Notification of Changes for Business Entity
General Information
Business Entity Name:	TITLE ALLIANCE OF NORTHEAST OHIO, LLC
Incorporation / Formation Date:
FEIN:	27-0905221
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	MEDINA
Business Address
Address 1:	2425 MEDINA ROAD
Address 2:
City:	MEDINA
State:	OH
Zip:	44256
Phone:	3302398455
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	2 VETERANS SQ
Address 2:	2ND FLOOR
City:	MEDIA
State:	PA
Zip:	19063
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
DANIELLE MORROW	MANAGER	8720691	YES		12/30/2015
NANCY D WARNER	RDA	7668864		YES	12/30/2015

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
NANCY D WARNER	AGENT	7668864		YES	12/30/2015

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)	NO
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?	NO
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement

Submitted By
Submitted By:	KELLY M. FLANIGAN
Title:	ADMINISTRATOR
Phone Number:	610-892-8100
Email Address:	KFLANIGAN@TITLEALLIANCE.COM