As part of the application process, it will be necessary for the applicant to ensure
completion of both the Individual Affidavit(s) and the Organizational Affidavit provided
in the forms packet.
The Individual Affidavit(s) must be completed by all of the following individuals:
The applicant's officers, directors and key management personnel;
Individuals having a 10 percent or more beneficial ownership of the applicant
(direct or indirect including attribution); and
Individuals having a 10 percent or more beneficial ownership of the applicant's
ultimate controlling parent.
For insurers, "key management personnel" includes all persons responsible for oversight
of any of the following functions:
Sales and Marketing
For underwritten title companies, "key management personnel" includes all of the
Chief Escrow Officer
Chief Title Officer
Title Plant Manager
The Organizational Affidavit must be completed by an executive officer of the applicant's
The affidavits must be typed and all questions must be answered. Do not leave any spaces
blank. If additional space is required, attach an addendum, numbering the response to the
corresponding question. Please be sure to submit your originals.