NJRB 4-01 – NJ Attorney’s Preliminary Certificate and report on title (NJ last revised 2/3/97)




Application of _________________________, whose address is _______________, for a title insurance policy on the property described under Schedule A hereof insuring a proposed deed from ______________________ and ________________________, his wife whose address is ____________________, to ________________________ and _________________________, his wife, whose address is _________________________, in the amount of $_______________ and a mortgage by _________________________ and _________________________, his wife, to _________________________, whose address is ____________________, in the amount of $_______________.

Marketable title of record is vested in: ________________________________________, under deed from _________________________ dated the _____ day of ____________, 20_____, recorded on the _____ day of ____________, 20_____, Book ______, Page ______, Document No. _______________, records of _______________ County, New Jersey, subject to the following:

1. Rights or claims of parties in possession not shown by the public records.

2. Restrictive covenants and conditions, contained in the following deeds, copies of same being attached hereto:

2(a). _____ foot setback as shown on filed map entitled, ?

3. Easements, rights or agreements, contained in the following deeds, copies of same being attached hereto.

4. Encroachments, overlaps, boundary line disputes and other matters which would be disclosed by an accurate survey and inspection of the premises.

(For an additional charge and upon submission of an acceptable survey, this exception will be deleted by endorsement and the policy will set forth those matters, if any, affecting title.)

5. Liability, if any, for mechanics' and materialmen's liens.

6. Taxes, water, sewer and other use charges and confirmed assessments:

7. Prospective assessments (municipal improvements):

8. Mortgages:

9. Bankruptcies, judgments, corporate franchise taxes and other State or Federal liens.

10. Proof is required as to the prior and present marital status of the following persons together with complete information as to the deaths and divorces of prior spouses:

11. Other encumbrances, liens, defects and objections to title:


All that certain tract of land lying and being in the _______________ of ____________ County of ______________, State of New Jersey, being more particularly described as follows:

(NOTE: Add street address, tax lot and block, if available)

The undersigned hereby certifies to the STEWART TITLE GUARANTY COMPANY that in his opinion the within Preliminary Certificate and Report on Title correctly reflects the status of the property described in Schedule A hereof, such opinion being based upon an examination of an abstract prepared by _________________________ covering a period of at least sixty years of all public records affecting title to real estate. The undersigned further certifies that so far as is known to him there is no dispute among title insurance companies or attorneys of the local bar as to the validity of the title of the real estate covered by this report and that the title is in no way dependent upon the sale of the property for delinquent taxes or assessments.

This title is certified down to the _____ day of ____________, 20_____, at ______ o'clock, ____ M.

Approved Attorney


STEWART TITLE GUARANTY COMPANY by this Interim Title Insurance Binder hereby insures against loss or damage not exceeding the amounts shown on the obverse hereof which may be sustained by failure of said Preliminary Certificate and Report on Title to correctly reflect the public records to the property herein described as of the date and hour thereof; such insurance to be null and void unless the title policy is issued by this Company in connection with the transaction applied for within nine (9) months from the date hereof and the premium thereon paid.

This Interim Title Insurance Binder is subject to the terms, provisions, exclusions from coverage and the conditions and stipulations of the following form of policy or policies applied for, copy of which will be supplied upon request:

[ __ ] ALTA Owner's Policy Form B-1970

(Amended 10-17-70)

[ __ ] ALTA Loan Policy-1970

(Amended 10-17-70)

[ __ ] Other (Specify)

If the instrument to be insured is a purchase money mortgage covering a 1 to 4 family dwelling and owner's insurance is not desired, written notice declining right to purchase same is required from mortgagor pursuant to N.J.S.A. 46:10A-3, et seq.


Authorized Signature



No guidelines are available for this form at this time.