Vybe Lending Loan Officer & Processor Registration

1

Full Legal Name* This field is required.

First Name

Last Name

2

Individual NMLS ID* This field is required.

3

State License(s)* This field is required.

4

Email Address* This field is required.

example@example.com

5

Phone Number* This field is required.

Please enter a valid phone number.

6

Branch Name* This field is required.

7

Branch Address* This field is required.

8

City* This field is required.

9

State* This field is required.

10

Zip Code* This field is required.

11

Branch Manager Name* This field is required.

12

Branch Manager Email* This field is required.

example@example.com

13

Legal Company Name* This field is required.

14

DBA

15

Company NMLS ID* This field is required.

16

Corporate Address* This field is required.

17

Corporate City* This field is required.

18

Corporate State* This field is required.

19

Corporate Zip* This field is required.

20

Main Phone Number* This field is required.

Please enter a valid phone number.

21

Website

22

Compliance Contact

23

Accounting / Funding Contact

24

States Company is Licensed In

25

Ownership 10 Percent Plus

26

Pending Full Broker Approval

Yes

27

Lender Paid Compensation (LPC)

LPC

28

Borrower Paid Compensation (BPC)

BPC

29

Requested Compensation Percentage

30

Estimated Borrower Paid Amount

31

Processor Full Name

32

Processor Email Address

example@example.com

33

Processor Phone Number

Please enter a valid phone number.

34

Processing Location

35

LOS Used

36

Primary Contact for Conditions

37

NMLS license is active and in good standing* This field is required.

Yes

38

Authorized to originate loans under listed broker* This field is required.

Yes

39

Information provided is accurate* This field is required.

I confirm

40

Form does NOT constitute broker approval* This field is required.

I acknowledge

41

No loan may proceed to Clear-to-Close or Funding without approval* This field is required.

I acknowledge

42

Loan Officer Signature* This field is required.

43

Date* This field is required.

Date