Broker/Independent Contractor Registration

Broker Info

Email *

Confirm Email *

First Name *

Last Name *

Company *

Phone Number/Toll Free

Phone Number *

Service Provider

Address

Suite #

City

State

Zip Code

Broker/Partner Type

Approved Referral Fee

EIN#

Preferred Communication

Website

License Information

Do you have Company NMLS #?

Yes No

Do you have Company State License #?

Yes No

Company State License #

State

State License #

Do you have Personal NMLS #?

Yes No

Do you have Personal State License #?

Yes No

Personal State License #

State

State License #

DRE#

Social Security Number

LinkedIn URL

Type Of Loans Offered

# of employees

States that you broker loans in?

Select All

Please write a few sentences about your relevant experience and why you want to broker loans with us? (min 25 words)

Logo (The file types allowed are JPEG, PNG, GIF.)

Primary Contact

Use same contact info as above

Primary contact First Name

Primary contact Last Name

Primary contact Phone

Primary contact Email

Password *

Confirm Password *

Upload Applicable Files

Broker Application Attachment 1 - Optional

Broker Application Attachment 2 - Optional

Broker Application Attachment 3 - Optional

Terms And Conditions

Lender is in the business of originating, processing, funding, closing, and servicing loans secured by residential real estate.
Broker is a mortgage loan broker and desires to submit loans to Lender from time to time for consideration by Lender for 
funding. Lender and Broker ("Party or Parties") wish to establish a nonexclusive relationship whereby Broker submits loan
packages ("Loan" or "Loans") to Lender on behalf of Broker's clients ("Borrower", "Borrowers" or "Sponsor", "Sponsors") for possible funding.
In consideration of the mutual covenants and conditions contained herein and for other good and valuable consideration,
the Parties agree as follows:

1.  Loan Submission  and Approval - Subject to the terms, conditions and limitations contained  in this Agreement,
Broker agrees to submit, and Lender agrees to review Loans. Broker acknowledges and agrees that the decision to make 
or not make any Loan is made exclusively by Lender in its sole and absolute discretion. Broker shall not represent 
that Lender has approved or will approve any Loan until Broker is so informed by Lender in writing. All Loans shall
close in Lender's name. Lender is under no obligation to accept any minimum number of percentage of loans, or any
loans at all. Lender reserves the right to decline any loan application or credit request that Lender deems, in 
its sole and absolute discretion, as "predatory" or as not having any reasonable benefit to the Borrower.

2.  Status of Broker - Nothing in this Agreement shall be construed as making Broker an agent, employee, representative, 
joint venture, or partner of Lender. Broker will not hold itself out as such, nor will it use Lender's name in any 
advertising or solicitation without Lender’s prior written consent. Broker shall be deemed to be acting as an independent
contractor, agent, and representative of the loan applicant, and not that of the Lender. During the term of this Agreement,
Broker is responsible for, and shall pay in full, all costs and expenses directly or indirectly incurred by Broker in 
performing under this Agreement. Broker will not in any way represent or imply to any Borrower that Broker is in any 
way affiliated with or connected to Lender, including any representation that Broker’s office is an office or branch
of Lender, or that Broker has any power or authority to bind Lender in any manner whatsoever. No statement or 
representation of Broker shall be published by an authorized employee of Lender.

3.  Compensation to Broker - No fee shall be owed to Broker on any proposed loan that is not funded and closed.
Broker waives and relinquishes any and all claims against Lender for professional services rendered by the Broker 
to the Borrower. Broker agrees that such compensation shall represent the market value for actual, non-duplicative 
services, including, but not limited to, interviewing and counseling the Borrower, as well as procuring and submitting
to Lender the loan application, credit reports, property appraisal, and other information required to close the loan.
It is agreed and understood that Lender is relying on the accuracy of the information submitted by Broker and
contained in the Loan Estimate. Should Lender determine the information used to populate the Loan Estimate is not
correct, or was not submitted in good faith, per RESPA guidelines, Lender reserves the right to not accept any and 
all files submitted incorrectly or that are otherwise not in compliance with applicable laws and regulations.

AUTHORIZATION TO CONDUCT BACKGROUND CHECK
By submitting this Broker Application, I authorize CV3 Financial Services, LLC and its agents to conduct any and all necessary and reasonable inquiries regarding any information provided herein. Additionally, I expressly authorize CV3 Financial Services, LLC and its agents to conduct a background check on me personally as well as well as in connection with my business entity, if any, referenced in this application.”

By checking this box I agree to the terms and conditions. *