Instructions/application/personal Certification-State Of New Jersey Form printable pdf download

Instructions/application/personal Certification-State Of New Jersey Form

HIGH-COST HOME LOAN

CREDIT COUNSELING AGENCY

REGISTRATION INSTRUCTIONS

All REGISTRATION forms submitted to this office must be complete and include all fees, documents, and

attachments. Any incomplete registration will not be accepted and will be returned in its entirety.

1. Type or print clearly all answers. Do not leave any questions unanswered. If a question is

not applicable or the answer is none, please type or print N/A or NONE.

2. Insert on line #1, the complete name of the entity exactly as it appears on your incorporation

papers.

3. Submit a copy of your Certificate of Incorporation bearing the dated filing

Stamp of the state in which you were incorporated. Foreign (out-of-state) entities must

attach a copy of their Certificate of Authority to do Business in New Jersey bearing the dated

filing stamp of the State of New Jersey Division of Revenue.

4. Submit a copy of the registration of any alternate name bearing the dated filing stamp of the

State of New Jersey if the entity uses a “doing business as/alternate name”. If such name is

used, it must be included on the line provided for D/B/A name.

5. Sign and date the registration form. Signatures must be those of the corporate president and

secretary and must be witnessed by a notary public or attorney.

6. Submit an unqualified financial statement prepared by a Certified Public Accountant (CPA)

or a Public Accountant (PA) demonstrating the financial condition of the corporation.

7. Submit a copy of the annual report of the nonprofit corporation filed with the New Jersey

Division of Revenue; or an equivalent report for non-New Jersey corporations.

8. Submit a copy of the corporate applicant’s balance sheet and profit and loss statement for the

fiscal year immediately preceding the filing of the application, if available.

9. Submit a copy of the applicant’s current HUD Certificate of Approval as a Housing

Counseling Agency and a certified statement affirming that, as of the date of the application,

the applicant’s approval by HUD as a Housing Counseling Agency remains in full force and

effect.

10. Submit a Personal Certification completed by each officer, director, trustee or member of an

advisory or similar committee.

11. Submit a company check or money order made payable to: Treasurer, State of New Jersey

in the amount of $100 to cover the non-refundable application fee for each location to be

registered.

Revised HCHLCCA3/08

Instructions/application/personal Certification-State Of New Jersey Form