report of the commissioner to study - Maryland Insurance ...

Appendix 2QUESTION # 2Schedule ADefalcation InformationIf you require additional space to list the defalcation-related information, please use a separate sheet ofpaper and attach it to this Survey.StateName of person orentity responsiblefor the defalcationDollar amountof thedefalcationDollar amountpaid by thistitle insurer inresponse tothe defalcationDid this title insurerfile a claim againstthe surety bond of theperson or entityresponsible for thedefalcation? (Y/N) If“Y”, amount paid.Did this title insurerfile a claim againstits insurance policy?(Y/N) If “Y”, amountpaid.Did this title insurer filea claim against itsreinsurance policy?(Y/N)If ”Y”, amount paid.$ $ ____ Yes ____ No$$ $ ____ Yes ____ No$$ $ ____ Yes ____ No$$ $ ____ Yes ____ No$$ $ ____ Yes ____ No$$ $ ____ Yes ____ No$$ $ ____ Yes ____ No$$ $ ____ Yes ____ No$$ $ ____ Yes ____ No$$ $ ____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$____ Yes ____ No$