Email *	Confirm Email *
Password (Case Sensitive) *	Confirm Password (Case Sensitive) *

Correspondence Preference

Email Letter Email and Letter

Lender/Servicer/Lien Holder *

First Name *	Last Name *

Street *	Suite/Apt/Unit

City *	State/Province *	Postal Code *	Country *

Phone *	Ext	Facsimile

The information contained on this form is subject to the provisions of the Colorado Open Records Act.

I hereby acknowledge that I am acting on behalf of the lender or beneficiary of the deed of trust on the property being registered. I further acknowledge the lender or beneficiary of said deed of trust has authorized me to act on their behalf, and that I shall be responsible for all communications regarding the property. I shall also be responsible for correcting all maintenance issues related to the property.

I agree to the above statement