NC Mortgage Lending Licensing & Compliance Forms

NOTE: The downloadable forms listed below are in Adobe Acrobat "PDF" format unless otherwise indicated. You may "fill in fields and save your data" in the following electronic forms using Adobe Reader 7 or 8. Click here to download the free Adobe Reader 8.

**Please visit the NMLS website to submit MU1, MU2, MU3, and MU4 filings as well as to update information.**

**Mortgage Lending Licensing & Compliance Forms**
Additional Information
Uniform Individual Mortgage Application & Consent Form	MU4	$97.50(including $30 NMLS fee) (+46.00 for Criminal Background/ Credit Check for a total of $113.50)	Loan Officers	Obtain or amend license as a Mortgage Loan Officer, permitting the licensee to accept, or offer to accept, mortgage loan applications for North Carolina real estate. Update personal information on file with the Commissioner, to include change of name, address, phone number, e-mail address or employment.
Authority For Release of Information Form	MLA01	$0	Loan Officers Owners, Directors, etc.	To give authorization to perform a fingerprint search of the State and Federal criminal history record.
Mortgage Broker Surety Bond	MLA02	NA	Mortgage Brokers	Establish and maintain financial responsibility as a Licensee.
Mortgage Lender Surety Bond	MLA03	NA	Mortgage Lenders	Establish and maintain financial responsibility as a licensee.
Claim of Exemption to the Mortgage Lending Act	MLA04	$0 ($250/year penalty for non-filing)	Mortgage Lenders and Brokers exempt from licensure (primarily banks and credit unions)	Satisfy claim for exemption from licensure without incurring penalties of $250/year. Note: Individuals employed as Loan Officers of exempt entities are not required to be licensed nor to file to claim their exempt status.
Provider of Education Course Application No courses will be accepted after April 30 for a current fiscal year (July 1-June 30).	MLA05	$250	Education Providers	Obtain approval to offer a course to Loan Officer applicants and licensees to meet initial licensing or continuing education requirements. A form must be filed for each course, which may be offered multiple times from July 1 through June 30, whereafter approval for each course must be renewed.
Renewal Application For Course Approval	MLA06	$100	Education Providers	Obtain approval to renew an approved course for initial licensing or continuing education. A form must be filed for each course, which can be offered multiple times from July 1 through June 30.
Mortgage Lender/Broker Certification	MLA07	$0	Mortgage Lenders Mortgage Brokers	Attachment for loan officer application when the individual has within the six-month period prior to the date of the application been, employed as and acting as a loan officer for an exempt entity which entity is exempt by virtue of an exemption claimed under G.S. 53-243.01(8)c.
Affiliated Mortgage Banker Certification	MLA08	$100	Affiliated Mortgage Bankers	Attachment for limited loan officer applications of Affiliated Mortgage Bankers.
Notice of Amortization Information & Examples	MLA09	NA	Mortgage Lenders Mortgage Brokers	Required notice for NC home loans per NCGS 24.
North Carolina Mortgage Lending Act Annual Report Form	MLA10	NA	Mortgage Lenders Mortgage Brokers	To fulfill annual reporting requirements.
Surety Bond Under the Good Funds Settlement Act	MLA11 Formerly "NCMB-20"	NA	Mortgage Lenders	Helps guarantee good funds for real-estate settlements.
Affiliated Mortgage Banker Criteria	MLA14	$0	Affiliated Mortgage Bankers	Criteria needed to obtain an Affiliated Mortgage Banker License.
Employer Undertaking Form	MLA15	$0	Qualifying Individual of hiring company	Qualifying Individual undertakes the supervision of an employee with a Commissioner's Order.
Affidavit regarding Net Branching for Qualified Individual	MLA16	$0	Qualifying Individual	To confirm the Qualifying Individual's understanding of the Commissioner's Declaratory Ruling 2003-01 regarding Net Branching.
Mortgage Lending Act Fee Schedule	Fee Schedule	NA	All	Overview of fees.

Rev. 06/20/2008