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Closing Agent Certification & Authorization - Please read carefully.
I hereby authorize SSI to conduct a comprehensive background check on the personal and public information contained in this application to verify the accuracy of same, subject to applicable contractual and regulatory requirements regarding data collection, reporting, privacy and security. I understand I have the right to appeal any derogatory findings before they are disclosed to SSI clients.

I hereby authorize SSI to share all or any part of the information (with the exception of personal, non-public identifying information i.e.: home address, partial social security number) they receive from me in this application as well as from risk management searches with SSI warehouse and lender clients, and their authorized employees and agents, solely for the purposes of (a) evaluating risk of my receiving and handling mortgage proceeds and collateral security documents on their behalf, and (b) qualifying for insurance coverage from risk of loss from malfeasance and negligence at the closing.

In the event that I request in writing that SSI withdraw or cancel my application or completed registration at any time for any reason, I understand that all private information shall be permanently deleted. All public information shall nevertheless remain in the SSI database and be accessible by SSI staff and lender clients.
Please accept by entering your full legal name below

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