Confidential Statement Of Information Page 2

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Confidential Statement of Information
On the reverse side is our
form which we ask you to
complete and return to us as soon as possible.
There really is a reason for our request for you to fill it out. We don’t want you to think that we
are unnecessarily interested in your personal affairs. We have been asked to insure the title to
real property in which you are interested, and if you will give us the information called for, it will
help us do our job quickly and accurately. All information will be treated as confidential.
Our state’s population is growing rapidly. Please think for a moment how many of our residents
have the same or similar names. In processing your order we will inevitably encounter judgments,
bankruptcies, divorces and income tax liens against persons whose names are in some way similar
to yours. Such matters must be considered unless eliminated by information showing you are not
the person involved in these difficulties. You see, then, that we need to know something about
you and your spouse, if you are married, so that we may promptly ignore all matters not directly
affecting you or the property.
By completing this form in full, you are helping to make it possible for us to give you the kind of
service we are sure you would like to receive.

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