Eligibility Determination Application Form-Confirmation Authorization

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TEXAS DEPARTMENT OF SAVINGS AND MORTGAGE LENDING
2601 North Lamar, Suite 201, Austin, Texas 78705
Office: (512) 475-1350 Fax: (512) 475-1360
E-mail: LICENSING@sml.texas.gov
ELIGIBILITY DETERMINATION
APPLICATION PACKAGE
READ CAREFULLY BEFORE YOU FILL OUT APPLICATION
Pursuant to 7 Texas Administrative Code §81.103 an individual considering applying for an originator license may request
a criminal history evaluation letter regarding the person's eligibility for a license, as defined in Occupations Code, Chapter
53, Subchapter D. The request must be made on a form promulgated by the Department and include all pertinent court
documentation including certified copies of all judgments and orders, and an explanation of the circumstances and events
of the criminal action that led to the conviction or sentence, and the basis for the person's potential ineligibility. The fee
for this process is $75 per request. Upon receipt of the request, the Department will investigate the information provided
by the individual to determine if there are grounds for ineligibility; and notify the individual as to the Department's
determination within 90 days of receipt of the individual's request.
The application must be typed or legibly printed and accompanied by all necessary supporting documentation and
applicable fees before processing can begin. Incomplete applications will add significant delay to the process.
Only original signatures will be accepted.
Fees are non-refundable and non-transferable. The check or money order for the processing fee of $75.00 should be
made payable to: Texas Department of Savings and Mortgage Lending.
If there is a document that establishes something that you are listing in the application, attach a copy. If in doubt,
attach a copy. All documents pertaining to criminal convictions or sentences must be certified from the court that had
jurisdiction over your case.
To be fully aware of the law and regulation on Residential Mortgage Loan Originators, carefully review Texas
Finance Code, Chapters 156, 157, and 180, as applicable, and their implementing regulation. These are available on
our website at:
Be certain your application is complete and properly signed.
It is important to provide current and accurate contact information on where you can be emailed or faxed regarding
any questions we have of you. Applications not completed within 90 days from date of receipt for failure to respond
to any request for additional information will result in a cancelled application. No extension to the expiration date is
allowed, regardless of the circumstances.
Mail application and $75 payment to: Texas Department of Savings and Mortgage Lending
Licensing Section
2601 North Lamar Blvd., Ste. 201
Austin, Texas 78705
Revised 9/1/2013

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