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Organization Detail
Company/Business name
Company Type
Is National
Physical Address
Address 1
Address 2
City
State
Zip Code
Billing Address

Same as physical address

Address 1
Address 2
City
State
Zip Code

Contact Details
First Name
Last Name
Work Phone
Extension
Other Phone
Fax Phone
Cell Phone
Do you have text messaging capability?
YesNo
Email
User Name

You can have a brief marketing description to reach all Solidifi's clients for future REO listings
Business Type
Agent/Broker
YesNo
Licensed/Certified Appraiser
YesNo
License Type
FHA Certified
YesNo
FHA License Number
Do you provide property condition Inspections?
YesNo
Business Diversity
Solidifi allows diverse-owned business to report their status through self-certification. If you business meets the criteria of being 51% owned, operated and controlled by an individual or individuals that fall into one or more of the categories listed, please complete this section of the application.

By checking this box I affirm that the diversity information below is to my knowledge accurate and complete. I also affirm that I am authorized to report this information on behalf of my firm. I understand that this information may be used by Solidifi and its affiliates as part of its reporting obligations, and that falsification of this information may adversly affect my firm's ability to do business with Solidifi.
Self-Certify Diversity Membership
 
Other Diversity Group
Gender
Ethnicity
Other Ethnicity
Ancillary Information
Designations and Memberships
Tax ID
Do you have E&O Insurance?
E&O Company
E&O Amount
E&O Expiration Date
Years of Experience
Years of REO Experience
Initial Date of Licensure
Please list all states in which you have ever held a real estate license
Have you ever had any disciplinary action relating to any active or inactive license? If yes, please upload any documentation you have below.
YesNo

Additional Documents
Please correct the following errors.
W9 Document
*Required
E & O Document
*Required
License Document
*Required
License Disciplinary Document



For support and assistance contact [email protected] or call (888) 999-6808. Copyright © 2017 Solidifi All rights reserved.
2.8.0.4

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