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Form Ml-7 - Branch Authorization Form - Kentucky Department Of Financial Institutions

Form ML-7

03/2015

Kentucky Department of Financial Institutions

1025 Capital Center Drive, Suite 200

Frankfort, Kentucky 40601

BRANCH AUTHORIZATION FORM

(To be completed by APPLICANT)

___________________________________________________ is applying for the

registration of one or more branch offices pursuant to The Mortgage Loan Company and

Loan Broker Act, Kentucky Revised Statutes Chapter 286.8 at the following location(s)

(please attach list, if necessary):

________________________________________________________________________

Applicant, hereby states, by and through its authorized representative, _____________

_________________________________________, that the licensed principal office

located

at:__________________________________________________________shall

be fully responsible for the control, management, supervision, and actions of the branch

referenced herein and its personnel. Control, management, and supervision shall include,

at a minimum, implementing adequate procedures and controls to ensure that the branch

is operating in a competent and lawful manner and conducting regular and ongoing

reviews of employee performance and of work performed by the branch.

Applicant further states that the principal office referenced herein shall be fully

responsible for communicating with the department on all licensing, examination, and

enforcement matters involving the branch office referenced herein and shall further

ensure that all branch personnel are adequately trained, supervised, and competent to

perform their assigned duties.

This the ___ day of __________, 20___.

_____________________________________

Authorized Representative of Applicant

Print Name:

Title:

Form Ml-7 - Branch Authorization Form - Kentucky Department Of Financial Institutions