Online Reimbursement System Sign-up Form

Servicer Name: *

Seller/Servicer Number: * Designated Counsel please enter 0000 in the Seller/Servicer Number field.

Payee/Vendor Number: Enter the Freddie Mac-assigned 9-character identification number for your organization.

Primary Contact: *

Phone Number: *

E-mail: *

Mailing Address: * Enter the address to which Freddie Mac will send payments.

Address Line 2:

City: *

State: *

Zip: *

Tax ID Number: * Enter your 9-digit IRS-assigned ID number: XX-XXXXXXX or XXX-XX-XXXX

Tax ID Type: * Corporation
Sole Proprietorship
Partnership
Other

User Information

List the users who need access to the system.

User 1

User Name * (First and Last Name)

Phone Number *

Extension

User 2

User Name (First and Last Name)

Phone Number

Extension

User 3

User Name (First and Last Name)

Phone Number

Extension

User 4

User Name (First and Last Name)

Phone Number

Extension

User 5

User Name (First and Last Name)

Phone Number

Extension

Additional Information