Oklahoma Land Title AssociationApplication For Membership
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Application fee submitted $____________ Please contact OLTA directly for dues schedule. |
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1. Company / Applicant Name: Physical Address: Mailing Address: 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 compiling abstracts of title? _____ Yes _____ No. If so, how long have you been so engaged? ___________. Do you hold a Certificate of Authority from the State Auditor and Inspectors Office? _____ Yes _____ No. If so, what is your Certificate Number? ____________ 5. What is the name of the entity holding such certificate? 6. Are your employees licensed in the State Auditor and Inspectors Office? _____ Yes _____ No. List names and numbers of such licensees: 7. Are you engaged in writing title insurance? _____ Yes _____ No. If so, how long have you been so engaged? ___________. Please list the names of the title insurance companies for which you are an agent: 8. If you lease your plant, please answer the following: Is the lease a written formal agreement? _____ Yes _____ No. Please give the name and address of the lessor: 9. Are you engaged in the business of insuring title to land as a title insurance underwriter? _____ Yes _____ No. If not, are you authorized to issue a policy of title insurance in the State of Oklahoma as a title insurance underwriter? _____ Yes _____ No. 10. 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: 11. 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___. COMPANY:____________________________________BY:________________________ TITLE:__________________________________________PHONE:_________________ |
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Please Return Application to: |