LegacyTitleVictims

Legacy Title Investigation Questionnaire

If you have been directed to this questionnaire via an FBI communication, it is because you were involved in a real estate transaction between January 2021 to September 2023 in which Legacy Title served as the settlement company. As such, please answer the questions below to the best of your ability. Please do not include any documents or attachments at this time. Based on your responses, you may be contacted by the FBI and asked to provide additional information.

If you were involved in multiple real estate transactions in which closing costs were not dispersed, please complete a questionnaire for each transaction.

Contact Information

First Name

Middle Name

Last Name

Date of Birth

Year / Month / Day

Phone Number (no dashes, spaces, or parenthesis)

E-Mail Address

Address Line 1

Address Line 2

City

State

Country

ZIP/Postal Code

Questionnaire

1. What was the address of the property involved in your transaction?

2. Where you the buyer or seller of the in the transaction:

Buyer
Seller
Other

3. Please provide the settlement date of the real estate transaction in MM/DD/YYYY format:

4. Please provide the “File Number” of the real estate transaction: This can be found at the top of the Settlement Statement (HUD-1) and often begins with the letter “P” followed by seven numbers and two letters (EX: P1234567AB)

5. Please provide the purchase price of the property:

7. Did you file a claim with Fidelity National Title Insurance Company (“FNTIC”)?

Yes
No

7a. If yes, what amount of your financial loss (Question 6) was covered by FNTIC due to the filed claim?

8. Please provide any other information that you would like the FBI to know?

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Privacy Act Statement

The FBI is authorized to collect the information on this form by one or more of the following provisions: Title 28, United States Code, sections 533 and 534; Title 28, Code of Federal Regulations, section 0.85; and the Attorney General Guidelines for Victim and Witness Assistance. The information requested will assist the FBI in providing you with assistance to which crime victims are entitled under federal law. You do not have to provide the requested information; however, failure to do so may hinder the FBI in providing you with crime victim assistance. The information collected on this form is protected by the Privacy Act of 1974, as amended, Title 5, United States Code section 552a, and is maintained in the FBI’s Central Records System, DOJ/FBI-002, a description of which was published in the Federal Register at 63 Fed. Reg. 8671 (Feb. 20, 1998) and which may be viewed at www.justice.gov/opcl/doj-systems-records#doj

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