Employment Verification Form
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12601 N Lamar Blvd
Phone: 512-936-7605
Austin TX 78705
Fax: 512-936-7610
occc.texas.gov
EMPLOYMENT VERIFICATION FORM
To be
completed
by the mortgage loan originator's
employer
MLO's NMLS Unique ID Number
:
MLO Applicant's Full Legal Name: __________
I, ________________________________ hereby certify to the best of my
(Name of certifying officer)
and belief, that : ___________
knowledge, information
,
(Name of applicant)
Is a bona fide W-2 employee
OR
Is an exclusive
agent
(Select only one)
Of
______________________________________________________________________
(Legal
name
of
company
or organization)
OCCC)
(Company
or
organization Address as on file with
_______________________________
Company or Organization OCCC
License/Registration #:
Furthermore, I certify that the employer:
Holds a Texas Regulated Loan License
Has
a
pending
application
for a Texas Regulated Loan License
Holds a Texas Property Tax Loan License
Has a pending
application
for
a
Texas Property Tax Loan License
Is registered under Chapter 347 of the Texas Finance Code for manufactured home credit transactions
Has filed
for
Chapter 347 registration, but has not received a registration receipt
The undersigned affirms
that all
answers on
the Employment Verification Form
are
true
and
complete.
Signature
Date
Print Name
Tit
le
ADM 98
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