Customer Contact & Property Verification

Customer Contact Verification

Please provide the contact information for the responsible billing party who should receive notifications regarding any activity recorded against the property held in trust. If you have more than one trust, please fill out the Customer Contact Verification separately for each customer number.

First Name or Business Name*

Middle Name

Last Name*

Email*

Primary Phone Type*

Primary Phone*

Secondary Phone Type

Secondary Phone

Customer Number*

Your customer number can be found on your statement

Property Verification

Please list the address/PIN for each property in your trust.

Property Street Address

City

State

ZIP code

County

PIN (Property Index Number)

Add Another Property

Additional Information

Please list contact information for any additional beneficiaries including mobile phone & email address and/or additional comments.

Comments