Arizona Private Lender Association
MEMBERSHIP APPLICATION
Membership Types
There are two types of membership in APLA: Regular Members andAffiliate Members:
Regular Member:
Criteria: (1) Licensed by AZDFI as Mortgage Broker, Mortgage Banker,Commercial Mortgage Banker, or exempt from Licensing by statute, and (2) must be eng
Affiliate Member:
Criteria: Private Money Investors, Bankers, Attorneys, CPAs, TitleCompanies, and others who regularly work with the private lending industry, and any other individuals wishing to work in the private lending industry in Arizona.
Please select the Membership type you are applying for:
*
Regular Member
Affiliate Member
APPLICANT BACKGROUND AND DISCLOSURE
Name
*
First Name
Last Name
Company Name
*
(Regular Member applicants only)
AZ Mortgage License Type and Number: (Regular Member Applications Must Provide)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Cell Number
(Optional)
Fax Number
(Optional)
The following questions must be answered. Disclosure is required if you answer “Yes” to any of Questions 6 through 12; however, answering “Yes” to any of those questions will not in and of itself disqualify you from membership. Full disclosure is important as part of the overall decision making process by the Membership Committee and by the Board of Directors.
What is your company’s approx. annual dollar volume of loans originated? (select one)
*
None
Less than $20 Million
$20 - $50 Million
$50 Million or More
Are you licensed in other States?
*
Yes
No
Please state the total number of years of direct experience you have in the private lending field.
*
Please list the professional and/or industry associations or trade groups of which you are a member.
*
Minimum 3
Please list the professional credentials you currently possess.
*
In what state is your Home Office?
*
Arizona
Other
How many employees does your company have?
*
Does your company, or a related company, manager/operate one or more mortgage pools?
*
Yes
No
Have you ever had any professional license (including ones outside the private money lending business) revoked, suspended or denied?
*
Yes
No
Have you ever been charged with or convicted of a misdemeanor or a felony in connection with (1) the misappropriation of a client’s funds, (2) fraud or (3) misleading an investor?
*
Yes
No
Have you ever been subject to administrative action by the Arizona Corporation Commission or the Arizona Department of Financial Institutions (formerly State Banking)?
*
Yes
No
Have you ever been subject to administrative action by a regulatory body of another State?
*
Yes
No
Has your Company ever been subject to administrative action by the Arizona Corporation Commission or the Arizona Department of Financial Institutions (formerly State Banking)?
*
Yes
No
Has your Company ever been subject to administrative action by a regulatory body of another State?
*
Yes
No
Have you ever been convicted of a crime involving physical violence against another person?
*
Yes
No
If you replied yes to the any of the above, please attach a detailed explanation with your application.
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Have you read and agree to abide by the Code of Conduct for the Arizona Private Lender Association?
*
Yes
No
Please sign below AND sign the attached Code of Conduct.
*
Date
*
-
Month
-
Day
Year
Date
Code of Conduct
In consideration for application as a member of the Arizona Private Lender Association, an Arizona Non-Profit Corporation, all applicants agree from this date forward to abide by the following Code of Conduct, to the extent applicable to them (some provisions below are not applicable to Affiliate Members):
A member shall strive to maintain a good reputation in the general Arizona business community.
*
Agree
A member shall be in compliance with the Arizona statutes in the course of making private money loans in Arizona.
*
Agree
A member shall be in compliance with Arizona Revised Statutes Title 6, Chapter 9, Article 1 (Mortgage Brokers) or Article 2 (Mortgage Bankers) and all rules and regulations promulgated by the Arizona Department of Financial Institutions.
*
Agree
A member shall truthfully account for all monies in a loan transaction.
*
Agree
A member will not accept fees for services that were not performed, except for any non-refundable application fees.
*
Agree
A member shall not pay compensation in connection with arranging for or negotiating a mortgage loan, to a person who is acting as a mortgage broker or mortgage banker, but without an Arizona license, as prohibited by Arizona Revised Statute 6-909B and 6-947B.
*
Agree
A member shall not raise funds from investors except in compliance with the Arizona statutes and the rules and regulations of the Arizona Corporation Commission. Further, a member shall not advertise for the purpose of raising funds from investors, except as permitted by Arizona and Federal law.
*
Agree
A member shall strive to be responsive to all communications from borrowers, including in the event of a loan default.
*
Agree
A member will not disparage another member of the association to investors or the general public; provided however, it shall not be considered a violation of this provision to discuss anything in the public record.
*
Agree
A member will put the welfare of investors before themselves.
*
Agree
Agreed to and Acknowledged by Applicant:
Date
-
Month
-
Day
Year
Date
Signature
Name
First Name
Last Name
Application
A non-refundable application fee of $75.00 must accompany each application for membership.
Membership Types
There are two types of membership in APLA: Regular Members andAffiliate Members:
Non-Refundable Application Fee ($75)
*
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Non-Refundable Application Fee
$
75.00
Membership Dues
The annual membership fee is $250 per person for the period of July 1, 2021 through June 30, 2022. However, if multiple people want to join from the same company, the fee is $250 for the first person in the company and $150 for each subsequent person from the same company.Members may NOT substitute other non-members to attend meetings in the member’s absence.
Annual Dues are pro-rated for members who join mid-year as follows:
July 1 – Sep 30: $250 first employee, $150 each subsequentOct 1 – Dec 31: $200 first employee, $125 each subsequentJan 1 – Mar 31: $150 first employee, $100 each subsequentApr 1 – Jun 30: Pay the annual dues for the upcoming year.
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Regular Member:
Criteria: (1) Licensed by AZDFI as Mortgage Broker, Mortgage Banker,Commercial Mortgage Banker, or exempt from Licensing by statute, and (2) must be engaged inprivate money lending secured by real estate, as part of the Member’s regular business.
Affiliate Member:
Criteria: Private Money Investors, Bankers, Attorneys, CPAs, TitleCompanies, and others who regularly work with the private lending industry, and any otherindividuals wishing to work in the private lending industry in Arizona.
Please select the Membership type you are applying for:
*
Regular Member
Affiliate Member
APPLICANT BACKGROUND AND DISCLOSURE
Name
*
First Name
Last Name
Company Name (Regular Member applicants only)
AZ Mortgage License Type and Number:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Cell Number
(Optional)
Fax Number
(Optional)
The following questions must be answered. Disclosure is required if you answer “Yes” to any of Questions 6 through 12; however, answering “Yes” to any of those questions will not in and of itself disqualify you from membership. Full disclosure is important as part of the overall decision making process by the Membership Committee and by the Board of Directors.
What is your company’s approx. annual dollar volume of loans originated? (Select One)
*
None
Less than $20 Million
$20 - $50 Million
$50 Million or More
Should be Empty: