EmailMe Form - NOTICE OF ELIGIBILITY FOR LOWER REISSUE RATE

NOTICE OF ELIGIBILITY FOR LOWER REISSUE RATE

I hereby acknowledge that I received this Notice of Potential Eligibility for a Lower Reissue Rate at the time of my first contact and that either: (a) I have received the applicable reissue rate, (b) the transaction does not qualify for a reissue rate, or (c) I am waiving any right to the reissue rate because no party to the transaction has provided the agency with a prior qualifying policy at or before closing.

Please acknowledge your understanding and agreement to the above by signing below.

Electronic Signature Agreement
By entering your name below and checking the consent box you hereby authorize your electronic signature on this document. The parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.
Click to accept that your electronic signature below is valid and given with your consent.
Yes
Borrower Name
First Last
Date
MM / DD / YYYY
Company Name, if applicable
Company Title, if applicable
In order to qualify for the Reissue Rate Credit, please upload your Prior Owner’s or Lender’s policy below. (File types accepted: PDF, .doc. .docx, .txt, .jpeg)
I hereby acknowledge that I received this Notice of Potential Eligibility for a Lower Reissue Rate at the time of my first contact and that either: (a) I have received the applicable reissue rate, (b) the transaction does not qualify for a reissue rate, or (c) I am waiving any right to the reissue rate because no party to the transaction has provided the agency with a prior qualifying policy at or before closing.
NOTE: Settlement Agency Signature and Consent
Karina Borgia-LaCroix, President, American Real Title, has hereby signed and consented to this document.

Electronic Signature Agreement

NOTE: Settlement Agency Signature and Consent