Opt Out Form
To: Westminster Title Agency, Inc.
From: ________________________
Name(s)
________________________
address
________________________
address
________________________
address
Product Identification Number (include all that apply):
Loan Number: ____________________
Account Number: _________________
Other (please specify) _______________________________________
Other (please specify) _______________________________________
Other (please specify) _______________________________________
Other (please specify) _______________________________________
Check each that apply:
( ) Please discontinue sharing information about me other than my name, address and facts about your transactions and experiences with me with your affiliates. I understand that you continue to have the right to share my name and address, and facts about your transactions and experiences with me, among your affiliated family of companies.
( ) Please discontinue sharing nonpublic personal information about me with unaffiliated third parties. I understand that you continue to have the right under applicable law to share nonpublic personal information about me with certain third parties.
Mail this form to:
Westminster Title / Compliance
250 Gibraltar Rd
1st Floor - West Wing
Horsham, PA 19044
