STEWART TITLE GUARANTY COMPANY, (hereinafter referred to as "Title Insurance Company") a Texas Corporation, having its principal place of business at 1980 Post Oak Blvd., Suite 800 Houston, Texas 77056 does hereby authorize and appoint the following agent(s) (hereinafter referred to as "Agents") of the Title Insurance Company to execute Certificates of Release in accordance with the requirements of IC 32-29-6 et seq. and to record said Certificates of Release in _____________ County, State of Indiana:
[NAME OF AGENT & NAME OF AGENCY OWNER, MANAGER, OR EMPLOYEE]
These duly appointed Agents have full authority to execute and record Certificates of Release in accordance with the requirements of IC 32-29-6 et seq. on behalf of the Title Insurance Company. This notice constitutes the appointment of the Agents by the Title Insurance Company as required by IC 32-29-6-12 until a revocation of the Notice of Authorization is recorded in the office of the ________________ County Recorder. Said Notice of Authorization does not modify the terms of the Agents' contracts with the Title Insurance Company.
The undersigned hereby represents and certifies that execution of this Notice of Authorization has been duly authorized by appropriate action taken in accordance with the Title Insurance Company's, by-laws and all other governing law. The undersigned further represents and certifies that the representative executing this Notice of Authorization has all necessary power and authority to execute this Notice of Authorization on behalf of the Title Insurance Company.
Dated: _______ day of __________, 200_.
STEWART TITLE GUARANTY COMPANY
By: ________________________________________
Printed: _____________________________________
Its: _________________________________________
ACKNOWLEDGMENT
STATE OF)
)
COUNTY OF)
Before me, a Notary Public in and for said County and State, personally appeared _____________________________, as _______________________ of STEWART TITLE GUARANTY COMPANY, acknowledged the execution of the foregoing Notice of Authorization, and who, having been duly sworn, stated that any representations therein contained are true.
Witness my hand and Notarial Seal this _______ day of ___________________, 200_
My commission expires: ___________________________________________
Signature
_________________________________
Printed, Notary Public
Resident of __________ County, State of ____________________.
This Instrument prepared by: _____________________________
Return Instrument to: ______________________________________________________
No guidelines are available for this form at this time.