Get Financial Disclosure Statement

The Financial Disclosure Statement is an essential document for title insurance agents and agencies, providing transparency regarding financial interests. This guide will walk you through the process of completing the form online, ensuring all necessary information is correctly provided.

Follow the steps to fill out the Financial Disclosure Statement efficiently

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin filling out the agent's information by entering the name of the agent and the Nebraska agent number in the designated fields.
3. Provide the name of the agency, company, or firm, along with the Nebraska company number in the corresponding sections.
4. Complete the address section by entering the address, city, state, and zip code for the agency.
5. List all individuals with a financial interest in the title insurance agent or agency. For each person, fill in their name, address, city, state, zip code, nature of financial interest, percent of interest held, and the date acquired or sold. Repeat this for each individual as necessary.
6. Sign the form by having the agent or the agency's designated agent insert their signature.
7. Enter the date of signing in the required field.
8. Once all fields are completed, review the form for accuracy. You can then save your changes, download the final version of the form, print it for your records, or share it as needed.

Complete your Financial Disclosure Statement online today for a smooth documentation process.