Broker Registration Form - American Coast Title

     
Company name Street Address
City State
Zip Code Your Name
Business Phone Fax Number
Email Address Brokers Name
Brokers Phone Fed. Tax ID No.
       

Banking Information:

Comerica Bank is authorized and directed to mail all banking information on this account including but not limited to our monthly bank statements, canceled checks, analysis and returned items to:

       
American Coast Title Company    
Virtual Escrow Technology Department    
1119 Glenoaks    
Glendale, California 91202    
       
List Authorized Signers:
Name
COPIES OF DRIVERS LICENSES ARE REQUIRED FOR ALL AUTHORIZED SIGNERS
       
List of Personnel to be trained on software:
Name Name
Name Name
Name Name
       
Who is Your Title Representative
 
       
Are you currently using Virtual Escrow? Yes No
If yes, what Trust Account Bank are you currently using?  
If yes, do you require additional training? Yes No
       

The Virtual Escrow system contains proprietary data licensed from Lane Guide. The license agreement with Lane Guide requires that each subscribing broker office (physical address) be a licensed user of Lane Guide. At the time of application your information will be forwarded to Lane Guide. After you have closed your first escrow using Virtual Escrow Technology, your broker code will be submitted as an active broker and you will receive a Lane Guide CD-ROM. directly from Lane Guide. This CD-ROM contains all lender data nationwide, including wholesale lender search capabilities. We recommend you install this CD as a reference to locate additional lenders not found in the Virtual Escrow system.

Please be advised that subsequent annual renewals will be billed to you directly from Lane Guide. Failure to maintain your Lane Guide subscription (license) may result in discontinuance or limited access to the Virtual Escrow software or systems.

If you are already a current (paid) Lane Guide subscriber, please indicate yourSubscriber No. Here: