A Full Service Nationwide Eviction and
Property Preservation Company
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Fields marked with Asterisk (*) are Mandatory
Login Information
Username*
Password*
Reconfirm password*
 
Main Information
Company Name*
Contact Person#1*
Contact Person#2
Address*
Mailing address if different Checked if it is same as address.
Phone Number*
Fax Number*
Email Address*
Other Email Address
Cell Phone Number for Contact Person#1*
Cell Phone Number for Contact Person#2
Tax ID # or SS #*
Years in Business
How did hear about REO Allegiance?
Have you ever done work for REO Allegiance in the past?
 Yes   No
 
Territory Covered (Select at least one state and county.)
States Counties Selected Counties Comments
 
Contractor Insurance Information
Insurance Company Name Insurance Agent Name
Phone Number Policy Number
Insurance expiration date Upload Certificate
  Calendar
 
Services Provided (must choose atleast one.)
Property Preservation (complete) Evictions
Inspections Property Preservation (specific services only)
Services:
Comments
 
W-9 Form
Name (as shown on your income tax return)*
Business Name, if different from above
Check appropriate box (Please select atleast one)
 Individual/Sole proprietor  Corporation  Partnership Other
 Exempt from backup withholding
Address (number, street, and apt. or suite no.)*
City
State
Zip
Social security number
  OR
Employer identification number
Certification
Under penalties of perjury, I certify that:
  1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
  2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and
  3. I am a U.S. person (including a U.S. resident alien).
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN. (See the instructions on page 4 in "View Instruction".)
Sign*
View Instructions
I have read and accept the guidelines. Click Here to view/print guideline.
Sign*
 
 
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