carteret mortgage corporation

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Carteret Mortgage Corporation 6211 Centreville Road Suite 800 Centreville, VA 20121-2635 Office: 971-222-3000 E-mail: newhires@CarteretMortage.com Fax: 971-222-3333 Visa/Mastercard Brokers License Application Fee Date: ______ / ______ / ______ Visa/Mastercard: _______________________________ Name on the Card: _______________________________ Card Number: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Expiration Date: __ __ / __ __ 30.00_____ License Amount: $ __________. _____ + Background Verification Check $ (Schedule of fees on second page) TOTAL : $ _______________________________ Signature Date By signing the above you are authorizing Carteret Mortgage Corporation to charge your credit card for the fee amount entered above to purchase a broker’s license in your prospective State for the purpose of loan origination, and a one -time background check fee. Should your employment application be denied, your money will be credited back to your account, or a refund will be sent within 30 working days. It is your responsibility to ensure the accuracy of your credentials and adhere to the continuing education policy of your State and Carteret Mortgage Corporation. We also accept Personal Checks and Money Orders as acceptable forms of payment for your Broker’s License and Background check fee. Please check method of payment and attach payment prior to submitting new hire package. _______________ Personal Che ck _______________ Money Order *****New loan officer applications must be accompanied by a check, money order, or credit card authorization for the price of a criminal background check, and the cost of the license in their state. The fee for the state license will be in full minus the background check fee, to the person that paid for the license when the newly hired loan officer receives a paycheck for their first funded loan. This fee will also be returned in the event that the ne w hire is not approved for employment at Carteret Mortgage Corporation.

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