Www.thelender.com



Broker Renewal FormRENEWAL DOCUMENTATION CHECKLIST FORMCHECKBOX Recertification Questionnaire FORMCHECKBOX Letters of Explanation (if YES answers to any questions) FORMCHECKBOX E & O Fidelity Bond: Please provide copy of current declaration pages (If applicable) FORMCHECKBOX W9 FORMCHECKBOX Resumes if applicable (if answered yes to question #2) FORMCHECKBOX Most recent QC Policy FORMCHECKBOX Financials: Balance sheet with accompanying profit and loss statement, signed by a principal of the company. (These statements must be dated within the last 90 days)Please note: After this review we may request additional information.Please return this completed form to one of the following:EmailBrokerRenewal@MailPacific Union Financial, LLC, dba theLenderAttn: Broker Approval Department 675 Anton BlvdCosta Mesa, CA 92626I. CURRENT INFORMATIONDate: FORMTEXT ?????AE Name: FORMTEXT ?????Broker Name: FORMTEXT ?????Broker Address: FORMTEXT ?????Telephone Number: FORMTEXT ?????Federal Tax ID#: FORMTEXT ?????Broker ID#: FORMTEXT ?????II. CHANGED INFORMATION Has any information changed with your company?Company Structure: (Example: sole proprietor to Corporation.) FORMTEXT ?????Broker of Record: FORMTEXT ?????New EIN #: FORMTEXT ?????NMLS ID#: FORMTEXT ?????Ownership Changes: (If yes provide new Auth. form, updated articles and Letter of Explanation.) FORMTEXT ?????Please list Branch NMLS ID’s that need to be renewed: FORMTEXT ?????III. AFFILIATIONS ? YES ? NO If Yes, please complete the following:AffiliationAddress% OwnershipNature of Business FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????IV. TOP 3 INVESTORSLender NameContact PersonPhone NumberDate ApprovedProduct Type FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????V. WAREHOUSE BANKING RELATIONSHIPSNameContact PersonPhone NumberLine AmountInception DateNext Renewal DateIf Applicable, Amt. of Cash Pledged to Support Line FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Please attach a separate sheet if more space is required.VI. PRODUCTION INFORMATION Include Production Information for the past 12 MonthsProductDollarsUnitsConventional FORMTEXT ????? FORMTEXT ?????FHA FORMTEXT ????? FORMTEXT ?????VA FORMTEXT ????? FORMTEXT ?????USDA FORMTEXT ????? FORMTEXT ?????Jumbo FORMTEXT ????? FORMTEXT ?????Other FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Total: FORMTEXT ????? FORMTEXT ?????Volume percentage in the last 12 months for: Purchase Transaction __ FORMTEXT ????? %? Refinance Transaction_ FORMTEXT ????? %VII. HOW MAY WE SERVE YOU BETTER? Please list any questions, concerns, suggestions or comments FORMTEXT ?????VIII. QUESTIONS Please attach an explanation for all YES responsesHave there been changes in the corporate ownership structure or corporate parent during the past year? If Yes, provide supporting documents. FORMCHECKBOX YES FORMCHECKBOX NOHave there been any key management or principal changes in the past year? If YES, please provide supporting documents, such as resumes, organizational chart, etc. FORMCHECKBOX YES FORMCHECKBOX NOHas your company been requested to repurchase or indemnify a loan by any of your lenders or government agencies in the past year? If yes, please explain and provide a breakdown amount and status in the table below: FORMCHECKBOX YES FORMCHECKBOX NOWas your company subject to suspension, termination, consent order, cease and desist or other written agreement or sanctions by any investor, agency, mortgage insurance company or State or Federal regulator during the past year? FORMCHECKBOX YES FORMCHECKBOX NOHas your company and/or principals or corporate officers, brokers or loan officers been named as a defendant in a lawsuit in the past year? If yes, explain and provide the status of the lawsuit. FORMCHECKBOX YES FORMCHECKBOX NOHas your company and/or principals or corporate officers, brokers or loan officers had a license suspended, revoked or received disciplinary action in the past year? If yes, please explain. FORMCHECKBOX YES FORMCHECKBOX NOHas your company and/or principals or corporate officers, brokers or loan officers filed for protection from creditors under any provision of the bankruptcy laws within the past year? FORMCHECKBOX YES FORMCHECKBOX NOIs your company and/or principals or corporate officers, brokers or loan officers currently subject to any supervisory and/or enforcement action by any state or federal regulators? FORMCHECKBOX YES FORMCHECKBOX NOHas your company had any substantial adverse audit findings noted during any investor, lender, Agency or regulator audit in the past year? FORMCHECKBOX YES FORMCHECKBOX NOHas your company and/or principals or corporate officers, brokers or loan officers ever been denied, suspended or disqualified from brokering, selling or servicing mortgages, or included on an exclusionary list, by any lender, investor, agency or private mortgage insurer in the last twelve months? FORMCHECKBOX YES FORMCHECKBOX NOIs your company in the process of being merged or acquired? If yes, please provide available details and documents. FORMCHECKBOX YES FORMCHECKBOX NOAre there any contingent liabilities not shown in the financial statement? If yes, please explain. FORMCHECKBOX YES FORMCHECKBOX NOHas your company and/or principals or corporate officers, brokers or loan officers been convicted of a felony or crime (excluding traffic violations)? FORMCHECKBOX YES FORMCHECKBOX NOHas your company had a name change during the previous twelve (12) months? If yes, please provide an explanation. FORMCHECKBOX YES FORMCHECKBOX NOHas your company, and/or principals or corporate officers, brokers or loan officers been named as a defendant in a lawsuit for alleged fraud or misrepresentation in connection with any real estate-related activity? If yes, please provide a detailed explanation. FORMCHECKBOX YES FORMCHECKBOX NOHas your company, and/or principals or corporate officers, brokers or loan officers been named as a defendant in a criminal proceeding/complaint/conviction for alleged fraud or misrepresentation in connection with any real estate-related activity? If yes, please provide a detailed explanation. FORMCHECKBOX YES FORMCHECKBOX NOHas your company received any substantial adverse findings from HUD or VA? If yes, please provide a detailed explanation. FORMCHECKBOX YES FORMCHECKBOX NOIX. AUTHORIZATION AND CERTIFICATIONThe Applicant and the undersigned certify that (i) the undersigned is duly authorized to provide the information requested in this application to Pacific Union Financial, dba theLender; (ii) Pacific Union Financial, dba theLender is authorized by the Applicant to verify any information obtained in connection with this application with any third party or source; (iii) the Applicant will, at all times before or after the execution of any contract or agreement, act as an independent contractor and, at no time, represent that the Applicant is acting as agent for or on behalf of Pacific Union Financial, dba theLender; (iv) the Applicant is qualified to do business and is properly licensed or registered as a mortgage banker or lender in all jurisdictions in which the Applicant originates or services loans, or is exempt under applicable law from such qualifications; (v) the Applicant is duly organized under the laws of the state of its organization and has all requisite corporate power, authority and capacity to enter into a contractual agreement; (vi) all information, whether written or verbal, provided by the Applicant to Pacific Union Financial, dba theLender in connection with this application is true, correct and complete; and (vii) Pacific Union Financial, dba theLender is authorized to disclose any information obtained in connection with this application to any affiliate of Pacific Union Financial, dba theLender; and (viii) the Applicant certifies that all loans submitted for purchase to Pacific Union Financial, dba theLender will be closed properly according to all federal, state, local, and regulatory requirements.The undersigned and the Applicant each agree to update the information provided to Pacific Union Financial, dba theLender in connection with this application in the event that any information provided to Pacific Union Financial, dba theLender in connection herewith changes in any respect.? The Applicant agrees to indemnify and hold Pacific Union Financial, dba theLender harmless from and against any and all liabilities, damages, costs and claims resulting directly or indirectly from Pacific Union Financial, dba theLender's reliance upon, use of, or verification of all such information.The undersigned and the Applicant each understand that (i) Pacific Union Financial, dba theLender may now and at any time in the future, obtain verification of any information contained herein from any available source (including obtaining credit reports) with respect to the entity and each individual named herein; (ii) any misrepresentation contained in this application and/or any attachment or enclosure is grounds for disqualification or suspension of the Applicant; (iii) Pacific Union Financial, dba theLender has the right among other remedies to demand immediate payment of amounts due Pacific Union Financial, dba theLender if, at any time, any of the information set forth herein is not true, correct and complete; (iv) approval will be conditioned upon receipt of all information and forms as outlined in this application and/or any attachments or enclosures. The undersigned hereby authorizes Pacific Union Financial, LLC, dba theLender to obtain verification of the information disclosed from any named source and authorizes Pacific Union Financial, LLC, dba theLender to obtain information it may deem necessary about the Applicant and its principal(s) from any source including any investor, governmental agency or authority, credit bureau or reporting agency, MI company, Mortgage Asset Research Institute, Inc. (MARI), or any other entity.Working Contact ListBroker Name: FORMTEXT ?????Primary ContactNameTitlePhoneE-MailNMLS IDDistribution Lists?Primary Contact FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Rate Sheet FORMCHECKBOX Bulletins/Updates3Broker of Record FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Rate Sheet FORMCHECKBOX Bulletins/Updates3Corporate Officer FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Rate Sheet FORMCHECKBOX Bulletins/Updates3Corporate Officer FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Rate Sheet FORMCHECKBOX Bulletins/Updates3Self-Administrators1 FORMCHECKBOX Authorized to Administer Users FORMCHECKBOX Authorized to Approved User Access FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Rate Sheet FORMCHECKBOX Bulletins/Updates3Self-Administrators1 FORMCHECKBOX Authorized to Administer Users FORMCHECKBOX Authorized to Approved User Access FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Rate Sheet FORMCHECKBOX Bulletins/Updates3Branch Manager FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Rate Sheet FORMCHECKBOX Bulletins/Updates3Other: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Rate Sheet FORMCHECKBOX Bulletins/Updates3Other: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Rate Sheet FORMCHECKBOX Bulletins/Updates3Other: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Rate Sheet FORMCHECKBOX Bulletins/Updates31 – Self-Administrators are the individuals who have the authority to administer and/or approve your personnel’s individual access to Pacific Union Financial, dba theLender’s web sites and tools. By signing below, I hereby certify that the above individuals are authorized to approve / administer user accounts with Pacific Union Financial, LLC, dba theLender on behalf of the Broker and that such individuals have been advised of the responsibilities associated with such activities.2 – Check the boxes for the distribution list(s) each individual should be added to. If they do not need to be added to any distribution lists, do not check any boxes.3 – Bulletins/Updates include any alerts, letters or other communications specific to product, policy, web site or any other general communication issued by Pacific Union Financial, dba theLender. 4 – I hereby certify that the above individuals are authorized to register and or lock loans with Pacific Union Financial, LLC, dba theLender on behalf of the Broker.___________________________Officer Signature Title___________________________Printed NameDate ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download