Investor Registration Form

Investor Registration and Qualification

Please complete the Registration and Qualification Form below. Once the qualification is complete and approved, credentials will be provided to access the FDIC Loan Sale Website. If you already have an Account, click to sign in.

Company:	Business Unit:

Entity Type:	Principal	If Broker, register principal:
	Broker

First Name:

Middle Name:

Last Name:

Title:

US AddressInternational Address

Address1:	Address2:	City:	State:	Zip Code:

Address 1:	Address 2:	City\Town\County:	State\Province\Region:	Postal Code:	Country:

Phone No:	Phone Extension:	Fax Number:

Company Website:

e.g.http://www.mywebsite.com or www.mywebsite.com

Federal Tax ID:

e.g.00-0000000

State of Incorporation:

Email:

Qualification:

To participate in FDIC online loan sales, an investor must satisfy one of the following criteria:

Insured Financial Institution

State or Government Agency

Entity that has purchased a loan/loan pool from the FDIC or through an FDIC contractor.

Please list deals below:

Entity that has conducted on-site hard-copy due diligence at least twice

Please list deals below:

In absence of any of the above, investor must provide two references to verify that investor has purchased loans/loan pools in the secondary market.

If so, please complete the following References section.

References - Loans Purchased #1 :

Seller or Loan Sale Advisor:

Seller / Advisor Contact Info:

Name:

Phone Number:

Email:

Loan or Portfolio Size:

Closing Date:

Type of Loan(s):

References - Loans Purchased #2 :

Seller or Loan Sale Advisor:

Seller/Advisor Contact Info:

Name:

Phone Number:

Email:

Loan or Portfolio Size:

Closing Date:

Type of Loan(s):

References - Bank :

Bank Reference:

Years banking with this institution:

Contact Info:

Name:

Phone Number:

Email:

Comments:

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