Notification of Changes for Business Entity
General Information
Business Entity Name:	NORTHWEST TITLE FAMILY OF COMPANIES, INC.
Incorporation / Formation Date:	1967
FEIN:	31-0730671
Ohio License Number:	5491
NPN:	2441377
DBA / Trade Name:
State of Domicile:	OH
County:	USA
Business Address
Address 1:	4200 REGENT STREET
Address 2:	SUITE 210
City:	COLUMBUS
State:	OH
Zip:	43219
Phone:	614-610-9914
Fax:
Business Web Site Address:	HTTPS://WWW.NWTITLE.COM
Business Email Address:	LIZ.DAVIS@NWTITLE.COM
Mailing Address
Address 1:	4200 REGENT STREET
Address 2:	SUITE 210
City:	COLUMBUS
State:	OH
Zip:	43219
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
ANNE KATHLEEN SEATON	RESIDENT AGENT	1867139		YES	2/23/2018

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)
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?
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:	LIZ DAVIS
Title:	DIRECTOR CORPORATE ADMINISTRATION
Phone Number:	6146109914
Email Address:	LIZ.DAVIS@NWTITLE.COM