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					                                               First American Title Insurance Company
                                                                         Eastern Division
                                                                         North Carolina


                     Application for Appointment of Approved Attorney

A. GENERAL INFORMATION

1.   Approved Attorney Name:

     Firm Name:


     Street Address for UPS delivery
     City:                                                    State:                     Zip Code:
     P.O. Box:                                                                           Zip Code:
     County Located:                                                    Phone No.:       (        )
                                                                          Fax No.:       (        )
     Website Address:                                                  Email Address:
     States licensed to practice in:
                                                         (Please list States)

2.   Name of Firm Contact Person if not the Approved Attorney:
     Title:

3.   Type of Law Firm:        Professional Corporation          LLC        Partnership       Sole Practitioner

4.   Federal Tax I.D. # (if applicable):

5.   Mix of business (estimate percentage):

             %   Refinance                 %    New Home                        %    Commercial
             %   Resale                    %    Other (be specific)
6.   Customer Base (i.e. second mortgage, realtors, attorneys, banks, savings and loan, mortgage brokers, other). List as
     many as applicable using specific names:

     Name                          Contact Person                       Address                           Telephone
                                                                                                          (     )
                                                                                                          (      )
                                                                                                          (      )
7.   Describe the firm’s areas of practice:




8.   Date commenced business:

9.   Number of employees:


     Rev. 03/23/09
     Exhibit “B”
10. Companies you are an approved attorney for and dates approved:




11. Estimated number of closings per month:

12. Have you ever been cancelled by a title underwriter?            If yes, please give details on separate sheet.

13. How many claims and/or title losses experienced by you and/or title insurance underwriter?

    Total Number of Claims:                       Total Amount: $

    List all claims and/or title losses over $25,000 (including pending claims):

Claim Type                       Underwriter                                  Amount of Loss                  Date of Claim




14. Has any officer or partner of the firm ever been convicted of a felony?         If yes, please explain on a separate sheet.

15. Has any officer, director, owner, partner or manager ever been involved in an administrative proceeding regarding any
    professional or occupational license or registration?    If yes, please explain on a separate sheet.




B. PERSONNEL

1. Officers/Members/Partners/Owners:

Name                                      Home Address                                                        Title




Do any of the above have an interest in a real estate agency, a lender, a builder/contractor or hold a professional license? If
so, please describe:




2. Examiners:

Name of Personnel within the firm who will be examining abstracts or searches                         Years of Experience




   Rev. 11/09/09
   Exhibit “B”
3. Closers / Key Personnel:
                                                                                             Years of Experience
                   Name                                   Job Title                              As a Closer




C. LIABILITY COVERAGE / BONDS

1. Errors and Omissions Carrier
   Coverage $                           Policy No.                                        Exp. Date
2. Fidelity Bond Carrier
   Coverage $                           Policy No.                                        Exp. Date
3. Surety Bond Carrier
   Coverage $                           Policy No.                                        Exp. Date




                   PLEASE ATTACH A COPY OF THE FULL ERRORS AND OMISSIONS POLICY
                       AND A COPY OF THE BONDS FOR REVIEW BY THE COMPANY.




 D. REFERENCES

   List names of four (4) persons outside of your firm for whom it has performed real estate/legal services.

NAME                                                                     TELEPHONE NUMBER:

                                                                         (      )

                                                                         (      )

                                                                         (      )

                                                                         (      )




   Rev. 11/09/09
   Exhibit “B”
I authorize First American Title Insurance Company to contact persons in this firm who have access to or control applicant’s escrow/trust
accounts in order to obtain approval to request Consumer Reports and/or Investigative Consumer Reports on those persons. This
paragraph only applies to management personnel who are in a position to grant this authority.

This is to advise you that in consideration of your appointment as our Approved Attorney, we will be seeking information relative to your
business and professional reputation in your community which may include matters in the nature of an investigative consumer r eport as
defined in the Fair Credit Reporting Act. This notice is given to you in compliance with said Act. First American Title Insurance Company
is expressly authorized to contact any real estate company, bank, government agency, attorney or other entity or individual for the purpose
of verifying the information supplied by the applicant.

The information set forth herein may be verified by First American Title Insurance Company but is furnished on a confidential basis by the
Applicant to aid First American Title Insurance Company in its investigations. The information disclosed on this application or obtained
from other sources will be held in confidence within First American Title Insurance Company and its affiliates unless disclos ure is
requested by legal process.

It is further understood that the investigation undertaken with this application is for the sole benefit of First American Title Insurance
Company and its affiliates and that said investigation may not be relied upon by third parties unrelated to First American Ti tle Insurance
Company. First American Title Insurance Company makes no representation as to the extent or scope of the investigation and the
Applicant is not entitled to rely upon the investigation performed by First American Title Insurance Company.

Signature: ______________________________________                       Date:

Title:                                                                  Print Name:




                                First American Title Insurance Company Use Only




Application Recommended By: _________________________________________________                  Date:__________________________
                                State Manager/State Agency Manager/State Counsel

Comments:
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
____________________________________________________________________________________________




    Rev. 11/09/09
    Exhibit “B”
                                     PERSONAL INFORMATION FORM

PLEASE COMPLETE ONE FORM FOR THE APPLICANT AND EACH AUTHORIZED SIGNATORY(IES) FOR ESCROW
ACCOUNTS. PLEASE DUPLICATE FORM AS NEEDED.


1.   Law Firm Name:
2.   Name of person completing this form: (Circle one:          Ms.     Mrs.   Mr.)        (Jr.     I    II   III    Sr.   Esq.)


     First Name                                        Middle Initial            Last Name

3.   Title:
4.   Date of Birth:                                            County of Residence:
5.   Current Mailing Address:
6.   Email Address:
7.   Social Security No.:
8.   Title/Bar License Nos. (if applicable):                                                            Exp. Date:
                                                                                                        Exp. Date:
9.   Residence(s) for the past 10 years:
     Address, City, State and Zip Code                                                                                     How Long?




10. Employment for the last 10 years (attach an additional page if necessary) with an explanation of your responsibilities, or
    please attach a resume.

     Firm:                  Title:             Address:                                                         From:                To:




     May we contact your previous employers as a reference?                Yes        No

11. Educational background (from high school forward):
     Name of Institution:                      Location:                         From:            To:                      Degree:




     Rev. 11/09/09
     Exhibit “B”
12. Have you ever been refused a license by a state, federal or municipal authority for any reason, or has any such license
    been suspended or revoked?              Yes               No

    Have any disciplinary proceedings ever been initiated again you (regardless of the outcome) by the agency which
    regulates your current or previous professional license(s)?       Yes              No

    Have you ever been subject to disciplinary actions by the agency which regulates your current or previous professional
    license?       Yes              No

    Have you ever been convicted of a crime?             Yes               No

    Have you ever filed for bankruptcy, either individually or as an officer, director, partner, manager or owner of a
    corporation?           Yes            No

    In current or previous place of employment, have you been deemed to be responsible for any title or escrow claim or
    loss?             Yes             No

    If your response is “Yes” to any of the questions in this section, please explain on a separate sheet.

13. Please list the names and addresses of any entities in which you are the owner or a part owner, officer, member or
    director and explain your relationship to such entity(ies) (continue on a separate sheet if necessary)




14. Are you currently an authorized signatory on the escrow accounts of the firm?          Yes                         No
    Do you anticipate becoming an authorized signatory on the escrow accounts of the firm?                    Yes                No

15. Please list all experience related to title insurance, title examination, closings, etc. relating to your expertise in the
    industry.




I understand that First American Title Insurance Company is relying upon the representations made in this Personal
Information Form in its evaluation of the application as an approved attorney with First American. I hereby certify that the
information supplied on this Personal Information Form is accurate.


_________________________________________________
Signature                                                                       Date


Printed Name                                                                    Email Address




   Rev. 11/09/09
   Exhibit “B”
 I,                                                                        , authorize First American Title Insurance Company
 and/or First American Corporation, their divisions, subsidiaries, affiliates and successors (collectively, “FATIC”) to obtain
 consumer reports and investigative consumer reports, as those terms are defined in the Fair Credit Reporting Act,
 regarding me in order to assist it in determining whether it wishes to engage in or continue to engage in a business
 transaction with me, a partnership in which I am a partner, my employer, or a corporation in which I am an officer, director,
 or shareholder, as an agent for FATIC. Further, although I understand that I may only be an employee, officer, partner, or
 director of an entity currently engaged in or seeking to enter into an approved attorney relationship with FATIC, I
 acknowledge that FATIC has a legitimate business need for the information in connection with a business transaction
 involving me as defined in the Fair Credit Reporting Act and that FATIC is therefore entitled to receive consumer and
 investigative reports regarding me individually. This authorization is a continuing authorization and shall continually provide
 FATIC with the right to receive, as frequently as it desires, additional consumer and investigative reports regarding me for
 as long as any approved attorney relationship exists between FATIC, me and/or any partnership of which I am a member,
 and/or any corporation in which I am an officer, director, or employee.

 If FATIC chooses to terminate the approved attorney status of my employer, the partnership in which I am a partner, or the
 corporation in which I am an officer, director, or shareholder, in whole or in part due to FATIC’s review of my credit as
 reflected in consumer reports and investigative consumer reports, then I authorize FATIC to advise the entity whose
 approved attorney status is being terminated, that the reason for the termination is, in whole or in part, due to FATIC’s
 analysis of my credit. I recognize that FATIC has a legitimate business interest in revealing this information to the entity
 whose approved attorney status was terminated and I waive any and all claims which I might otherwise have against
 FATIC arising from its notification to the entity whose approved attorney status was terminated. I further understand that
 FATIC is relying upon the terms of this authorization and waiver.



Firm Name                                                                                           Date



Current Home Address (House Number, Street, City, State & ZIP)                                       Phone Number

Previous Home Address [if current address is less than two years] (House Number, Street, City, State & ZIP)

 By:
       Signature                                         Position or Title                          Social Security Number


       Print Name                                        Email Address                              Date of Birth


        FA Agency Representative                          Domicile State                             Agency Account Number
                                                                                                     (Existing Agency Only)

                   DO NOT SUBMIT UNTIL ALL ITEMS ARE COMPLETE. ALL FIELDS ARE MANDATORY.

                       Internal Use                CREDCO Account 200000352
                       Only:                             Number:

                                                          Cost Center: 1051.02915




ATT-513 (NC Approved Attorney Modifications)
11-09-09
                                   Escrow Accounting Questionnaire


1.   Law Firm Name:

2.   Please be advised that any escrow/trust account used for closing real estate transactions wherein First American Title
     Insurance Company will provide title insurance coverage, will be required to be audited by First American Title Insurance
     Company’s authorized personnel.

3.   List all escrow/trust accounts used for closing real estate transactions:

                            Bank Name                                                       Account Number




4.   List all individuals authorized to sign escrow checks and/or order wire transfers.

     Schedule A - Personal Information Form and Authorization To Request Consumer Reports are attached. Each individual
     listed below must complete both of these forms. Make additional copies as needed.

                         Name                                         Position                   Years With Law Firm




5.   List all individuals who prepare escrow checks or wire requests:

                            Name                                                 Position




6.   List all individuals who maintain the accounting records for escrow transactions:

                         Name                                               Duties




7.   List all individuals who perform the escrow account reconciliation:

                         Name                                              Position




Exhibit “K”
8.   Who reviews the escrow account reconciliations?

                            Name                                              Position



              `

9.   a. Do you maintain an escrow accounting system separate and distinct from your operating/general account?

                  Yes         No

     b. Do you maintain a separate ledger card or separate computer record on each escrow case?

                  Yes         No

     c.   Are file balances reconciled to bank balances on a monthly basis?

                  Yes         No

     d. If your trust account is not a real estate only account, will you set up a separate trust account for real estate?

                  Yes         No

10. Please complete the following section on escrow accounting procedures:

          Manual              Computer

     Please note your computer configuration:

     Software

     Closing:

     Escrow Accounting:

     Word Processing:

     Operating System:                 DOS              Windows (Version          )

     Other:




Print Name                                                           Title


Signature                                                            Date




Exhibit “K”                                                      9
                                                       CREDIT AUTHORIZATION ADDENDUM TO APPROVED ATTORNEY APPLICATION

                                                                                                                                                   *Parties In Interest = Principals, Owners,
Firm Name (As it will appear on the Approved Attorney Agreement)                                                 Date                              Stockholders, Members, Partners, Directors or
                                                                                                                                                   Officers.

 Primary Street Address (Include City, State & ZIP)


 Credit Notification Contact (Must be a Party In Interest*)                              Phone Number                          Fax Number                   Email Address

 Please list all Authorized Signatories and Principles for each office location below.
 Firm Employee               Firm Employee                        Authorized          Authorized                                                                  **Office Location
                                                                                                        *Parties In Interest       Email Address
 Last Name                   First Name, Middle Initial       Signatory (Escrow)   Signatory (Policy)                                                         (If different than above)
                                                                No        Yes        No          Yes      No            Yes
                                                                No        Yes        No          Yes      No            Yes
                                                                No        Yes        No          Yes      No            Yes
                                                                No        Yes        No          Yes      No            Yes
                                                                No        Yes        No          Yes      No            Yes
                                                                No        Yes        No          Yes      No            Yes
                                                                No        Yes        No          Yes      No            Yes
                                                                No        Yes        No          Yes      No            Yes
                                                                No        Yes        No          Yes      No            Yes
                                                                No        Yes        No          Yes      No            Yes
                                                                No        Yes        No          Yes      No            Yes
                                                                No        Yes        No          Yes      No            Yes
                                                                No        Yes        No          Yes      No            Yes
                                                                No        Yes        No          Yes      No            Yes
                                                                No        Yes        No          Yes      No            Yes




                                        **If your Firm has multiple locations an Additional Office “Branch” Addendum is required for each one**




ATT-529 (NC Approved Attorney Modifications)
11-09-09

				
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