Mortgage Forms and Fees
All applications, amendments, cancellations, and other filings (such as MU1, MU2, MU3, and MU4) are submitted through the Nationwide Multistate Licensing System & Registry (NMLS). In addition, checklists are available on the website to assist applicants and current licensees and registrants.
North Carolina specific forms are available below. The forms are downloadable in Adobe Acrobat "PDF" format, unless otherwise indicated. You may "complete the fields and save your data" in these forms using Adobe Reader 7 or higher. Download the free Adobe Reader.
| Form Name | Form # | Applies To | Purpose |
|---|---|---|---|
| Exclusive Mortgage Broker (EMB) Surety Bond | Exclusive Mortgage Broker (EMB) Surety Bond | Exclusive Mortgage Brokers | To secure the faithful performance of the obligations of the licensee. NCGS 53-244.103(c) |
| Claim of Exemption to the NC SAFE Act or Claim of Non-Profit Status | MLA04 |
Banks and eligible subsidiaries. See NCGS 53-244.030(29). Credit unions and their eligible subsidiaries should contact the North Carolina Credit Union Division to claim an exemption. Non-profit organizations acting as mortgage lenders or mortgage servicers as defined in the NC SAFE Act, but not for compensation or gain. NCGS 53-244.030(11), 12 CFR 1008.103(e)(7)(i), and 12 CFR 1008.103(e)(7)(ii). |
To claim exemption from licensure. NCGS 53-244.050(g) and (h). To claim non-profit status (see references in preceding column). Note: Mortgage Loan Originators employed by exempt persons or non-profits are not required to be licensed and should not submit a claim of exemption. |
| Notice of Amortization Information & Examples | MLA09 | Mortgage Lenders, Mortgage Brokers | Required notice for NC home loans. NCGS 24-1.1A(a1). |
| Verification of Deposit Account | MLA17 | Mortgage Brokers | To comply with 04 NCAC 03M .0401(a). |
| Model Mortgage Broker Disclosure Form | MLA18 | Mortgage Brokers | Model form that can be used to comply with NCGS 53-244.109(5). |
| Branch Attestation Form | Complete in NCCOB Online | Mortgage Lenders, Mortgage Brokers | Prohibited Branch Arrangement Attestation |
| Mortgage Origination Support Registrant (MOSR) Attestation Form | Complete in NCCOB Online | MOSR | Form used to attest MOSR responsibilities |
| Reverse Mortgage Lender Surety Bond | Reverse Mortgage Lender Surety Bond $100,000 | Mortgage Lenders | To comply with 04 NCAC 03K .0302 |
| Additional Information | |||
| NC SAFE Act Fee Schedule | Fee Schedule | All | Overview of fees. |
| Authorization Form | NCCOB-001 | Regulated persons and complainants | Authorization for third parties to receive confidential information. |