Illinois Alta Statement

**Prepared by Adam S. Tracy, Esq. at@tracyfirm.com **

CAGO TITLE INSURANCE COMPANY
STATEMENT REQUIRED FOR THE ISSUANCE OF ALTA OWNERS AND LOAN POLICIES

Commitment No.
                                                                        Escrow No.
Date

To the best of my knowledge and belief of the undersigned, the following is hereby certified with
respect to the land described in the above commitment.
1. That, except as noted at the end of this paragraph, within the last six (6) months (a) no labor,
service or materials have been furnished to improve the land, or to rehabilitate, repair,
refurbish, or remodel the building(s) situated on the land; (b) nor have any goods, chattels,
machinery, apparatus or equipment been attached to the building(s) thereon, as fixtures; (c) nor
have any contracts been let for the furnishing of labor, service, materials, machinery, apparatus
or equipment which are to be completed subsequent to the date hereof; (d) nor have any notices of
lien been received, except the following, if any:

2. There are no revolving credit mortgages, line of credit mortgages, home equity loan mortgages,
or other voluntary liens or mortgages affecting title, other than those shown on Schedule B of the
commitment, except the following, if any:

3.    That all management fees, if any, are fully paid, except the following:

4. That there are no unrecorded security agreements, leases, financing statements, chattel
mortgages or conditional sales agreements in respect to any appliances, equipment or chattels that
have or are to become attached to the land or any improvements thereon as fixtures, except the
following, if any:

5.    That there are no unrecorded contracts or options to purchase the land, except the following,
if any:

6. That there are no unrecorded leases, easements or other servitudes to which the land or
building, or portions thereof, are subject, except the following, if any:

7. That, in the event the undersigned is a mortgagor in a mortgage to be insured under a loan
policy to be issued pursuant to the above commitment, the mortgage and the principal obligations it
secures are good and valid and free from all defenses; that any person purchasing the mortgage and
the obligations it secures, or otherwise acquiring any interest therein, may do so in reliance upon
the truth of the matters herein recited; and that this certification is made for the purpose of
better enabling the holder or holders, from time to time, of the above mortgage and obligations to
sell, pledge or otherwise dispose of the same freely at any time, and to insure the purchasers or
pledgees thereof against any defenses thereto by the mortgagor or the mortgagor’s heirs, personal
representatives or assigns.
8. That, I/we am/are the purchaser(s) or mortgagor(s) of land improved with a residential dwelling
not exceeding four units, and no current survey or mortgagee’s inspection report has been furnished
to or is available to me/us. [DELETE STATEMENT IF NOT APPLICABLE.]
The undersigned makes the above statement for the purpose of inducing Chicago Title Insurance
Company to issue its owners or loan policy pursuant to the above commitment.
Seller or Owner



Print Name:


Subscribed and sworn to before me this day of           ,          ,










Notary Public
Purchaser

Print Name:
Subscribed and sworn to before me this day of           ,          ,




Notary Public
LENDER’S DISBURSEMENT STATEMENT
The undersigned hereby certifies that the proceeds of the loan secured by the mortgage to be
insured under the loan policy to be issued pursuant to the above commitment were fully disbursed to
or on the order of the mortgagor on          .  You are hereby authorized to date down the above
commitment to cover the date of said disbursement.
Dated

Signature