Free Property Profile Request The undersigned is an owner of the Illinois property located at

The undersigned by filling out this form is requesting a free property profile from Citywide Title Corporation to assist the undersigned in the sale of their property. There is no obligation associated with filling out this form to pay any fee or to use Citywide Title Corporation to perform title or escrow services or any other real

(Street Address)

(City) (Zip Code)

Homeowner:

The undersigned hereby authorizes Citywide Title Corporation to sendthe requested free property profile to one (1) or more of the following:

(Name) (E-Mail)

(Name) (E-Mail)

Email

(Name) (Number)

(Name) (Number)

Fax

(Name)

(City, State, Zip)

(Address)

(Date)(Signature)

(Name)

(City, State, Zip)

(Address)

Address

(Printed Name)

Send completed and signed form to:Citywide Title Corporation Fax: 312-775-1890

Email: propertyprofile@citywidetitle.com