (for example, via a public road or registered right-of-way)?

Water access only?

Yes   No


Yes   No
Applicable if utilities have lien rights over property in province/area where land located:
     • Is the property serviced by hydro?
     • Is the property serviced by natural gas? 		N/A
Yes   No
Yes   No
For properties OTHER THAN condominiums:
     Is there a survey for the property?
           • If "yes", are you aware of any defects in the
              property revealed by the survey or any other
              source?
Yes   No
Yes   No
               - Describe survey defects:
               		 
           • If "no", is there, or will there be on closing, a
              Declaration of Possession for the property?



     Does the purchaser intend to undertake any changes to
     the use of or structures on the property?


Yes   No


Yes   No
For properties OTHER THAN condominiums and whole lots on multi-lot subdivision/development plans:
     Are there any hydro transmission towers/lines on or near
     the property?

     Are there any waterways, ravines or other significant
     physical features on the property or in the area?

     Does the property front on a highway or controlled
     access road?

     Is there a home inspection report for the property? (If
    "yes" and want to avoid building/zoning search, obtain
     copy from client.)



Yes   No

Yes   No


Yes   No


Yes   No

Additional Comments/Questions:

 

Attach a file

(file size must be <500 KB, and no executable file is allowed)



© 2012 Lawyers' Professional Indemnity Company (LAWPRO®)
Underwritten by Lawyers' Professional Indemnity Company. Contact us for brokers in Manitoba, Alberta and Québec.