Notification of Changes for Business Entity
General Information  
Business Entity Name: CONSUMER DIRECT TITLE, LLC
Incorporation / Formation Date: 04/17/2012
FEIN: 45-5096322
Ohio License Number: 962979
NPN: 16673999
DBA / Trade Name:  
State of Domicile: OH
County: CUYAHOGA
Business Address  
Address 1: 17601 W. 130TH ST., STE. 10
Address 2:  
City: NORTH ROYALTON
State: OH
Zip: 44133
Phone: 440-230-2211
Fax: 440-230-2243
Business Web Site Address: WWW.CONSUMERDIRECTTITLE.COM
Business Email Address: LAURIE@CONSUMERDIRECTTITLE.COM
Mailing Address  
Address 1: 17601 W. 130TH ST., STE. 10
Address 2:  
City: NORTH ROYALOTN
State: OH
Zip: 44133
   
Indicate the type of change you are seeking
Address Change: YES
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: NO
   
Licensed Producers
Name Title NPN Add Delete Eff. Date
           
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) 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: LAURIE BELLOMO
Title: AGENT
Phone Number: 440-230-2211
Email Address: LAURIE@CONSUMERDIRECTTITLE.COM