ࡱ>  @ Jbjbj{{ 7^Ub{{{8,| 8$6hz(ڗ<2 -6V$ R]`z֗֗z4KBr\ @V{7HI}@$BƘ^$Lp=BBBzzL0_X0_UNIFORM MORTGAGE BIOGRAPHICAL STATEMENT & CONSENT FORM FORM MU2 INSTRUCTIONS A. GENERAL INSTRUCTIONS FILING Form(s) MU2 must accompany Form MU1, the Uniform Mortgage Lender/Mortgage Broker form. Each individual identified as a control person for the applicant on Schedule A of Form MU1, must complete Form MU2. An applicant must also refer to jurisdiction-specific requirements published by each jurisdiction in which it is applying. Some jurisdictions may require biographical information about people that do not fit the control person definition, like a branch manager. Such jurisdictions may therefore request a Form MU2 with other filings. Additionally, applicants must update the roster of control persons on Form MU1 by filing a Schedule C, thus requiring additional MU2 forms. EMPLOYMENT REPRESENTATION The employment representation section must be completed by an authorized representative of the applicant. TERMS USED See the following Explanation of Terms section regarding italicized words/phrases. DATES The filing date is the date applicant submits this form to the jurisdiction(s). The desired effective date is the date applicant would like the license/registration or amendment to become effective. Review published jurisdictionspecific requirements for effective date expectations. AMENDMENTS The applicant must update biographical information as required in each jurisdiction by submitting amendments using Form MU2. On Form MU2, circle or otherwise identify the item being amended. Complete only items 1(A) and 1(I), as well as the information that is being amended. Review published jurisdictionspecific requirements concerning the return of the prior original license/registration document when submitting the amended Form MU2. B. FILING INSTRUCTIONS FORMAT A. Each individual identified as a control person on Schedules A or C must complete Form MU2. A fully completed Form MU2 for each control person is required to be submitted to each jurisdiction along with the applicants initial Form MU1. Form MU2 also accompanies Schedule C when reporting new control person(s). The applicant should review published jurisdictionspecific requirements for additional specific filing requirements using Form MU2 providing biographical information about non-control persons. B. Type all information. C. Use only the current version of Form MU2 or a reproduction of it. D. The Acknowledgment & Consent section must include notarized original manual signature. E. The Mortgage Lender/Mortgage Broker Employment Representation section must include original manual signature. F. Employment history, item 6: provide the full legal name of the company, beginning with your current employer. For the purposes of this history, include both 1099 independent contractor assignments as well as W-2 status employment. Attachments - Review published jurisdictionspecific instructions for required attachments including but not limited to: A. Review published jurisdiction-specific instructions concerning attachments in PDF or alternative formats. B. Two Fingerprint Cards, if required by applicable jurisdiction(s), per item 4 of Form MU2 C. Personal credit report, bond, or other demonstration of financial responsibility D. Depending on the jurisdiction, individual(s) originating mortgage loans at the business may need to file a Form MU4. Review published jurisdiction-specific requirements for details. E. Fees C. EXPLANATION OF TERMS The following terms are italicized throughout Form MU2 1. GENERAL APPLICANT The mortgage lender or mortgage broker applying on or amending information on Form MU1 (including schedules) or Form MU3. The only instance in which the applicant is an individual is in the case of a sole proprietorship. CONTROL The power, directly or indirectly, to direct the management or policies of a company, whether through ownership of securities, by contract, or otherwise. Any person that (i) is a director, general partner or executive officer; (ii) directly or indirectly has the right to vote 10% or more of a class of a voting security or has the power to sell or direct the sale of 10% or more of a class of voting securities; (iii) in the case of an LLC, Managing Member; or (iv) in the case of a partnership, has the right to receive upon dissolution, or has contributed, 10% or more of the capital, is presumed to control that company. CONTROL PERSON An individual (a natural person) named on Form MU1 in Item 1A or in Schedules A, B, or C that directly or indirectly exercises control over the applicant. JURISDICTION A state, the District of Columbia, the Commonwealth of Puerto Rico, any territory of the United States, or any subdivision or regulatory body thereof. PERSON An individual, partnership, corporation, trust, LLC, or other organization. 2. FOR THE PURPOSE OF ITEM 8 CHARGED Being accused of a crime in a formal complaint, information, or indictment (or equivalent formal charge). ENJOINED Includes being subject to a mandatory injunction, prohibitory injunction, preliminary injunction, or a temporary restraining order. FELONY For jurisdictions that do not differentiate between a felony and a misdemeanor, a felony is an offense punishable by a sentence of at least one year imprisonment and/or a fine of at least $1,000. The term also includes a general court martial. Financial Services or Financial Services-Related Pertaining to securities, commodities, banking, insurance, consumer lending, or real estate (including, but not limited to; acting as or being associated with a bank or savings association, credit union, mortgage lender, mortgage broker, real estate salesperson or agent, closing agent, title company, or escrow agent). FOREIGN FINANCIAL REGULATORY AUTHORITY Includes (1) a financial services authority of a foreign country; (2) other governmental body empowered by a foreign government to administer or enforce its laws relating to the regulation of financial services or financial services-related activities; and (3) a foreign membership organization, a function of which is to regulate the participation of its members in financial services activities listed above. FOUND Includes adverse final actions, including consent decrees in which the respondent has neither admitted nor denied the findings, but does not include agreements, deficiency letters, examination reports, memoranda of understanding, letters of caution, admonishments, and similar informal resolutions of matters. INVOLVED Doing an act or omission or aiding, abetting, counseling, commanding, inducing, conspiring with or failing reasonably to supervise another in doing an act or omission. MISDEMEANOR For jurisdictions that do not differentiate between a felony and a misdemeanor, a misdemeanor is an offense punishable by a sentence of less than one year imprisonment and/or a fine of less than $1,000. The term also includes a special court martial. ORDER A written directive issued pursuant to statutory authority and procedures, including orders of denial, suspension, or revocation; does not include special stipulations, undertakings or agreements relating to payments, limitations on activity or other restrictions unless they are included in an order. PROCEEDING Includes a formal administrative or civil action initiated by a governmental agency, self-regulatory organization or a foreign financial regulatory authority; a felony criminal indictment or information (or equivalent formal charge); or a misdemeanor criminal information (or equivalent formal charge). The term does not include other civil litigation, investigations, or arrests or similar charges affected in the absence of a formal criminal indictment or information (or equivalent formal charge). FORM MU2 BIOGRAPHICAL STATEMENT & CONSENT Uniform Mortgage lender/mortgage broker formDate of filing (MM/DD/YYYY):  FORMTEXT       Desired Effective Date (MM/DD/YYYY):  FORMTEXT       License Number information (if applicable) is optional. Use additional sheets if necessary.License #  FORMTEXT      Jurisdiction  FORMTEXT      License #  FORMTEXT      Jurisdiction  FORMTEXT      License #  FORMTEXT      Jurisdiction  FORMTEXT      License #  FORMTEXT      Jurisdiction  FORMTEXT      License #  FORMTEXT      Jurisdiction  FORMTEXT      License #  FORMTEXT      Jurisdiction  FORMTEXT       FORMCHECKBOX  NEW APPLICATION  FORMCHECKBOX  AMENDMENT To amend, circle or identify items being amended.1. Individual s identifying information: Full last, first and middle names:  FORMTEXT       Last Name  FORMTEXT       First Name  FORMTEXT       Full Middle Name  FORMTEXT       Suffix (if any) (B) Social Security Number:  FORMTEXT       (C) Gender:  FORMCHECKBOX  Male  FORMCHECKBOX  Female (D) Date of Birth (MM/DD/YYYY)  FORMTEXT       (E) State/Province of Birth:  FORMTEXT       (F) Country/Province of Birth:  FORMTEXT       (G) List all names(s) , other than your legal name, you have used or are using, or by which you are or were known since the age of 18. This field should include for example, nicknames, aliases, and names used before or after marriage. (Use additional sheets as necessary). Name  FORMTEXT       Name  FORMTEXT       Name  FORMTEXT       Name  FORMTEXT       (H) For amendments only: If this filing reports that an individual s name has changed, enter the new name and attach supporting legal documentation:  FORMTEXT       Last Name  FORMTEXT       First Name  FORMTEXT       Full Middle Name  FORMTEXT       Suffix (if any) (I) Employer Name (Mortgage Lender/Mortgage Broker):  FORMTEXT      (J) Office of Employment address: (do not use a P.O. Box)  FORMCHECKBOX  If this address is your private residence, check this box.  FORMTEXT       Number & Street  FORMTEXT       City  FORMTEXT        FORMTEXT       State / Province & Country  FORMTEXT       Zip+4 / Postal Code (K) Current Residence address (if different from employment address):  FORMTEXT       Number & Street  FORMTEXT       City  FORMTEXT        FORMTEXT       State / Province & Country  FORMTEXT       Zip+4 / Postal Code (L) Telephone Numbers and e-mail address:  FORMTEXT       (   )   FORMTEXT       Business Phone  FORMTEXT       (   )   FORMTEXT       Cell Phone (optional)  FORMTEXT       (   )   FORMTEXT       Fax Line (optional)  FORMTEXT       e-mail address (optional) 2. Individual s Acknowledgment & Consent: I swear or affirm that I haveexecuted this form before a Notary Public, of my own free will and: (A) I have read and understandthe items and instructions on this form; (B) My answers (including attachments) are true and complete to the best of my knowledge; (C) I understand that I am subject to administrative, civil or criminal penalties if I give false or misleading answers; (D) I authorize all my current and former employers, law enforcement agencies, and any other person to furnish to any jurisdiction, or any agent acting on its behalf, any information they have, including without limitation my creditworthiness, character, ability, business activities, educational background, general reputation, history of my employment and, in the case of former employers, complete reasons for my termination; (E) I have read and understand applicable federal and state law, and will be in compliance at all times; (F) I promise to keep the information contained in this form current and to file accurate supplementary information on a timely basis.  FORMTEXT        FORMTEXT       Date (MM/DD/YYYY) Signature of individual  Signed or attested before me:  FORMTEXT       by  FORMTEXT       Print Notary Public name Print individual s name Notary seal here on this  FORMTEXT       day of  FORMTEXT      ,  FORMTEXT       at  FORMTEXT        FORMTEXT       Date Month Year State County   FORMTEXT        FORMTEXT       Notary Public signature Notary Appointment Expires (MM/DD/YYYY) Individual s Acknowledgment & Consent must always be completed in full with original, manual signature and notarization. Affix notary stamp or seal where applicable. Applicant full legal name:  FORMTEXT            Individual s full legal name:  FORMTEXT        FORMTEXT        FORMTEXT       3. Mortgage Lender/Mortgage Broker Employment Representation: To the best of my knowledge and belief, the control person is currently bonded where required, and, at the time of approval, this individual will be familiar with the statutes, regulations, and rules of the jurisdiction(s) with which this application is being filed, and will be fully qualified for the position for which application is being made herein. I have taken appropriate steps to verify the accuracy and completeness of the information contained in and with this application. I have provided the individual an opportunity to review the information contained herein and the individual has approved this information and signed the form.  FORMTEXT       by  FORMTEXT        FORMTEXT        FORMTEXT       Company Name Signature of authorized party Print Name and Title of authorized party Employment Representation must always be completed in full with original, manual signature. 4. Fingerprint Information filing representation:  FORMCHECKBOX  I represent that I am submitting, have submitted, or promptly will submit to the appropriate jurisdiction(s) two fingerprint cards as required.  FORMCHECKBOX  I am applying for a mortgage individual license/registration only in jurisdiction(s) that do not require me to submit fingerprint cards. 5. Residential History: Starting with current address provide all residential addresses over the last ten years. Records must contain a complete ten years history without gaps. (Attach additional sheets as necessary.)From (MM/YYYY)To (MM/YYYY)Street AddressCityState or ProvinceZip or Postal CodeCountry/ Province FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       6. Employment History: Provide a complete employment history for the past 10 years. Account for all time including full & part-time employments, self-employment, military service, and homemaking. Also include periods such as unemployed, full-time student, extended travel, etc. Indicate by YES or NO whether this employment was financial service-related business. Records must contain a complete 10 year history without gaps. (Attach additional sheets as needed.)From (MM/YYYY)To (MM/YYYY)Employer (company name)Position Held (no abbreviations)Address/CityState and Postal CodeCountry/ Province YES or NO? FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT   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j4j6jDjFjHj\j^jljnjpjjjjjjjjjjjjjjjjjмШДЀlX'j̘huhECJU^JaJ'jXhuhECJU^JaJ'jhuhECJU^JaJ'jphuhECJU^JaJ'jhuhECJU^JaJ'jhuhECJU^JaJhuhECJ^JaJ!jhuhECJU^JaJ!huhEB*CJ^JaJph!ijFjnjjjjk6k x$1$If]gdEjj kkk$k&k4k6k8k:kNkPk^k`kbkvkxkkkkkkkkkkkkkkk͹͔ͨ̀lX'jhuhECJU^JaJ'j*huhECJU^JaJ'jhuhECJU^JaJ'jBhuhECJU^JaJ!huhEB*CJ^JaJph'jhuhECJU^JaJhuhECJ^JaJ!jhuhECJU^JaJ'j@huhECJU^JaJ6k8k%kd($$Ifִ#(>+ 88*>+    4 alp<8k`kkkkl(Px x$1$If]gdEkkkl&(*>@NPRfhvxz|~ͷͣ͏~q~^M!hGHhEB*CJ^JaJph$hGHhE6B*CJ^JaJphhuhE5B*ph!huhEB*CJ^JaJph'jnhuhECJU^JaJ'jhuhECJU^JaJ'jhuhECJU^JaJUhuhECJ^JaJ!jhuhECJU^JaJ'jhuhECJU^JaJ FORMTEXT       FORMTEXT       FORMTEXT       Applicant full legal name:  FORMTEXT            Individual s full legal name:  FORMTEXT             FORMTEXT             FORMTEXT            7. Other Business: Are you currently engaged in any other business either as a proprietor, partner, officer, director, employee, trustee, agent or otherwise? (Please exclude non-financial services-related activity that is exclusively charitable, civic, religious, or fraternal and is recognized as tax exempt.) If YES, provide the following details: the name of the other business; whether the business is financial services-related; the address of the other business; the nature of the other business; your position, title, or relationship with the other business; the start date of your relationship; the approximate number of hours per month you devote to the other business; and briefly describe your duties relating to the other business. (Attach additional sheets as needed.) Details: YES  FORMCHECKBOX NO  FORMCHECKBOX  8. Disclosures: If the answer to any of the following is YES, provide complete details of all events or proceedings. Send the details to the jurisdictions where you are licensed/registred or requesting licensure/registration. Remember to file updates to these disclosures as needed.Financial DisclosureYESNO (A) Within the past 10 years: (1) have you filed a personal bankruptcy petition or been the subject of an involuntary bankruptcy petition?  FORMCHECKBOX   FORMCHECKBOX  (2) based upon events that occurred while you exercised control over any organization, have any filed a bankruptcy petition or been the subject of an involuntary bankruptcy petition? FORMCHECKBOX  FORMCHECKBOX  (B) Has a bonding company ever denied, paid out on, or revoked a bond for you? FORMCHECKBOX  FORMCHECKBOX  (C) Do you have any unsatisfied judgments or liens against you? FORMCHECKBOX  FORMCHECKBOX Criminal Disclosure (D) Have you ever: (1) been convicted of or pled guilty or nolo contendere ("no contest") in a domestic, foreign, or military court to any felony?   FORMCHECKBOX   FORMCHECKBOX  (2) been charged with any felony?  FORMCHECKBOX  FORMCHECKBOX  (E) Based upon activities that occurred while you exercised control over it, has an organization ever: (1) been convicted of or pled guilty or nolo contendere ("no contest") in a domestic, foreign, or military court to any felony?  FORMCHECKBOX   FORMCHECKBOX (2) been charged with any felony? FORMCHECKBOX  FORMCHECKBOX  (F) (1) Have you ever been convicted of or pled guilty or nolo contendere ("no contest") in a domestic, foreign, or military court to a misdemeanor involving: financial services or a financial services-related business; any fraud, false statements, or omissions; any theft or wrongful taking of property; bribery; perjury; forgery; counterfeiting; extortion; or a conspiracy to commit any of these offenses?   FORMCHECKBOX   FORMCHECKBOX (2) Been charged with a misdemeanor as described in 8(F)(1)?  FORMCHECKBOX  FORMCHECKBOX  (G) Based upon activities that occurred while you exercised control over it, has an organization ever: (1) been convicted of or pled guilty or nolo contendere ("no contest") in a domestic, foreign, or military court to a misdemeanor specified in 8(F)(1)?  FORMCHECKBOX   FORMCHECKBOX (2) been charged with a misdemeanor specified in 8(F)(1)? FORMCHECKBOX  FORMCHECKBOX  Applicant full legal name:  FORMTEXT            Individual s full legal name:  FORMTEXT        FORMTEXT        FORMTEXT       Regulatory Action DisclosureYESNO(H) Has any State or federal regulatory agency or foreign financial regulatory authority ever: (1) found you to have made a false statement or omission or been dishonest, unfair or unethical?  FORMCHECKBOX   FORMCHECKBOX (2) found you to have been involved in a violation of a financial services-related regulation(s) or statute(s)? FORMCHECKBOX  FORMCHECKBOX (3) found you to have been a cause of a financial services-related business having its authorization to do business denied, suspended, revoked or restricted? FORMCHECKBOX  FORMCHECKBOX (4) entered an order against you in connection with a financial services-related activity? FORMCHECKBOX  FORMCHECKBOX (5) denied, suspended, or revoked your registration or license, disciplined you, or otherwise by order, prevented you from associating with a financial services-related business or restricted your activities? FORMCHECKBOX  FORMCHECKBOX (6) barred you from association with an entity regulated by such commission, authority, agency, or officer, or from engaging in a financial services-related business? FORMCHECKBOX  FORMCHECKBOX (7) issued a final order based on violations of any law or regulations that prohibit fraudulent, manipulative, or deceptive conduct? FORMCHECKBOX  FORMCHECKBOX  (I) Have you ever had an authorization to act as an attorney, accountant, or State or federal contractor that was revoked or suspended? FORMCHECKBOX  FORMCHECKBOX  (J) Are you now the subject of any regulatory proceeding that could result in a "yes" answer to any part of 8(H) or 8(I)? FORMCHECKBOX  FORMCHECKBOX Civil Judicial Disclosure (K) (1) Has any domestic or foreign court ever: (a) enjoined you in connection with any financial services-related activity?  FORMCHECKBOX   FORMCHECKBOX  (b) found that you were involved in a violation of any financial services-related statute(s) or regulation(s)? FORMCHECKBOX  FORMCHECKBOX (c) dismissed, pursuant to a settlement agreement, a financial services-related civil action brought against you by a State, federal, or foreign financial regulatory authority? FORMCHECKBOX  FORMCHECKBOX  (2) Are you named in any pending financial services-related civil action that could result in a "yes" answer to any part of 8K(1)? 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<$1$Ifa$gdE$ d(<$1$Ifa$gdE[kd$$IfFR&(>+R&vv>+    4 aJ&PMaJ& Kk KKk K$ x$1$Ifa$gdE" @dx$1$If^`gd6 @dx$1$If^gd6[kd:$$IfFR&(>+R&vv>+    4 aHHHHHHHHHHHHHHHHHHHoK@h65CJ^JaJFjhuhEh2CJU^JaJcHdhdhdh fFjhuhEh2CJU^JaJcHdhdhdh fhuhE5CJ^JaJU!huhEB*CJ^JaJphhuhECJ^JaJ!jhuhECJU^JaJHh fhFjhuhEh2CJU^JaJcHdhdhdh fHHHii$ x$1$Ifa$gdE# h@dx$1$If^`gd6[kd=$$IfFR&(>+R&vv>+    4 a(2) resulted in an arbitration award or civil judgment against you, regardless of amount, or that required corrective action; or  FORMCHECKBOX  FORMCHECKBOX  (3) was settled for any amount? FORMCHECKBOX  FORMCHECKBOX Termination DisclosureHave you ever voluntarily resigned, been discharged, or permitted to resign after allegations were made that accused you of: (1) violating statute(s), regulation(s), rule(s), or industry standards of conduct?  FORMCHECKBOX   FORMCHECKBOX (2) fraud, dishonesty, theft, or the wrongful taking of property? 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