Real Estate Agents

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First Name *

Last Name *

Work Telephone *

Ext

Cell Phone *

Fax Number

Email *

Real Estate License Number *

License Expires *

License State *

Total Closed Transactions (past 12 months) *

Average Transaction Price ($)*

years (Full-Time) In Profession*

Currently working with any loanDepot Loan Officer(s)?*

Yes

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Agent Information

Upload MLS Sales History (xls, csv, png, jpeg or pdf) Note - Max file size 2MB

Please list any non-loanDepot Loan Officers you are currently working with:

First Name

Last Name

Company

Are you a Solo agent or do you work with a Team? *

Solo

Team

Brokerage / Broker Information

Brokerage / Company Name *

Brokerage Company Website *

Brokerage Street Address *

Suite #

Brokerage City *

State *

Zip Code *

Brokerage State License# *

Federal Employer Identification Number (FEIN#) *

Brokerage entity Type

Broker's First Name *

Broker's Last Name *

Work Telephone *

Ext

Cell Phone *

Fax Number

Broker Email *

Real Estate Agents

Join Our Network

Agent Information

Please list any non-loanDepot Loan Officers you are currently working with:

Brokerage / Broker Information

Enrollment Questions

Markets Covered

Any Additional Info to Better Support You?