According to regulations, the Authorization to Release Information form cannot be signed digitally. The form below is fillable online with the exception of the signature line, which must signed by the borrower/seller. This is the only exception to Landmark Title Agency’s forms on this website.

Steps to complete Authorization to Release Information form:

  1. Complete the digitally fillable sections of form
  2. Print a hardcopy
  3. Mail, hand carry or fax to our office. The fax number is 937.432.6075.

Thank you for your cooperation.

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