Oklahoma Land Title Association

Application For Membership
(Associate or Title Examiner Member)

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Type of membership sought:

Application fee submitted $____________

_____Associate (does not receive OLTA voting rights)

_____Title Examiner* (does not receive OLTA voting rights)

1. Company / Applicant Name:

Physical Address:
Mailing Address:
City/State/Zip:
Phone Number / Fax Number:
Primary Contact Name:
Primary Contact Email:
Additional Names / Email addresses to be added to the mailing / emal list



2. If a successor to some other company, please give the name of the former company and the date the applicant company succeeded to the interests of such former company:


3. If a corporation, give the names and title of officers; if a partnership, give the names of the partners; if a sole proprietorship, give the name of the owner:



4. Are you now engaged in the following business activities:

        (a) Compiling abstract of title: _____ Yes _____ No

        (b) Insuring titles to land (i.e. title insurance underwriter):
        _____ Yes _____ No

5. If not engaged in either compiling abstracts of title, or insuring titles to land, PLEASE INDICATE ONE OR MORE of the following professions in which you are engaged:

_____ Real Estate Broker

_____ Surveyor

_____ Developer

_____ Mortgage Banker

_____ Lending Institution

_____ Builder
6. List four references, including two current, active members of the Oklahoma Land Title Association, who are totally unrelated to each other in business or otherwise, from whom we may solicit letters of recommendation, on behalf of your application:

Name:
Address:
Name:
Address:
Name:
Address:
Name:
Address:
7. Please briefly describe the reasons you wish to belong to the Oklahoma Land Title Association:





IT IS UNDERSTOOD AND AGREED BY AND BETWEEN THE APPLICANT AND THE OKLAHOMA LAND TITLE ASSOCIATION (ASSOCIATION) THAT:

The information in this application is to be held in confidence by the Association and used only for the purpose of determination of the applicant's qualifications for membership.

Applicant certifies to the Association that the information contained herein is true and correct to the best of his knowledge and belief.

Applicant agrees, in the event of approval of this application, to abide by the By-Laws and Code of Ethics of the Association, both existing or subsequently adopted.

Signed this _____ day of ________________________, 20___.

CORPORATION OR PARTNERSHIP APPLICANT:**

COMPANY:____________________________________BY:________________________

TITLE:__________________________________________PHONE:_________________

INDIVIDUAL APPLICANT:

NAME:_________________________________________PHONE:__________________

*NOTE: "Title Examiner" membership applications should be submitted in the name of the individual title examiner whose practice is, to a large extent, devoted to the examination of abstracts of title.

**Corporations must list members as participating Associates.

Please Return Application to:
Oklahoma Land Title Association
P.O. Box 720240
Norman, OK 73070

QUESTIONS?
Call the OLTA office at 405.840.1944 or
contact membership chair Sue Bailey at 405.818.7348.
Revised 04/07