FSA-2340 Date of Modification 12-31-2007
Applicant must complete Items 1 through 5.
| 
					Fld Name / | Instruction | 
| 1(a) Attorney/Title Agent Name | Enter the name of the Attorney, or Title Company you chose to conduct the loan closing. | 
| 1(b) Address | Enter the address of the Attorney, or Title Company you chose to conduct the loan closing. | 
| 1(c) Telephone Number | Enter the telephone number (including area code) of the Attorney, or Title Company you chose to conduct the loan closing. | 
| 2 Read | Please read. | 
| 3 Name | Enter the applicant’s name. | 
| 4 Signature | Enter the applicant’s signature. | 
| 5 Date | Enter the date applicant signed the form. | 
Page
	
| File Type | application/msword | 
| File Title | Template Users: Select the text for each of the instruction components below and type over it without changing the font type, | 
| Author | Preferred Customer | 
| Last Modified By | maryann.ball | 
| File Modified | 2010-07-12 | 
| File Created | 2010-07-12 |