(765 ILCS 935/55)
Sec. 55. Form of appointment of title insurance agent for issuance of certificates of release. A title insurance company shall use the following form for the appointment of its title insurance agents for the purpose of executing certificates of release pursuant to this Act. APPOINTMENT OF TITLE INSURANCE AGENT OR AGENTS FOR ISSUANCE OF CERTIFICATES OF RELEASE ..... (name of title insurance company) appoints ..... (name of title insurance agent or agents) to act as its agent or agents for the purpose of executing and delivering for recording certificates of release as provided by the Mortgage Certificate of Release Act. This appointment shall commence on ..... (date) and (select one) continue until revoked as provided by that Act / terminate on ..... (date). The agent or agents appointed has/have consented to and accept the terms of this appointment. Dated this ..... (date). By:.....
(title
insurance
company).....
(signature).....
(typed
/
printed
name
&
title).....
(address).....
(telephone
number)State
of
Illinois)
)County
of
)This
instrument
was
acknowledged
before
me
on
.....(date)by
.....(name
of
person)
as
.....(officer
for
/
agent
of).....(title
insurance
company)......Notary
PublicMy
commission
expires
on.....
(Source: P.A. 92-765, eff. 8-6-02.)
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Last modified: February 18, 2015