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File No.: DISCLOSURE STATEMENT CONTROLLED BUSINESS ARRANGEMENT (by a Producer of Title Insurance Business or Associated thereof) This disclosure is made to (Check one or both): Buyer / Borrower ;
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How to fill out controlled business disclosure statement

01
Read the instructions on the controlled business disclosure statement form carefully.
02
Provide your personal information, such as your name, address, and contact details.
03
Specify the nature of the controlled business or businesses that you are involved in.
04
Disclose any financial interests or ownership you have in the controlled business.
05
Provide details about your role or position within the controlled business.
06
Declare any compensation or benefits you receive from the controlled business.
07
If applicable, disclose any relationships you have with other parties involved in the controlled business.
08
Sign and date the controlled business disclosure statement.
09
Submit the completed form to the appropriate authority or organization.

Who needs controlled business disclosure statement?

01
Real estate agents and brokers who participate in controlled business arrangements with insurance, mortgage, or title service providers need a controlled business disclosure statement.
02
Individuals or entities that have ownership or financial interests in a controlled business and are involved in real estate transactions need a controlled business disclosure statement.
03
In some jurisdictions, individuals or entities who engage in controlled business transactions must provide a controlled business disclosure statement.
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Controlled business disclosure statement is a document that discloses any relationships or potential conflicts of interest between a real estate agent and any affiliated businesses involved in a real estate transaction.
Real estate agents are required to file controlled business disclosure statements in order to provide transparency and disclosure of any potential conflicts of interest to all parties involved in a real estate transaction.
To fill out a controlled business disclosure statement, the real estate agent must accurately disclose any relationships or ownership interests in any affiliated businesses involved in the transaction.
The purpose of the controlled business disclosure statement is to provide transparency and disclosure of any potential conflicts of interest between the real estate agent and affiliated businesses during a real estate transaction.
The controlled business disclosure statement must include any relationships or ownership interests in any affiliated businesses, as well as any potential conflicts of interest that may arise during the real estate transaction.
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