I understand that any data or information provided by me as part of this survey may be used by Deloitte in connection with this survey, other studies, or analyses performed by Deloitte or in connection with services provided by Deloitte, or otherwise. I understand that this survey and the survey results are the proprietary property of Deloitte. I understand that any such data or information may be disclosed by Deloitte to related entities or other third parties, including, without limitation, in publications, in connection with this survey or such studies, analyses, or services, provided that such data or information does not contain any information that identifies me or associates me with the responses I have provided to this survey. I understand disclosure of such data or information may be required by law, in which case Deloitte will endeavor to notify me. 
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1. I agree
2. I disagree (If you do not agree with the above statements, you will not be able to participate in this survey)

Please answer question 1 before continuing.

As used in this survey, “Deloitte” means Deloitte LLP and its subsidiaries. Please see www.deloitte.com/us/about  for a detailed description of the legal structure of Deloitte LLP and its subsidiaries.

Please enter your full legal name:

If you don't have a middle name, please enter N/A.

First

Middle

Last

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Please read the full text before making your selection. You will receive a confirmation email after submitting the survey. Please only submit the survey one time unless correcting a previous submission. 

Are you a director, officer or greater than 17% beneficial owner of a for-profit entity?

- Please answer yes if you hold an executive position (i.e., Director, Officer, or any other position that affects/influences decision making) in a for-profit entity or in an organization that seeks to generate income for its owners or its employees (as opposed to a not-for-profit organization which is not dedicated to generating income or financial gain).  

- You may also answer yes if you have greater than 17% beneficial ownership in a for-profit entity.  A beneficial owner benefits from the investment directly themselves or is someone who enjoys the benefits of ownership.  

- Please answer no if you do not hold an executive position or have greater than 17% beneficial ownership in a for-profit entity.  Meaning, if you have 17% or less beneficial ownership in a for-profit entity, please answer no.  

1. Yes
2. No

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As you have answered "yes" to the above, please provide the legal name(s) of the entity(s) that caused you to answer "yes":

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If you are signing the contract with NMSI for these services as a legal entity (i.e., LLC, Inc., SCorp, etc.), what is the name of the legal entity?  

NOTE: If you are contracting with NMSI as a 1099 or as an individual, then you are not considered a legal entity for the purposes of this survey and can enter NA below. 

 A legal entity is usually an LLC, Inc., S Corp, etc. For Example: 

    - You may be a Notary and be contracted as a 1099/individual to NMSI.  You are NOT a legal entity.
OR
    - You may be an appraiser, own your own legal entity, and contract to NMSI through your legal entity.  You are NOT a 1099/individual.

Please answer question 16 before continuing.

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