Pre Certification Form

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					                                                           Pre-Licensure Education Certification

MLOs who have completed at least 20 hours of MN state approved education on or before July 31, 2010 may be eligible to participate in the PE certification
process. Please Note: If your education has already been certified through the NMLS in another state you do NOT need pre-licensure certification for the State
of MN and you do NOT have to complete this form.

                                                                                                           Provider/Sponsor     Completion     Credit
           Last Name*              First Name*        NMLS ID #     Course Number          Course Name           Name             Date**       Hours

 * Your name must match exactly as the name you entered on your MU4
** The Department will give credit for mortgage educational training courses completed up to 24 months prior to August 1, 2007.

Please include copies of all course completion certificates along with this form and email to:
Or mail to: Dept. of Commerce, Attn: Mortgage Loan Originator Licensing, 85 7th Place East, Suite 500, St. Paul, MN 55101

Please Note: Once your education certification has been entered into the NMLS you will receive an email with instructions on how to pay the
$5 certification fee. Your education will NOT show as fully certified until this fee has been paid through the NMLS.

Description: Pre Certification Form document sample