Mortgage Bankers Association of Puerto Rico

>English Version

MORTGAGE BANKERS ASSOCIATION OF PUERTO RICO
Membership Application

Name of Applicant:		Telephone:
Company:		Fax:
Email:
Type of Business:	Ej. Corporation, Partnership or Individual	Date Organized:

Approved Mortgage Banker by the Secretary of Treasury of P.R. License:
Date Approved:

Are you an:
FHA Approved Mortgagee?	FHA Num.	Date Approved:
VA Lender?	VA Num.	Date Approved:
Fannie Mae Seller / Service?	Num.	Date Approved:
Freddie Mac Seller / Service?	Num.	Date Approved:

Have you ever been denied approval of any of the above, or has your approval ever been suspended or terminated?
Yes No ( If yes, explain by letter)

NAMES OF OWNERS AND MANAGING OFFICER	POSITION	HOW LONG COMPANY	ACTIVE IN INDUSTRY	% OF OWNERSHIP

Individual (s) to receive MBA mailings:

Have any of your officers or the applicant ever been involved in bankruptcy, insolvency, made assignment for benefit of creditors, or been indicted for or changed publicly with fraud or misrepresentation? Yes No ( If yes, explain by letter )

Number of Branch Offices:		Location:
Other organizations you are affiliated:

MEMBERSHIP CLASSIFICATIONS AND ANNUAL DUES (choose one)

	Regular (mortgage banker with full licenses) - Dues as per origination and servicing volumes
	Associate (industry related firms and mortgage brokers) - $750.00
	Correspondent (individuals) - $500.00
The undersigned hereby applies for membership in the Mortgage Bankers Association of Puerto Rico and affirms that the applicant is in accord with and conducts its business in conformity with the purposes of the MBA Canons of Ethics and Standards of Practice.

Name of Applicant:
Title:
Reference:
Commentaries:
Please, send filled application with a $50.00 processing fee to: PO BOX 192097 San Juan Puerto Rico, 00919-2097.
AUTHORIZATION FOR INVETIGATION AND RELEASE OF INFORMATION The undersigned hereby authorizes the Mortgage Bankers Association of Puerto Rico (MBA of PR) to investigate the applicant, including but not limited to obtaining a credit report on the applicant, and authorizes Federal National Mortgage Association, Federal Home Loan Mortgage Corporation and/or Government National Mortgage Association to release mortgage related information to the MBA of PR in connection with our application for membership.

^^Go Up^^

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