Get Ra10 Form

The Ra10 Form is essential for applying for registration as a title insurance agent in Illinois. Properly completing this form online ensures compliance with the Title Insurance Act and facilitates a smooth application process.

Follow the steps to fill out the Ra10 Form online seamlessly.

1. Click the ‘Get Form’ button to retrieve the Ra10 Form and open it for editing.
2. Begin by entering the date of your application at the top of the form. This date signifies when you are applying for registration.
3. Provide your name in the designated field. This is the name of the individual or entity applying for registration.
4. Choose the type of entity you are representing. Indicate if you are applying as a corporation, partnership, individual, limited liability company, association, or another type by selecting the appropriate option.
5. Fill in your physical address, including the street address (no P.O. boxes), suite number, city, state, and ZIP code.
6. Enter your contact information, including phone number, fax number (if applicable), and email address to ensure communication is straightforward.
7. Identify a contact person within your organization, providing their name and title for any follow-up related to the application.
8. If applicable, list any branch offices where operations occur.
9. If you are applying as a corporation or limited liability company, provide details about your officers, directors, and shareholders, including their percentage of ownership.
10. Respond to the questions regarding material facts relevant to your application, including previous registrations, disciplinary actions, and services offered.
11. Complete the affidavit section at the end of the form, confirming the truthfulness of the information provided. Sign the affidavit before a notary public.
12. Review all provided information for accuracy. Once everything is complete, save your changes.
13. After saving, download, print, or share the completed Ra10 Form as required.

Ensure your title insurance registration is up to date by completing the Ra10 Form online today.