Full ALTA Application | Registered Abstracters, Inc.

Use this form to provide the details for your Full ALTA (American Land Title Association) application for title insurance. The sections cover contact and property information, buyers or borrowers, financing, sellers, and real estate agents. Name and phone number are required; complete the other fields that apply to your transaction and use Comments & Instructions for additional details. If you need help with the application, call our office at (763) 427-3012.

Contact Information

Name

Phone Number

Email Address

Fax

Company

Address Line 1

Address Line 2

City

ZIP Code

Billing Address

Enter a billing address only if it differs from the contact address above.

Property Information

Sales Price

Type of Property

Address Line 1

Address Line 2

City

State

ZIP Code

County

Property ID (PID)

Legal Description

Buyer/Borrower Information

Name(s)

Marital Status

Address Line 1

Address Line 2

City

State

ZIP Code

Home Phone

Work Phone

Email Address

Seller Information

Name(s)

Marital Status

Home Phone

Work Phone

Fax

Email Address

Address Line 1

Address Line 2

City

State

ZIP Code

1st Mortgage Payoff Lender

1st Mortgage Payoff Account Number

2nd Mortgage Payoff Lender

2nd Mortgage Payoff Account Number

Real Estate Agents

Listing Agent

Selling Agent

Listing Agent’s Company

Selling Agent’s Company

Listing Agent’s Phone

Selling Agent’s Phone

Additional Comments & Instructions

Comments & Instructions

Required