STATEMENT OF I NFORMATI ON
Fid e lit y Tit le & Es c r o w m a in t a in s p r o c e d u r a l s a fe g u a r d s t h a t c o m p ly w it h fe d e r a l s t a n d a r d s
t o p r o t e c t t h e c o n fid e n t ia lit y a n d s e c u r it y o f n o n - p u b lic p e r s o n a l in fo r m a t io n . Th is s t a t e m e n t w ill s e r v e t o e s t a b lis h id e n t it y , e lim in a t e m a t t e r s a ffe c t in g p e r s o n s o f s im ila r n a m e , p r o t e c t y o u a g a in s t fo r g e r ie s , a n d s p e e d t h e c o m p le t io n o f y o u r t it le a n d e s c r o w s e r v ic e s .
COMPLETI ON OF THI S FORM W I LL EXPEDI TE YOUR ORDER AND W I LL HELP PROTECT YOU.
Confidential information to be used in conjunction with order no. ______________________
NAME
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BI RTHPLACEYEAR OF BI RTHSOCI AL SECURI TY NUMBERI HAVE LI VED I N CALI FORNI A SI NCE
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FI RSTMI DDLELAST
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BI RTHPLACEYEAR OF BI RTHSOCI AL SECURI TY NUMBERI HAVE LI VED I N CALI FORNI A SI NCE
WE WERE MARRI ED ON _____/ _____/ _____ AT_________________________________ WI FE’S MAI DEN NAME_____________________________
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MY DRI VER’S LI CENSE NUMBER (STATE)MY SPOUSE’S DRI VER’S LI CENSE NUMBER (STATE)
RESI DENCE( S) FOR LAST 1 0 YEARS
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NUMBER AND STREETCI TYFROMTO
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NUMBER AND STREETCI TYFROMTO
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NUMBER AND STREETCI TYFROMTO
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OCCUPATI ON( S) FOR LAST 1 0 YEARS |
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HUSBAND
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PRESENT OCCUPATI ONFI RM NAMEADDRESSNO. YEARS
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PRESENT OCCUPATI ONFI RM NAMEADDRESSNO. YEARS WI FE
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PRESENT OCCUPATI ONFI RM NAMEADDRESSNO. YEARS
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PRESENT OCCUPATI ONFI RM NAMEADDRESSNO. YEARS
FORMER MARRI AGES
I F NO FORMER MARRI AGES, WRI TE “ NONE” _____________________
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NAME OF FORMER WI FEDECEASED ( ) DI VORCED ( )DATE FI NALWHERE
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NAME OF FORMER HUSBANDDECEASED ( ) DI VORCED ( )DATE FI NALWHERE
THE STREET ADDRESS OF THE PROPERTY I N THI S TRANSACTI ON I S: ______________________________________
SI GNATURE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ DATE _____/ _____/ _____
SI GNATURE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ DATE _____/ _____/ _____
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PURPOSE OF THI S FORM
I t is necessary to fill out this form completely, as the information contained herein will assist us to process your escrow more accurately and avoid timely delays. The growing population of California has greatly affected the processing of real estate transactions, in that there are many people with names that are the same or similar to your own. When the title company searches the title of the property in this escrow, they want to make sure that they there are no judgments, bankruptcies, income tax liens or any other situation that may effect you or the property. The information on this form allows them to reject all matters that do not effect you.