TO:       JAY CHAUHAN
            Barrister and Solicitor
            330 Highway 7 East, Suite 309
            Richmond Hill, Ontario
            L4B 3P8
            Telephone: (905) 771-1235
            Facsimile:   (905) 771-1237
            Email: jaylawyer@hotmail.com  

Please complete the following information in respect of the purchase of your property and mail or fax or call or deliver.

CLIENT’S NAME

Please write the names below of the names of parties in whose name the property will be registered:

Husband:                                                          Date of Birth:

Wife:                                                                 Date of Birth:

Your present Address:


Office Telephone Number:
Home Telephone Number:
Fax Number:
Mobile Number:
Email Address: 

MORTGAGEE (LENDER)

Please bring the instructions of the mortgagee (lender) to us personally, if you can. We prefer that you do not rely on the mortgagee to send them to us. It can cause delay.

Name of Institution:
Name of person you are dealing with:
Address:


Telephone Number:
Fax Number: 

CONDITIONS

Is agreement conditional, for financing or any other matter?           Yes________    No________

Have the conditions be met?

Timely completion of the conditions will be your responsibility or that or your agent.

Closing date:

INSURANCE AGENT

Please ask your insurance agent to send us the insurance certificate by fax showing coverage for full market value and showing the first mortgagee’s interest for the value of the mortgage.

Name of your insurance agent:

Address of your insurance agent:


Telephone Number:

Fax Number:

SURVEY

We need the building location survey as soon as possible. Please obtain the original from the agent have original delivered, and not faxed. Faxed survey will not show the distances properly. Your real estate agent should have the survey. A proper search with the municipality on zoning and bylaw compliance is not possible without it.

NAME OF OTHER SOLICITOR

Not the name of the vendor’s solicitor and address. Your agent will have this information.

Name:
Address:


Telephone Number:
Fax Number: 

TITLE INSURANCE

We wish to have title insurance and will rely on title insurance instead of legal opinion. Title insurance covers the insurance for any title defects.

FEES AND REPORT

Fees will be based on the amount quoted and if there are unusual problems additional fees will be charged. We will pick up the report personally in about 2 weeks after closing. If you mail it at our request we will be responsible for delivery and the cost of duplication if it is not received.

___________________________
Date

__________________________________________________
Client’s Signature