Broker
Name
Input the name of the broker. This will always be a company, not an individual.
Address
In this field, input the street address for the broker.
City
Input the city in which the broker is located.
State
Input the broker's two-letter state abbreviation.
Zip
Input the broker's zip code. The zip code usually consists of five digits, but it may extend to nine digits in some locations.
Phone
Input the office phone number of the broker, including the area code.
Fax
Input the fax number of the broker, including the area code.
License Number
Input the broker's license number.
Registration Number
Input the broker's registration number.
Loan Officer
Input the name of the loan officer for the broker.
Loan Originator
Name
Input the name of the loan originator. This will always be an individual (natural person).
Address
Input the loan originator's street address.
City
Input the city in which the loan originator is located.
State
Input the two-letter abbreviation of the state in which the loan originator is located.
Zip
Input the loan originator's zip code. The zip code usually consists of five digits, but may extend to nine digits in some locations.
Phone
Input the loan originator's phone number, including the area code.
Fax
Input the loan originator's fax number, including the area code.
E-mail
Input the loan originator's e-mail address.
License Number
Input the loan originator's license number.
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