Notification of Changes for Business Entity
General Information
Business Entity Name:	NOVA TITLE AGENCY, INC.
Incorporation / Formation Date:
FEIN:	34-1905337
Ohio License Number:	24918
NPN:	3661091
DBA / Trade Name:
State of Domicile:	OH
County:	CUYAHOGA
Business Address
Address 1:	30455 SOLON ROAD
Address 2:
City:	SOLON
State:	OH
Zip:	44139
Phone:	440-600-5550
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	30455 SOLON ROAD
Address 2:
City:	SOLON
State:	OH
Zip:	44139
Indicate the type of change you are seeking
Address Change:	NO
Business Entity Name Change:	NO	Old Business Entity Name:
New DBA/Trade Name:	NO	New DBA/Trade Name:
Amend DBA/Trade Name:	NO	Old DBA/Trade Name:
Add/Delete Producers, Members, Owners, Partners, Officers and/or Directors:	YES

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date
SUSAN A. MANNARINO	ESCROW OFFICER	2441317	YES		11-8-18

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date

Title Business Entities Only
1. Is any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance? (i.e. banking, auto dealer, mortgage company)	YES
2. Has any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance since the filing of the previous CN-65 or the original application?	YES
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement	TITLE EXAMINATION; LAW FIRM - SHARE HOLDER/PARTNER

Submitted By
Submitted By:	ASHLEY HENRY
Title:	OPERATIONS MANAGER
Phone Number:	440-600-5550
Email Address:	AHENRY@NOVATITLEAGENCY.COM