Notification of Changes for Business Entity
General Information
Business Entity Name:	MAUMEE VALLEY TITLE AGENCY, INC
Incorporation / Formation Date:	12/29/1993
FEIN:	274-76-8096
Ohio License Number:	4700
NPN:	2425585
DBA / Trade Name:
State of Domicile:	OH
County:	DEFIANCE
Business Address
Address 1:	414 W. 3RD STREET
Address 2:
City:	DEFIANCE
State:	OH
Zip:	43512
Phone:	419-782-3334
Fax:	419-782-3354
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	414 W. 3RD STREET
Address 2:
City:	DEFIANCE
State:	OH
Zip:	43512
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

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
JOHN WEANER	SHAREHOLDER	NONE		YES	6/1/2016
IAN A. WEBER	SHAREHOLDER	NONE	YES		6/1/2016

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?	NO
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement	JAMES WEANER IS A DIRECTOR FOR SHERWOOD STATE BANK. STANLEY YODER IS A DIRECTOR FOR HICKSVILLE BANK.

Submitted By
Submitted By:	STANLEY J. YODER
Title:	PRESIDENT
Phone Number:	419-782-3010
Email Address:	SJYODER@WEANERLAWOFFICE.COM