License Application

I'm interested in licensing amortgagePro.com ™ “AMP” Online Products*:

5-site packages - $129.95 up front and $129.95 per month.

Individual sites - $59.95 per month.

Please list requested site URLs:
(Example: yourname.amortgagepro.com)

*All AMP Online Products include the MtgNet® Interactive Mortgage Website. Lead Updesk & Loan Technology System™ at no additional cost. You may also receive mortgage loan leads from AMP customers under the terms of the AMP license. When your application is accepted, you will automatically become eligible to receive mortgage or other customers leads under the terms of your AMP License.

 

Fields marked with an asterisk (*) are required.

Company Legal Name:
*
Company DBA Name:
Principal Contact:
*
Principle Title:
 Other:
Type of Entity:
C. Corp. S. Corp . Sole Prop. Partnership LLC   Other
 
Business Owner(s):
Type of License:
Mortgage Banker   Mortgage Broker   Federal Bank S&L
Real Estate   Community Bank   Other

States Licensed To Originate Mortgage Loans:
*To select multiple states hold down your control key
Corporate Address:
Address City State Zip Code
Phone:
Fax:
Branch Address(s):
Address City State Zip Code
Banking/Mortgage Broker License#:
RE Broker License# (if Applicable):
Company Website:
Email:
*
How many loan officers do you employ:
How many processors do you employ:
How did you hear about amortgagepro.com:
Lender Reference:
Company Contact Phone Fax
Banking Reference(*one reference is required):
Company Contact Phone Fax
*
Users:
Name Phone Fax
General Certifications
  1. Applicant is duly organized and properly licensed under the laws of its state of incorporation and has the authority to enter into a binding agreement with amortgagepro.com and its affiliates.
  2. To the best of the applicant's knowledge and beliefs, the information and data contained herein are true and correct. Any material misrepresentation contained herein is grounds for termination of any relationship with amortgagepro.com and its affiliates.
  3. amortgagepro.com or its designee is hereby authorized to obtain verification from any source named herein.
  4. The principals/owners/senior managers consent to allow amortgagepro.com, Inc., or its designee, to periodically investigate their backgrounds. The source of the background check will include, but not be limited to, obtaining credit bureau reports.
  5. Applicant needs to fax a copy of their broker or banking license and individual license.
  6. By submitting the application you are agreeing to the terms of the license agreement.