State of Maine
Mortgage Loan Originator
Due on or before January 31, 2012
Report of annual residential mortgage loan origination.
Name of Mortgage Loan Originator:____________________ NMLS Unique ID #__________
Enter the number and dollar amounts of all residential mortgage transactions you originated in Maine in calendar year 2011, separating those in which you represented a supervised lender from those in which you represented a loan broker.
|Type||Number of loans|| |
Dollar amount of loans
|First mortgage loans|
|Second mortgages (fixed term)|
|Home equity lines of credit|
I hereby certify that the statements in the foregoing report are true and correct to the
best of my knowledge and belief.
_________________ ________________ _____________ ________
MLO Signature MLO Name (printed) Employer Date