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General Information

Title Agent *

File Number *

Seller *

Borrower *

Lender *

Settlement Location * Select Location Arlington Heights Aurora Champaign Chicago (Loop) Chicago (Logan Square) Lombard Gurnee Metro East Oak Lawn Skokie Westchester Wisconsin Other

Financial Information

Purchase Price *

Loan Amount *

Earnest Money *

Realtor Commission *

Closing Date *

Other Settlement Location Information

Address Line 1 *

Address Line 2

City *

State * Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code *

Property Information - Part I

Address Line 1

Address Line 2

City * Select City Abingdon Addieville Addison Adeline Albany Albers Albion Aledo Alexis Algonquin Alhambra Allendale Allenville Allerton Alma Alorton Alpha Alsey Alsip Altamont Alto Pass Alton Altona Alvin Amboy Anchor Andalusia Andover Anna Annawan Antioch Apple River Arcola Arenzville Argenta Arlington Arlington Heights Armington Aroma Park Arrowsmith Arthur Ashkum Ashland Ashley Ashmore Ashton Assumption Astoria Athens Atkinson Atlanta Atwood Auburn Augusta Aurora Ava Aviston Avon Baldwin Banner Bannockburn Bardolph Barrington Barrington Hills Barry Bartelso Bartlett Bartonville Basco Batavia Batchtown Bath Baylis Beach Park Beardstown Beaverville Beckemeyer Bedford Park Beecher Beecher City Belgium Belknap Belle Prairie City Belle Rive Belleville Bellevue Bellflower Bellmont Bellwood Belvidere Bement Benld Bensenville Benson Bentley Benton Berkeley Berlin Berwyn Bethalto Bethany Biggsville Bingham Birds Bishop Hill Bismarck Blandinsville Bloomingdale Bloomington Blue Island Blue Mound Bluffs Bluford Bolingbrook Bondville Bone Gap Bonfield Bonnie Bourbonnais Bowen Braceville Bradford Bradley Braidwood Breese Bridgeport Bridgeview Brighton Brimfield Broadlands Broadview Broadwell Brocton Brookfield Brookport Broughton Browning Browns Brownstown Brussels Bryant Buckingham Buckley Buckner Buda Buffalo Buffalo Grove Bull Valley Bulpitt Buncombe Bunker Hill Burbank Bureau Junction Burlington Burnham Burnt Prairie Burr Ridge Bush Bushnell Butler Byron Cabery Cahokia Cairo Caledonia Calhoun Calumet City Calumet Park Camargo Cambria Cambridge Camden Camp Point Campbell Hill Campus Canton Cantrall Capron Carbon Cliff Carbon Hill Carbondale Carlinville Carlock Carlyle Carmi Carol Stream Carpentersville Carrier Mills Carrollton Carterville Carthage Cary Casey Caseyville Catlin Cedar Point Cedarville Central City Centralia Centreville Cerro Gordo Chadwick Champaign Chandlerville Channahon Chapin Charleston Chatham Chatsworth Chebanse Chenoa Cherry Cherry Valley Chester Chesterfield Chicago Chicago Heights Chicago Ridge Chillicothe Chrisman Christopher Cicero Cisco Cisne Cissna Park Claremont Clarendon Hills Clay City Clayton Cleveland Clifton Clinton Coal City Coal Valley Coalton Coatsburg Cobden Coffeen Colchester Coleta Colfax Collinsville Colona Colp Columbia Columbus Compton Concord Congerville Cooksville Cordova Cornell Cortland Coulterville Country Club Hills Countryside Cowden Crainville Creal Springs Crescent City Crest Hill Creston Crestwood Crete Creve Coeur Crossville Crystal Lake Cuba Cullom Custer Park Cutler Cypress Dahlgren Dakota Dallas City Dalton City Dalzell Damiansville Dana Danforth Danvers Danville Darien Davis Davis Junction Dawson De Land De Pue De Soto Decatur Deer Creek Deer Grove Deer Park Deerfield DeKalb Delavan Des Plaines Detroit Diamond Dieterich Divernon Dix Dixmoor Dixon Dolton Dongola Donnellson Donovan Dorchester Dover Dowell Downers Grove Downs Du Bois Du Quoin Dunfermline Dunlap Dupo Durand Dwight Eagarville Earlville East Alton East Brooklyn East Cape Girardeau East Carondelet East Dubuque East Dundee East Galesburg East Gillespie East Hazel Crest East Moline East Peoria East St. Louis Easton Eddyville Edgewood Edinburg Edwardsville Effingham El Paso Elburn Eldorado Eldred Elgin Elizabeth Elizabethtown Elk Grove Village Elkhart Elkville Elliott Ellis Grove Ellisville Ellsworth Elmhurst Elmwood Elmwood Park Elsah Elvaston Elwood Emden Emington Energy Enfield Eola Equality Erie Essex Eureka Evanston Evansville Evergreen Park Ewing Exeter Fairbury Fairfield Fairmont City Fairmount Fairview Fairview Heights Farina Farmer City Farmersville Farmington Fayetteville Ferris Fidelity Fieldon Fillmore Findlay Fisher Fithian Flanagan Flat Rock Flora Flossmoor Foosland Ford Heights Forest City Forest Park Forrest Forreston Forsyth Fox Lake Fox River Grove Fox River Valley Gardens Frankfort Franklin Franklin Grove Franklin Park Freeburg Freeman Spur Freeport Fulton Fults Galatia Galena Galesburg Galva Gardner Garrett Gays Geneseo Geneva Genoa Georgetown German Valley Germantown Germantown Hills Gifford Gilberts Gillespie Gilman Girard Gladstone Glasford Glen Carbon Glen Ellyn Glencoe Glendale Heights Glenview Glenwood Godfrey Godley Golconda Golden Golden Gate Golf Good Hope Goodfield Goreville Gorham Grafton Grand Ridge Grand Tower Grandview Granite City Grant Park Grantfork Granville Grayslake Grayville Green Oaks Green Valley Greenfield Greenup Greenview Greenville Greenwood Gridley Griggsville Gurnee Hainesville Hamburg Hamel Hamilton Hammond Hampshire Hampton Hanaford Hanna City Hanover Hanover Park Hardin Harmon Harrisburg Harristown Hartford Hartsburg Harvard Harvel Harvey Harwood Heights Havana Hawthorn Woods Hazel Crest Hebron Hecker Henderson Hennepin Henning Henry Herrick Herrin Herscher Hettick Heyworth Hickory Hills Hidalgo Highland Highland Park Highwood Hillcrest Hillsboro Hillsdale Hillside Hillview Hinckley Hindsboro Hinsdale Hodgkins Hoffman Hoffman Estates Holiday Hills Hollowayville Homer Homer Glen Hometown Homewood Hoopeston Hooppole Hopedale Hopewell Hopkins Park Hoyleton Hudson Huey Hull Humboldt Hume Huntley Hurst Hutsonville Illiopolis Ina Indian Creek Indian Head Park Indianola Industry Ingleside Inverness Iola Ipava Iroquois Irving Irvington Island Lake Itasca Iuka Ivesdale Jacksonville Jeffersonville Jerome Jerseyville Jewett Johnsburg Johnsonville Johnston City Joliet Jonesboro Joppa Joy Junction Junction City Justice Kampsville Kane Kangley Kankakee Kansas Kappa Karnak Keenes Keensburg Keithsburg Kell Kempton Kenilworth Kenney Kewanee Keyesport Kilbourne Kildeer Kincaid Kinderhook Kingston Kingston Mines Kinmundy Kinsman Kirkland Kirkwood Knoxville La Fayette La Grange La Grange Park La Harpe La Moille La Prairie La Rose La Salle Lacon Ladd Lake Barrington Lake Bluff Lake Forest Lake in the Hills Lake Villa Lake Zurich Lakemoor Lakewood Lanark Lansing Latham Lawrenceville Le Roy Leaf River Lebanon Lee Leland Leland Grove Lemont Lena Lenzburg Leonore Lerna Lewistown Lexington Liberty Libertyville Lily Lake Lima Lincoln Lincolnshire Lincolnwood Lindenhurst Lisbon Lisle Litchfield Little York Littleton Liverpool Livingston Loami Lockport Loda Lomax Lombard London Mills Long Grove Long Point Longview Loraine Lostant Louisville Loves Park Lovington Ludlow Lyndon Lynnville Lynwood Lyons Macedonia Machesney Park Mackinaw Macomb Macon Madison Maeystown Magnolia Mahomet Makanda Malden Malta Manchester Manhattan Manito Manlius Mansfield Manteno Maple Park Mapleton Maquon Marengo Marietta Marine Marion Marissa Mark Markham Maroa Marquette Heights Marseilles Marshall Martinsville Martinton Maryville Mascoutah Mason Mason City Matherville Matteson Mattoon Maunie Maywood Mazon McCullom Lake McHenry McLean McLeansboro McNabb Mechanicsburg Media Medinah Medora Melrose Park Melvin Mendon Mendota Menominee Meredosia Merrionette Park Metamora Metcalf Metropolis Mettawa Middletown Midlothian Milan Milford Mill Shoals Milledgeville Millington Millstadt Milton Mineral Minier Minonk Minooka Modesto Mokena Moline Momence Monee Monmouth Montgomery Monticello Montrose Morris Morrison Morrisonville Morton Morton Grove Mound City Mounds Mount Auburn Mount Carmel Mount Carroll Mount Clare Mount Erie Mount Morris Mount Olive Mount Prospect Mount Pulaski Mount Sterling Mount Vernon Mount Zion Moweaqua Muddy Mulberry Grove Muncie Mundelein Murphysboro Murrayville Naperville Naplate Naples Nashville Nason Nauvoo Nebo Nelson Neoga Neponset New Athens New Baden New Bedford New Berlin New Boston New Burnside New Canton New Douglas New Haven New Holland New Lenox New Minden New Salem Newark Newman Newton Niantic Niles Nilwood Noble Nokomis Nora Normal Norridge Norris Norris City North Aurora North Barrington North Chicago North Henderson North Pekin North Riverside Northbrook Northfield Northlake Norwood Oak Brook Oak Forest Oak Grove Oak Lawn Oak Park Oakbrook Terrace Oakdale Oakford Oakland Oakwood Oakwood Hills Oblong Oconee Odell Odin O'Fallon Ogden Oglesby Ohio Ohlman Okawville Old Mill Creek Old Ripley Old Shawneetown Olmsted Olney Olympia Fields Omaha Onarga Oneida Oquawka Orangeville Oreana Oregon Orient Orion Orland Hills Orland Park Oswego Ottawa Otterville Owaneco Palatine Palestine Palmer Palmyra Palos Heights Palos Hills Palos Park Pana Panama Panola Papineau Paris Park City Park Forest Park Ridge Parkersburg Patoka Paw Paw Pawnee Paxton Payson Pearl Pearl City Pecatonica Pekin Peoria Peoria Heights Peotone Percy Perry Peru Pesotum Petersburg Phillipstown Philo Phoenix Pierron Pinckneyville Pingree Grove Piper City Pittsburg Pittsfield Plainfield Plainville Plano Pleasant Hill Pleasant Plains Plymouth Pocahontas Polo Pontiac Pontoon Beach Pontoosuc Poplar Grove Port Byron Posen Potomac Prairie City Prairie du Rocher Prairie Grove Princeton Princeville Prophetstown Prospect Heights Pulaski Quincy Radom Raleigh Ramsey Rankin Ransom Rantoul Rapids City Raritan Raymond Red Bud Reddick Redmon Reynolds Richmond Richton Park Richview Ridge Farm Ridgway Ridott Ringwood Rio Ripley River Forest River Grove Riverdale Riverside Riverton Riverwoods Roanoke Robbins Roberts Robinson Rochelle Rochester Rock City Rock Falls Rock Island Rockbridge Rockdale Rockford Rockton Rockwood Rolling Meadows Romeoville Roodhouse Roscoe Rose Hill Roselle Rosemont Roseville Rosiclare Rossville Round Lake Round Lake Beach Round Lake Heights Round Lake Park Roxana Royal Royal Lakes Royalton Ruma Rushville Rutland Sadorus Sailor Springs Salem San Jose Sandoval Sandwich Sauget Sauk Village Saunemin Savanna Savoy Sawyerville Saybrook Scales Mound Schaumburg Schiller Park Schram City Sciota Scottville Seaton Seatonville Secor Seneca Sesser Shabbona Shannon Shawneetown Sheffield Shelbyville Sheldon Sheridan Sherman Sherrard Shiloh Shipman Shorewood Shumway Sibley Sidell Sidney Sigel Silvis Simpson Sims Skokie Sleepy Hollow Smithboro Smithfield Smithton Somonauk Sorento South Barrington South Beloit South Chicago Heights South Elgin South Holland South Pekin South Roxana South Wilmington Southern View Sparland Sparta Spaulding Spring Bay Spring Grove Spring Valley Springerton Springfield St. Anne St. Augustine St. Charles St. David St. Elmo St. Francisville St. Jacob St. Joseph St. Libory St. Peter Standard Standard City Stanford Staunton Steeleville Steger Sterling Steward Stewardson Stickney Stillman Valley Stockton Stone Park Stonefort Stonington Stoy Strasburg Strawn Streamwood Streator Stronghurst Sublette Sugar Grove Sullivan Summerfield Summit Sumner Swansea Sycamore Symerton Table Grove Tallula Tamaroa Tamms Tampico Taylor Springs Taylorville Tennessee Teutopolis Thawville Thayer Thebes Third Lake Thomasboro Thompsonville Thomson Thornton Tilden Tilton Tinley Park Tiskilwa Toledo Tolono Toluca Tonica Topeka Toulon Tovey Towanda Tower Hill Tower Lakes Tremont Trenton Trout Valley Troy Troy Grove Tuscola Ullin Union Union Hill University Park Urbana Ursa Valier Valley City Valmeyer Vandalia Varna Venedy Venice Vergennes Vermilion Vermont Vernon Vernon Hills Verona Versailles Victoria Vienna Villa Grove Villa Park Viola Virden Virgil Virginia Volo Wadsworth Waggoner Walnut Walnut Hill Walshville Waltonville Wamac Wapella Warren Warrensburg Warrenville Warsaw Washburn Washington Washington Park Wataga Waterloo Waterman Watseka Watson Wauconda Waukegan Waverly Wayne Wayne City Waynesville Weldon Wellington Wenona Wenonah West Brooklyn West Chicago West City West Dundee West Frankfort West Peoria West Point West Salem Westchester Western Springs Westfield Westmont Westville Wheaton Wheeler Wheeling White City White Hall Williamsfield Williamson Williamsville Willisville Willow Hill Willow Springs Willowbrook Wilmette Wilmington Wilsonville Winchester Windsor Winfield Winnebago Winnetka Winslow Winthrop Harbor Witt Wonder Lake Wood Dale Wood River Woodhull Woodland Woodlawn Woodridge Woodson Woodstock Worden Worth Wyanet Wyoming Xenia Yale Yates City Yorkville Zeigler Zion

County * Select County Cook DuPage Kane Lake McHenry Will Adams Alexander Bond Boone Brown Bureau Calhoun Carroll Cass Champaign Christian Clark Clay Clinton Coles Crawford Cumberland DeKalb DeWitt Douglas Edgar Edwards Effingham Fayette Ford Franklin Fulton Gallatin Greene Grundy Hamilton Hancock Hardin Henderson Henry Iroquois Jackson Jasper Jefferson Jersey Jo Daviess Johnson Kankakee Kendall Knox LaSalle Lawrence Lee Livingston Logan Macon Macoupin Madison Marion Marshall Mason Massac McDonough McLean Menard Mercer Monroe Montgomery Morgan Moultrie Ogle Peoria Perry Piatt Pike Pope Pulaski Putnam Randolph Richland Rock Island Saline Sangamon Schuyler Scott Shelby St. Clair Stark Stephenson Tazewell Union Vermilion Wabash Warren Washington Wayne White Whiteside Williamson Winnebago Woodford Will

State * Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code *

Property Information - Part II

Annual Tax Amount *

Additional Owners Policy Coverage *

Tax Proration *

Fixed Amount to Add to Proration *

Number of Mortgage Pages *

Number of Endorsements *

Manual Override

Tax Proration From *

Tax Proration To *

Is this a cash deal?

Yes No

Search fee charged to seller?

Yes No

Prior Year Tax Proration From

Prior Year Tax Proration To

Is Advocus the settlement agent?

Yes No

Advocus Member Number Note: Member Number will be placed as payee for Settlement Fee.

Mortgage Payoff

Delivery Handling for Payoff?

Yes No

Additional Mortgage Payoff

Delivery Handling for Payoff?

Yes No

County Property Tax

Owners Policy Coverage

Seller State Transfer Tax

Buyer City Transfer Tax

Seller County Transfer Tax

Seller City Transfer Tax

Buyer Recording Fee Deed

Buyer Recording Fee Mortgage

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