California Residential Mortgage Lending Act Checklist Page 2
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3NMLS Unique ID Number:
_________________________________
Applicant Legal Name: ______________________________________
CALIFORNIA RESIDENTIAL MORTGAGE LENDING ACT
AMENDMENTS
FILED
NOT
IN
ATTACHED
ITEM
APPLICABLE
NMLS
LEGAL NAME CHANGE
ALL LICENSEES must provide an original Certificate of Good Standing
dated not more than sixty (60) days from the filing of this amendment
issued by the California Secretary of State
If the name of the licensee is an assumed name authorized by the
California Secretary of State, the forced name box must be checked.
If the licensee is a foreign entity, provide an original Certificate of Good
Standing dated not more than sixty (60) days from the filing of this
amendment issued by the Secretary of State of the state of incorporation
or formation.
A surety bond rider reflecting the new name. The name must be the same
as the name on file with the California Secretary of State. All signatures
must be notarized.
Customer Authorization for Disclosure of Financial
Records. The name
must be the same the name on file with the California Secretary of State.
The authorization must be signed by an individual named in the Direct
Owners and Executive Officers section of Form MU1. If executed outside
the State of California, the signature must be notarized.
OTHER TRADE NAMES
If the licensee uses one or more fictitious business names, a copy of the Fictitious
Business Name Statement bearing the seal of the County Clerk for each fictitious
business name to be used. Refer to Section 17000 of the Business and
Professions Code for the requirements of filing this statement. If the licensee uses
an assumed name, additional fictitious business names will not be authorized.
FORM MU2 FOR ANY CHANGE IN CONTROL PERSON OR OFFICERS,
DIRECTORS, TRUSTEES, MEMBERS, MANAGERS, ETC.
A change in any control person or a change in any officers, directors,
managers, members or principal officers, etc. must be reported as an
Amendment on the Company Form filing with a new Individual Form
submitted through the NMLS.
Notice of
Officers, Directors, Partners, “Control” Persons, Managers,
Members, Trustees and Employees of a Residential Mortgage Lender,
Residential Mortgage Lender and Servicer, or Residential Mortgage Loan
Servicer must be filed for each new control person.
A copy of the completed
Request for Livescan
for each individual. The
Request for Livescan must contain the information completed by the
Livescan Transmitting Agency. Please refer to the DBO website at
.pdf
for further information.
If the individual resides and works outside the State of California, a
fingerprint card and
Request for Exemption from Mandatory Electronic
Fingerprint Submission Requirement in lieu of the Request for Livescan
Updated: July 1, 2013
Page 2 of 3
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