Chicago Title NCS Chicago: SYFCREC 2021

National Commercial Services | Chicago 10 S. LaSalle Street, Suite 3100 │ Chicago, IL 60603 phone: 312.223.4NCS │ fax: 312.223.5888 8. That, I/we am/are the purchaser(s) or mortgagor(s) of land improved with a residential dwelling not exceeding four units, and no current survey or mortgagee’s inspection report has been furnished to or is available to me/us. [DELETE STATEMENT IF NOT APPLICABLE.] The undersigned makes the above statement for the purpose of inducing Chicago Title Insurance Company to issue its owners or loan policy pursuant to the above commitment. Seller or Owner Purchaser ___________________________________________ (Seal) _______________________________________ (Seal) ___________________________________________ (Seal) _______________________________________ (Seal) Subscribed and sworn to before me this Subscribed and sworn to before me this ____________day of ________,20 ____. ______________ day of ______, 20___. ___________________________________ ______________________________ Notary Public Notary Public LENDER’S DISBURSEMENT STATEMENT The undersigned hereby certifies that the proceeds of the loan secured by the mortgage to be insured under the loan policy to be issued pursuant to the above commitment were fully disbursed to or on the order of the mortgagor on ___________________________________________________. You are hereby authorized to date down the above Commitment to cover the date of said disbursement. __________________________________________ _______________________________________ dated Signature 35

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