Servicing Technology Tools Sign Up Form

1. Company Information

Company
Name *

Seller/Servicer Family Number *

Tax County *

Additional Servicer Family Numbers Please indicate any additional Servicer Family Numbers you require access to (Please separate each Servicer Number with a comma):

2. Contact Information

Point of Contact

Name *

Title *

Address *

Address 2

City *

State * Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam 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 Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming

Zip *

Phone *

Fax *

E-mail *

Authorization * Is the above person authorizing the application?
Yes
No Please provide the authorization information below.

Submitter * Is the above person submitting this order?
Yes
No Please provide the submitter information below.

3. User Access Information

Note: This application is available only to staff actively engaged in loss mitigation activities. All fields are required.

Action	User Name	PIN	E-Mail
	(First Name, MI, Last Name)	(birthday - mm/dd)
Add   Delete
Add   Delete
Add   Delete
Add   Delete
Add   Delete
Add   Delete
Add   Delete
Add   Delete
Add   Delete
Add   Delete

Comments/ Questions Please provide any additional comments or questions below.

Submission and approval of this form will provide the users listed with access to the following Mortgage Servicing Products: Default Reporting Manager ^SM, Expense Manager ^SM, Incentive Manager, Investor Accounting Manager ^SM, Servicer Performance Profile, Remedy Manager, REO Manager®, Timeline Manager ^SM, Workout Manager® and secured training materials in the Learning Center.

Please make sure that you print a copy of this form for your records. We'll send User IDs and passwords to you in a Welcome Package. If you have any questions once you receive it, please contact your Servicer Account Manager or (800) FREDDIE.

Thank you.