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Mortgage Broker Associate Registration, Page 2
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Please fill out completely, Print and Fax to: 1-850-994-3963 or 1-850-995-6174. Incomplete registrations will not be processed.
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Mortgage Industry Background Information. Please answer all questions.
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What is the likelihood you will pursue
further FL licensing (MBB, CL)?
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Very Likely
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Not Very Likely
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Are you currently originating Mortgages?
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YES
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NO
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On average, how many loans per month
do you close?
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Have you originated in another state?
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YES
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NO
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Are you licensed in another state?
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YES
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NO
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Will you keep your license there?
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YES
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NO
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Do you have any mortgage industry friends or associates that you think would benefit from the Participant Program?
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YES
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NO
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Would you like us to contact them?
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YES
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NO
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If 'YES', Please CLICK HERE OR Link Below to give us their contact information. You will be able to return to this page. If 'NO', please read and complete below.
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By submitting this registration form, you authorize Berch Property Systems, Inc., a licensed Florida Mortgage Brokerage Business, to confirm all information contained herein.
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We will process your registration and will respond with any questions we may have. If you do not receive a response within 72 hours, your registration may be incomplete or may not have been received. If you do not receive a response, please use our contact information below. You may wish to print this page for your records. Thank you for your time. We look forward to working with you!
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