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Broker Information
Company Name
Street Address
City
State and Zip Code
Main Contact Person
Broker Name
Business Phone
Fax Number
Brokers Email Address
Contacts Email Address
Banking Information
List all people authorized to sign checks (Copy of signers drivers license is required)
Title Company Information
Name of Title Company
Name of Title Rep.
User Information
List the full names of all personnel to be trained on software
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*Real Estate Brokers as well as California Financial Lenders, Banks, Savings and Loans, Insurance Companies and Credit Unions qualify to perform an escrow on any transaction they are a party to. Copyright, Virtual Escrow-Title Technology Solutions, LLC, All rights reserved