BROKER REGISTRATION FORM
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: Mellon 1st Business 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:

Western Resources Title Company
Virtual Escrow Technology Department
625 The City Drive, Suite 150
Orange, California 92868
List Authorized Signers:
Name
List of Personnel to be trained on software:
Name
Name
Name
Name
Name
Name
Who is Your Title Representative and Title Company
Are you currently using Virtual Escrow? Yes No
If yes, who is your current Trust Account Bank?
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:

REQUEST A VIRTUAL ESCROW DEMONSTRATION FROM WESTER RESOURCES TITLE COMPANY
Company Name
Your Name
Street Address
City

State Zip Code

Phone E-mail.
 
REQUIRED DOCUMENTS FOR ALL ACCOUNTS
a. Brokers or CFL License
b. W-9 form
c. Copy of D.L. for each signer
Please email your Company Logo in a jpg format to: Western Resources Title
CONTACT WESTERN RESOURCES TITLE COMPANY
Kristen Hodges - Escrow Officer
Phone: 714-481-4949
Fax: 714-852-4095
Email: khodges@westernresourcestitle.com
 
ON-LINE DEMONSTRATION AND TRAINING SECTION
For use by authorized Virtual Escow personnel - contact Karen for a free Demonstration
 
Virtual Escrow (SM) is the Registered Service Mark of Virtual Escrow Title Technology Solutions, LLC, registration number 62954
Copyright 2000 - 2007, Virtual Escrow Title Technology Solutions, LLC.All Rights Reserved
www.virtualescrow.com