State Of Maryland Commissioner Of Financial Regulation
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1
2STATE OF MARYLAND
COMMISSIONER OF FINANCIAL REGULATION
AFFIDAVIT OF
Rev 6/2015
(Name of Mortgage Lender in All Capital Letters)
NMLS ID:
NOW COMES your affiant,
[name], and states that I am over eighteen years of
age and I am competent and authorized to testify hereto:
[company name]. Affiant’s office
1.
The affiant is a
[job title] for
. Affiant’s office phone number is
address is
;
2.
The affiant makes this statement of truth on behalf of
[company name], a
licensed Maryland mortgage lender (NMLS ID:
) under the Maryland Mortgage Lender Law
(“MMLL”) (Annotated Code of Maryland, Financial Institutions Article (“FI”) § 11-501 et seq.), and certifies
to the Maryland Commissioner of Financial Regulation (the “Commissioner”) that the information in this
affidavit is true and accurate;
[loan originator’s name], an applicant for
3.
Specifically, affiant affirms that
a mortgage loan originator license or a licensed Maryland mortgage loan originator (NMLS ID:
)
under the Maryland Mortgage Originator Law (“MMOL”) (Annotated Code of Maryland, FI § 11-601 et seq.),
is a W-2 employee of
[company name]. Affiant further affirms that
[loan originator’s name] will conduct mortgage origination activities on behalf of
[company name] at a licensed location of
[company name] as provided for under the
MMLL, and will originate loans only at said location(s) as prescribed for under the MMLL and the MMOL
and identified as registered locations on NMLS;
4.
Affiant certifies that it is the policy of
[company name] to immediately
notify the Commissioner of any changes to the facts stated herein;
Department of Labor, Licensing and Regulation
Larry Hogan
Kelly M. Schulz
Governor
Commissioner of Financial Regulation
Secretary
Boyd K. Rutherford
500 N. Calvert Street, Suite 402
Gordon M. Cooley
Lt. Governor
Baltimore, Maryland 21202-3651
Acting Commissioner
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