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Forms and Other Documents
All applications and renewal
packages, including fees,
should be mailed to the
Carson City office at:
Division of Mortgage Lending
400 W. King Street, Suite 101
Carson City, NV 89703
(775) 684-7060 Fax: (775) 684-7061
General Forms and Correspondence
(Submit to the Las Vegas office)
(I-pdf)
Monthly Activity Reporting Form (excel)
Instructions for Filing Monthly Activity Reporting Form
(pdf)
Advertisement Submission Form ( I-pdf)
Borrowers Acknowledgment and Agreement Concerning Dual
Capacity as Real Estate Sales Agent and Mortgage Loan
Agent (I-pdf)
Documents/Disclosures Required by Federal
Law/Regulations (pdf)
AB 440 Income Documentation Worksheet ( I-pdf)
LCB Disclosure Opinion, 10-20-00
(pdf)
Mortgage
Agent Application
(includes Child Support
Statement and Personal History Record Mortgage Agent)
Mortgage Agent Renewal
(includes Child Support
Statement and Personal Disclosure Form Mortgage Agent
(For Renewal Purposes Only)
Mortgage Agent Other
Mortgage
Broker Application
(includes Child Support
Statement, Personal History Record Mortgage Broker
(Submit For Natural Persons), Non-Personal History
Record Mortgage Broker (Submit For Other Than Natural
Persons), Personal Financial Questionnaire Mortgage
Broker and Designation of Qualified Employee)
Application for Branch Office (Mortgage Broker)
(pdf)
(includes Child Support
Statement, Personal History Record Mortgage Broker
(Submit For Natural Persons) and Designation of
Qualified Employee)
Mortgage Broker Renewal
Mortgage Banker
Application
Mortgage Banker
Renewal
Mortgage Broker and
Mortgage Banker Other
Escrow Agency Application
Escrow Agency Renewal
Escrow Agent Application
Escrow Agent Renewal
Escrow Agency and Escrow Agent
Other
Escrow Agency/Agent Bond
(I-pdf)
Instrument in Lieu of Surety Bond (NRS 100.065)
(I-pdf)
Private Investor Loans
Credit Service Organizations
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