Company Information:
 
     
Company Name
Your Name: .
Address
City
State..
Zip Code
Business Phone:
Business Fax:
Business Email:
Broker of Record:
Broker Phone:
     
Banking Information:
 
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 the address below.
Mail attention to:  

Stewart Title Company
Virtual Escrow Technology Department
3403 Tenth Street, 4th floor
Riverside, California 92501
   
List Authorized Signers:  
Name Name Name
 
List of Personnel to be trained on software:  
     
Name: Name: Name:
Name: Name: Name:
Name: Name: Name:
Are you currently using Virtual Escrow? Yes, No If yes, what Trust Account Bank are you currently using?

If yes, do you require additional Virtual training? Yes, No
Enter Your Title Representative:  

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: