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Account - List Reports - APPROVAL NEEDED
Account Type
*
Individual (1 user) - $125/month
Branch (3-5 users) - $299/month
Branch (6-10 users) - $499/month
How many users do you want to sign up?
2
3
4
5
How many users do you want to sign up?
6
7
8
9
10
I am aware that it's $125/month to sign up for ListReports.
*
Yes
I am aware that it's $299/month to sign my branch up for ListReports.
*
Yes
I am aware that it's $499/month to sign my branch up for ListReports.
*
Yes
Do you have current account that needs transferred?
*
Yes
No
Loan Officer Info
Name
*
First
Last
*
Last
NMLS
*
Official AFN Title
*
Email
*
Phone Number
*
Loan Officer #2 Info
Name
*
First
Last
*
Last
Email
*
Phone Number
*
NMLS
*
Loan Officer #3 Info
Name
*
First
Last
*
Last
Email
*
Phone Number
*
NMLS
*
Loan Officer #4 Info
Name
*
First
Last
*
Last
Email
*
Phone Number
*
NMLS
*
Loan Officer #5 Info
Name
*
First
Last
*
Last
Email
*
Phone Number
*
NMLS
*
Loan Officer #6 Info
Name
*
First
Last
*
Last
Email
*
Phone Number
*
NMLS
*
Loan Officer #7 Info
Name
*
First
Last
*
Last
Email
*
Phone Number
*
NMLS
*
Loan Officer #8 Info
Name
*
First
Last
*
Last
Email
*
Phone Number
*
NMLS
*
Loan Officer #9 Info
Name
*
First
Last
*
Last
Email
*
Phone Number
*
NMLS
*
Loan Officer #10 Info
Name
*
First
Last
*
Last
Email
*
Phone Number
*
Title
*
NMLS
*
Branch Info
Branch Code and Branch Name
*
Branch Address Line 1
*
Branch Address Line 2
Branch City
*
Branch State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Branch Zip Code
*
Text
Email
If you are human, leave this field blank.
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