Fillable Application

This fillable application must be completed, printed and provided with the Enrollment Package.

 

Correspondent Applicant Information
Correspondent Legal Name
DBA (if applicable) 
Parent Company (if applicable) 
Street Address
City State Zipcode
Mailing Address   
City State Zipcode
Corporate Email Tax ID#
 
Primary Contact Information
Primary Contact Name
Title
Phone
Email
Fax
 

 

Principal Officers
Name Title % Ownership
Name Title % Ownership
Name Title % Ownership
Name Title % Ownership
 

 

Key Department Contacts
Production Manager
Name Phone Email
Closing/Shipping/Delivery
Name Phone Email
Underwriting
Name Phone Email
Processing
Name Phone Email
Funding/Purchasing
Name Phone Email
 
Company Profile
1. Has the applicant ever been terminated under other correspondent lending relationships or been fined, sanctioned, or suspended by FHA, VA, FNMA, FHLMC, or any other regulatory agency?  
Yes No              
If Yes, Please explain:
2. Does the applicant currently have its Title One lending approval as a Supervised or Non-Supervised Lender?
Yes No In Process        
3. Last calendar year's production
Home Improvement Loans
Home Equity Loans(Include HELOC'S)
 
4. What percentage of the above was originated as TPO?
5. Is the applicant an Apprved Seller/Servicer for?
FNMA? Yes No
FHLMC Yes No
 
6. Is the applicant a MERS Lender? Yes MERS ID? No
 
Wiring Instructions
Warehouse Line Provider? (If applicable)
Contact Person
Phone and Ext?
Depository Name?
How Long?
Street Address
City         State  Zipcode
ABA# Account#
 
Correspondent Investor References
Company Name #1
Name   Phone
Email Length of Relationship
Company Name #2
Name   Phone
Email Length of Relationship

 

Certification

This application is for the sole purpose of the applicant seeking approval to participate in the Admirals Bank Correspondent Program. This application imposes neither duty nor obligation on Admirals Bank.

The Applicant hereby declares that the statements set forth herein are true and complete. The applicant authorizes Admirals Bank to obtain verification information contained herein from any applicable source and to obtain a business credit report.
 
Print Name
  
Title
Corporate Officer Signature

 

 		 Date

 

 
Contact Information
Toll Free: (800) 715-8472
Email: Send Email
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Admirals Bank
15 Park Row West, Providence, RI  02903
Toll Free:  (800) 715-8472
correspondentlending@admiralsbank.com
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