NJ Title Insurer Class Action Lawsuit

The information you need to provide is on the HUD-1 Uniform Settlement Statement you signed at your closing. References to that document appear below. Please complete all boxes with information that appears on your HUD-1.

Name

(Name and Address as they appear in box "D" on page one of your HUD-1 statement.)

D. Name & Address of Borrower:

Address

Property Location

(Enter location as it appears in box "G" on page one of your HUD-1 statement.)

G. Property Location:

Home Phone

Did you purchase your Property or Refinance?

Purchase

Refinance

Lender Name

(Lender Name and Address as in box "F" on page one of your HUD-1 statement.)

F. Name & Address of Lender:

Lender Address

Settlement Agent Name

(Settlement Agent information as in box "H" on page one of your HUD-1 statement.)

H. Settlement Agent:

Settlement Agent Address

Place of Settlement

(Place of Settlement and Settlement Date appear just below box "H" as pictured above on page one of your HUD-1 statement.)

Settlement Date

Recording Fees: Deed

(Recording Fees are line item #1201 on page two of your HUD-1 statement.)

1201.
Recording Fees

Deed $

Mortgage $

Releases $

Recording Fees: Mortgage

If you purchased:

Number of pages in your deed*:

Number of pages in your mortgage*:

Name of your title insurer+:

Policy Number+:

If you refinanced:

Number of pages in your mortgage*:

* A copy of your deed and mortgage should have been provided to you at closing
+ If you purchased, you should have received a title insurance policy after closing

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