Application Submission ChecklistApplication Submission Checklist • May 16th, 2018 • California
Contract Type FiledMay 16th, 2018 JurisdictionCompany Information Legal Name of Entity : Doing Business As : Street Address (No P.O. Box) : City: State: ZIP Code: Phone: Fax: Company E-mail: Contact Person: Contact E-mail: Type of Business: Sole Proprietor Corp. Partnership LLC LP Date Incorporated: County: State: Federal ID No: If no Federal ID #., Broker SSN: License/Approval Broker of Record : License # : Broker NMLS #: Date Issued: Company NMLS #: Expiration Date: If licensed approved by any of the following entities, the following information is required. FHA/HUD No.: Date Approved: Veterans Affairs No: Date Approved: Fannie Mae No: Date Approved: Freddie Mac No: Date Approved: Principal(s) / Senior Officer(s) / Manager(s) Name Title SSN # Percent Owned % % % % References: (List All FNMA/FHLMC Wholesale Lenders with Whom You Are Approved) Company Contact Person Email address Disciplinary Actions Does your company have an internal audit system to verify authenticity of the information