Closing Vendor Application

* Indicates a required field (Please enter either a FedTaxId or SSN, not both)

General Information
*Name:
*Email Address:
ALL VENDORS MUST BE ABLE TO RECEIVE ALL ASSIGNMENTS AND STATUS UPDATES VIA EMAIL.
*Contact Name:
Street Address:	City:
State:	Zipcode:
Telephone Numbers
Office:	- -
Home:	- -
Pager:	- -
Cell:	- -
Fax:	- -
Other:	- -
*Can you accept a loan package via email?
Yes No
Qualifications
*Fed Tax ID:
*SSN:
*Are you currently carrying Errors & Omissions insurance on your work?
Yes No
If yes, with which company?
Amount of coverage:	$
Expiration Date (MM/DD/YY):
Activity Areas
Primary County:
Primary State:
List all counties where you feel qualified to complete work. Please note any city exclusions and list the zip codes if applicable:
Maximum Daily Orders
*Maximum daily orders you can accept from us:
Fee Schedule
Please indicate what fees you will charge Urban Settlement Services, Inc. for the following services:
*Witness Only Fee:	$
*Trip Fee:	$
*Notary Closing Fee:	$
Additional Fee Information: