Iowa Title Guaranty

Certificate Application Processing (CAP)

Application for Title Plant Waiver Release Certificate


This application requires the following narratives or uploads, and cannot be saved prior to submission. Incomplete applications will not be accepted.
Applicant’s business plan Applicant’s abstracting experience Three (3) abstracts prepared by Applicant History of any professional disciplinary actions Facts that justify a waiver for the Applicant under IAC 265—9.7(1) “d”(5) and 9.7(1)”d”(6)”4” Download Rule Sections Three (3) letters of reference
Tips for Uploading Documents
Only .pdf format documents may be uploaded. Do not combine multiple required documents as one file. Each required document should be saved and uploaded as an individual file. The maximum file size for the total of all uploaded documents is 150 MB. Check your file sizes in advance. The combined file size for the application submission cannot exceed 150MB. To determine the size: Locate the folder on your computer that contains your documents. Select the Details option from within the "Views" drop-down menu. The file size displays in the "Size" column. Add the file sizes for all of the documents to be submitted. If your documents are sized in KB, there are 1,000 KB in 1 MB.
Please have the documents ready for submission before beginning application.

*Required field

Contact Information
Name of Applicant:*
Iowa Title Guaranty Participant #:	Not a Participant
Applicant is an:*	AttorneyAbstractor
Applicant Business Address:*
City:*
State:*	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD SK TN TX UT VA VI VT WA WI WV WY
Zip Code:*
Name of Primary Contact:*
Primary Contact Phone Number:*
Primary Contact Email Address:*

Application
Upload Applicant's business plan:*	(upload .pdf only)
Select county or counties in which the Applicant intends to abstract:*	Check All ADAIR ADAMS ALLAMAKEE APPANOOSE AUDUBON BENTON BLACK HAWK BOONE BREMER BUCHANAN BUENA VISTA BUTLER CALHOUN CARROLL CASS CEDAR CERRO GORDO CHEROKEE CHICKASAW CLARKE CLAY CLAYTON CLINTON CRAWFORD DALLAS DAVIS DECATUR DELAWARE DES MOINES DICKINSON DUBUQUE EMMET FAYETTE FLOYD FRANKLIN FREMONT GREENE GRUNDY GUTHRIE HAMILTON HANCOCK HARDIN HARRISON HENRY HOWARD HUMBOLDT IDA IOWA JACKSON JASPER JEFFERSON JOHNSON JONES KEOKUK KOSSUTH LEE LINN LOUISA LUCAS LYON MADISON MAHASKA MARION MARSHALL MILLS MITCHELL MONONA MONROE MONTGOMERY MUSCATINE O'BRIEN OSCEOLA PAGE PALO ALTO PLYMOUTH POCAHONTAS POLK POTTAWATTAMIE POWESHIEK RINGGOLD SAC SCOTT SHELBY SIOUX STORY TAMA TAYLOR UNION VAN BUREN WAPELLO WARREN WASHINGTON WAYNE WEBSTER WINNEBAGO WINNESHIEK WOODBURY WORTH WRIGHT
Describe or upload a document describing the Applicant's abstracting experience:*	(upload .pdf only)
Upload three (3) abstracts prepared by the Applicant:*	(upload .pdf only) (upload .pdf only) (upload .pdf only)
Describe or upload a document describing history of any professional disciplinary actions against the Applicant:*	None (upload .pdf only)
Describe or upload a document describing the relevant facts that justify a waiver for the Applicant under IAC 265-9.7(1) "d"(5) and 9.7(1)"d"(6)"4":*	(upload .pdf only)
Upload three (3) letters of reference in support of the Applicant:*	(upload .pdf only) (upload .pdf only) (upload .pdf only)
Upload any other relevant information the Applicant would like the Iowa Title Guaranty Board to consider:	(upload .pdf only)

Attestation and Signature
YesNo*: I attest to the accuracy and truthfulness of the information contained in this application. I agree to use an electronic signature in lieu of a handwritten signature, and Iowa Title Guaranty agrees to accept the electronic signature. I understand that no action will be taken on an incomplete application. I agree to accept all notices and correspondence regarding this application via electronic mail using the email address provided by the Applicant.

Signature of Applicant Contact:*	Type signature here


If you need help or are having trouble with this Application, please call Iowa Title Guaranty at (515) 452-0484 or email titleguaranty@iowafinance.com.