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District of Columbia Loan OriginatorLicense Number DisclosureBorrowers: FORMTEXT ?????Date: FORMTEXT ?????Property Address: FORMTEXT ?????You have either applied for a mortgage or have paid a fee in conjunction with your application for a mortgage. The mortgage loan originator’s license number is: Mortgage Lender/Mortgage Broker: FORMTEXT ????? Loan Originator: FORMTEXT ?????License Number: FORMTEXT ?????NMLS ID Number: FORMTEXT ?????AcknowledgementThe Borrower(s) and Co-Borrower(s) signatures below, acknowledge they have read and have received a copy.BorrowerDateCo-BorrowerDateCo-BorrowerDateCo-BorrowerDatePurusant to District of Columbia Mun. Regs.tit. 26C, §1103.1 ................
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