New Hire Checklist - LOs · NEW HIRE PAPERWORK CHECKLIST (Licensed Loan Originators) Pe 2 o 3...

WELCOME ABOARD! To make your below you will find a checklist to help guide you through the New Hire Process

clarify which forms are mandatory and must be completed, signed and returned.

important to note that any missing information or form will delay our ability to add you

to our payroll (thereby delaying issuance of your first paycheck, or addition to our

various pricing and mortgage systems).

to call me if you have any questions.

Pat Taylor

HR Manager

(631) 396-1847

[email protected]

Check When

Complete:

Doc Name

Reg Z Agreement

NYS Notice &

Acknowledgement of

Wage Rate and Pay

Day

Form I-

Form W

NEW HIRE PAPERWORK CHECKLIST

(Licensed Loan Originators)

of 3

To make your new-hire experience as smooth as possible,

elow you will find a checklist to help guide you through the New Hire Process

clarify which forms are mandatory and must be completed, signed and returned.

that any missing information or form will delay our ability to add you


various pricing and mortgage systems). Thank you for your cooperation, and feel free

l me if you have any questions.

Doc Name:

Return to HR

Reg Z Agreement

Mandatory: Sign & return.

As a Loan Originator, this Agreement outlines the

Regulation Z (12CFR11.36) rules concerning your

compensation. Please note that you cannot open

any new loans until HR receives a fully

copy of this Agreement, and our LOS system has

been correctly updated.

NYS Notice &

Acknowledgement of

Wage Rate and Pay

Mandatory for New York State Emp

and return.

-9

Mandatory: Complete, sign & return as directed.

We cannot add you to our payroll until this form has

been properly completed and returned together

with clear, legible copies of original documents that

prove your identity and work eligibility. Please

review the list attached to the I-9 form to determine

acceptable documents that you may have.

must be prepared on your first day of work to provide

one document from List A OR one from List B AND one

from List C.

Form W-4


Please complete Sections 1 through 5, sign and date.

(You must provide a number in Section 5. We cannot

assume you intend the claim “0” allowances.) We

will duplicate the number allowances for state tax (if

applicable). If you wish a different number, please

contact me and I will provide you with the State form

for completion.



experience as smooth as possible,

elow you will find a checklist to help guide you through the New Hire Process; and to

clarify which forms are mandatory and must be completed, signed and returned. It is

that any missing information or form will delay our ability to add you


Thank you for your cooperation, and feel free

As a Loan Originator, this Agreement outlines the

Regulation Z (12CFR11.36) rules concerning your LO

Please note that you cannot open

any new loans until HR receives a fully-executed

copy of this Agreement, and our LOS system has

ployees Only: Sign


We cannot add you to our payroll until this form has

een properly completed and returned together

original documents that

prove your identity and work eligibility. Please

orm to determine

acceptable documents that you may have. You

prepared on your first day of work to provide

one document from List A OR one from List B AND one


Please complete Sections 1 through 5, sign and date.

rovide a number in Section 5. We cannot

assume you intend the claim “0” allowances.) We

will duplicate the number allowances for state tax (if

applicable). If you wish a different number, please

contact me and I will provide you with the State form

Check When

Complete:

Doc Name:

Acknowledgement:

Employee Handbook

Acknowledgement:

Loan Fraud Ze

Tolerance Policy

Acknowledgement:

Advertising

Compliance Policy

NMLS Granting

Access Instructions &

Authorization Form

For NYS LOs Only:

Gallagher Surety

Bonding Package

EEO Voluntary Self ID

Form

Direct Deposit Form



of 3

Doc Name:

Return to HR

Acknowledgement:

Employee Handbook Mandatory: Complete, sign & return.

The Handbook is included in your new hire package.

Acknowledgement:

Loan Fraud Zero

Tolerance Policy

Mandatory: Complete, sign & return.

The Policy is included in your new hire package.

Acknowledgement:

Advertising

Compliance Policy

Mandatory: Complete, sign & return.

The Policy is included in your new hire packag

NMLS Granting

Access Instructions &

Authorization Form

To assist you in a smooth transitioning of sponsorship

to United Mortgage, we have included instructions to

help you grant the Company access to your NMLS

Account, and a form whereby you provide us with

your NMLS Account log-in credentials (username &

password) so that we can complete the sponsorship

process.

For NYS LOs Only:

Gallagher Surety

Bonding Package

For New York State Licensed Originators Only:

are always welcome to secure your own bonding.

However, United Mortgage provides a bonding

service through Gallagher Mortgage Banking

Solutions. Please review all of the documents

contained in the package, complete all of the

paperwork and return it to me so that I can pass it on

to our Sr. Compliance Manager for processing.

EEO Voluntary Self ID

As the title states, this form is voluntary and

confidential. We only use it for EEO reporting

purposes. If you do not wish to ident

off the appropriate box in each section, print your

name and date it. We do request that you return the

form so that we have it for our records.

Direct Deposit Form

This form is for your convenience. If you wish the

Company to automatically deposit your

compensation to your checking or savings

account(s), please complete all of the appropriate

sections, sign and date. If you wish direct deposit to

your checking account, please be sure to provide a

voided personal check or a print-out from your bank

that contains the account and routing numbers, as

well as the name(s) of the account holder(s).



Complete, sign & return.

The Handbook is included in your new hire package.





To assist you in a smooth transitioning of sponsorship

to United Mortgage, we have included instructions to

help you grant the Company access to your NMLS

reby you provide us with

in credentials (username &

password) so that we can complete the sponsorship

For New York State Licensed Originators Only: You

are always welcome to secure your own bonding.

However, United Mortgage provides a bonding

service through Gallagher Mortgage Banking

Solutions. Please review all of the documents

contained in the package, complete all of the

e so that I can pass it on

to our Sr. Compliance Manager for processing.

As the title states, this form is voluntary and

confidential. We only use it for EEO reporting

If you do not wish to identify, simply check

off the appropriate box in each section, print your

name and date it. We do request that you return the

form so that we have it for our records.

This form is for your convenience. If you wish the

Company to automatically deposit your

compensation to your checking or savings

account(s), please complete all of the appropriate

. If you wish direct deposit to

your checking account, please be sure to provide a

out from your bank

that contains the account and routing numbers, as

well as the name(s) of the account holder(s).

FOR YOU TO KEEP

• Employee Handbook

• Zero Tolerance Policy

• Advertising Compliance Policy

• United Mortgage University

Student Navigation Instructions

• Remote Desktop Services –

Instructions

• Voicemail Instructions:

25 Melville Park Road

[Inside Employees Only]

• United Mortgage Corp’s Intranet

Website

Human Resources

IT Helpdesk

Accounting/Payroll

Supplies @ 25 Melville Park Road

Business Cards

Overnight Shipping

@ 25 Melville Park Road

Licensing & NYS Surety Bonding



of 3

YOU TO KEEP (Please do not return to HR) Please read/retain this Handbook for future

reference.

Please read/retain this policy for future reference.

Advertising Compliance Policy Please read/retain this policy for future reference.

United Mortgage University –

Navigation Instructions

As a new hire, you will be assigned cer

coursework that is required for corporations and

mortgage bankers. You will receive an automated

e-mail when you have been enrolled. You have a

period of 60 days to complete the new hire learning

plan. Other courses will be assigned as well,

depending upon your division and job.

If you are an outside Loan Officer, you will especially

need the ability to access the BYTE system remotely.

We have provided instructions so that you may do

so.

If applicable, we have provided you with a phone

set, and you will need to set up a password to access

your voicemail. We have provided you with

instructions so that you may do so.

p’s Intranet

Our Company website is the go-to place for all of the

Company’s announcements, policies, procedures,

forms, etc. If you are connected to the Company’s

server, our intranet website will automatically load

each time you access Internet Explorer from your PC.

However, if you are not connected, you must type

the following URL into your browser bar:

http://umccms/

IMPORTANT CONTACTS Pat Taylor, HR Manager

(631) 396-1847

[email protected]

[email protected] or submit a

Helpdesk Ticket via the Intranet.

Girard Finnegan – Staff Accountant

(631) 396-1880

Supplies @ 25 Melville Park Road Kim Tonsetic, Shipping Manager

(631) 396-1813

[email protected]

Nicole Paige

(631) 396-1811

[email protected]

Loretta Horrigan, Reception

(631) 396-1800

[email protected]

Licensing & NYS Surety Bonding Danielle Tylutki, Sr. Compliance Manager

(631) 719-1717

[email protected]



Please read/retain this Handbook for future



As a new hire, you will be assigned certain

coursework that is required for corporations and

mortgage bankers. You will receive an automated

mail when you have been enrolled. You have a

period of 60 days to complete the new hire learning

plan. Other courses will be assigned as well,

ing upon your division and job.

If you are an outside Loan Officer, you will especially

need the ability to access the BYTE system remotely.

We have provided instructions so that you may do

If applicable, we have provided you with a phone

set, and you will need to set up a password to access

your voicemail. We have provided you with

to place for all of the

Company’s announcements, policies, procedures,

forms, etc. If you are connected to the Company’s

server, our intranet website will automatically load

Explorer from your PC.

However, if you are not connected, you must type

the following URL into your browser bar:

or submit a

Staff Accountant

ance Manager

Employment Eligibility Verification

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form I-9 OMB No. 1615-0047

Expires 03/31/2016

START HERE. Read instructions carefully before completing this form. The instructions must be available during completion of this form.

ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which

document(s) they will accept from an employee. The refusal to hire an individual because the documentation presented has a future

expiration date may also constitute illegal discrimination.

Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form I-9 no later

than the first day of employment, but not before accepting a job offer.)

Address (Street Number and Name)

E-mail Address Telephone NumberDate of Birth (mm/dd/yyyy)

Other Names Used (if any)

U.S. Social Security Number

Middle Initial

Apt. Number City or Town State Zip Code

I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in

connection with the completion of this form.

I attest, under penalty of perjury, that I am (check one of the following):

An alien authorized to work until (expiration date, if applicable, mm/dd/yyyy)

Signature of Employee: Date (mm/dd/yyyy):

Date (mm/dd/yyyy):Signature of Preparer or Translator:

Address (Street Number and Name) City or Town Zip CodeState

A lawful permanent resident (Alien Registration Number/USCIS Number):

A citizen of the United States

A noncitizen national of the United States (See instructions)

1. Alien Registration Number/USCIS Number:

For aliens authorized to work, provide your Alien Registration Number/USCIS Number OR Form I-94 Admission Number:

If you obtained your admission number from CBP in connection with your arrival in the United

States, include the following:

2. Form I-94 Admission Number:

Country of Issuance:

Foreign Passport Number:

(See instructions)

Some aliens may write "N/A" on the Foreign Passport Number and Country of Issuance fields. (See instructions)

First Name (Given Name)Last Name (Family Name)

- -

. Some aliens may write "N/A" in this field.

Page 7 of 9Form I-9 03/08/13 N

Employer Completes Next Page

I attest, under penalty of perjury, that I have assisted in the completion of this form and that to the best of my knowledge the

information is true and correct.

Preparer and/or Translator Certification (To be completed and signed if Section 1 is prepared by a person other than the

employee.)

OR

First Name (Given Name)Last Name (Family Name)

3-D Barcode

Do Not Write in This Space

of 9Form I-9 03/08/13 N

Employee Last Name, First Name and Middle Initial from Section 1:

Section 2. Employer or Authorized Representative Review and Verification(Employers or their authorized representative must complete and sign Section 2 within 3 business days of the employee's first day of employment. You

must physically examine one document from List A OR examine a combination of one document from List B and one document from List C as listed on

the "Lists of Acceptable Documents" on the next page of this form. For each document you review, record the following information: document title,

issuing authority, document number, and expiration date, if any.)

Certification

I attest, under penalty of perjury, that (1) I have examined the document(s) presented by the above-named employee, (2) the

above-listed document(s) appear to be genuine and to relate to the employee named, and (3) to the best of my knowledge the

employee is authorized to work in the United States.

The employee's first day of employment (mm/dd/yyyy): (See instructions for exemptions.)

Date (mm/dd/yyyy)Signature of Employer or Authorized Representative Title of Employer or Authorized Representative

Employer's Business or Organization Address (Street Number and Name)

Last Name (Family Name) Employer's Business or Organization NameFirst Name (Given Name)

City or Town Zip CodeState

Section 3. Reverification and Rehires (To be completed and signed by employer or authorized representative.)

A. New Name (if applicable)

C. If employee's previous grant of employment authorization has expired, provide the information for the document from List A or List C the employee

presented that establishes current employment authorization in the space provided below.

B. Date of Rehire (if applicable) (mm/dd/yyyy):

Document Title: Document Number: Expiration Date (if any)(mm/dd/yyyy):

Signature of Employer or Authorized Representative: Date (mm/dd/yyyy):

I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if

the employee presented document(s), the document(s) I have examined appear to be genuine and to relate to the individual.

Middle InitialFirst Name (Given Name)Last Name (Family Name)

Issuing Authority: Issuing Authority:

Document Number:

Document Title:Document Title:

Document Number:

Issuing Authority:

List A OR ANDList B List C

Document Number:

Document Title:

Expiration Date (if any)(mm/dd/yyyy):

Document Title:

Issuing Authority:


Document Title:

Issuing Authority:


Expiration Date (if any)(mm/dd/yyyy): Expiration Date (if any)(mm/dd/yyyy):

Identity and Employment Authorization Identity Employment Authorization

Document Number:

Document Number:

Print Name of Employer or Authorized Representative:

3-D Barcode

Do Not Write in This Space

of 9Form I-9 03/08/13 N

LISTS OF ACCEPTABLE DOCUMENTS

Illustrations of many of these documents appear in Part 8 of the Handbook for Employers (M-274).

For persons under age 18 who are

unable to present a document

listed above:

LIST A LIST B LIST C

2. Permanent Resident Card or Alien

Registration Receipt Card (Form I-551)

8. Employment authorization

document issued by the

Department of Homeland Security

1. Driver's license or ID card issued by a

State or outlying possession of the

United States provided it contains a

photograph or information such as

name, date of birth, gender, height, eye

color, and address

1. A Social Security Account Number

card, unless the card includes one of

the following restrictions:

9. Driver's license issued by a Canadian

government authority

1. U.S. Passport or U.S. Passport Card

2. Certification of Birth Abroad issued

by the Department of State (Form

FS-545)

3. Foreign passport that contains a

temporary I-551 stamp or temporary

I-551 printed notation on a machine-

readable immigrant visa

4. Employment Authorization Document

that contains a photograph (Form

I-766)

3. Certification of Report of Birth

issued by the Department of State

(Form DS-1350)

3. School ID card with a photograph5. For a nonimmigrant alien authorized

to work for a specific employer

because of his or her status:

6. Military dependent's ID card

4. Original or certified copy of birth

certificate issued by a State,

county, municipal authority, or

territory of the United States

bearing an official seal

7. U.S. Coast Guard Merchant Mariner

Card

5. Native American tribal document8. Native American tribal document

7. Identification Card for Use of

Resident Citizen in the United

States (Form I-179)

10. School record or report card

11. Clinic, doctor, or hospital record

12. Day-care or nursery school record

2. ID card issued by federal, state or local

government agencies or entities,

provided it contains a photograph or

information such as name, date of birth,

gender, height, eye color, and address

4. Voter's registration card

5. U.S. Military card or draft record

Documents that Establish

Both Identity and

Employment Authorization


Identity


Employment Authorization

OR AND

All documents must be UNEXPIRED

6. Passport from the Federated States of

Micronesia (FSM) or the Republic of

the Marshall Islands (RMI) with Form

I-94 or Form I-94A indicating

nonimmigrant admission under the

Compact of Free Association Between

the United States and the FSM or RMI

6. U.S. Citizen ID Card (Form I-197)

b. Form I-94 or Form I-94A that has

the following:

(1) The same name as the passport;

and

(2) An endorsement of the alien's

nonimmigrant status as long as

that period of endorsement has

not yet expired and the

proposed employment is not in

conflict with any restrictions or

limitations identified on the form.

a. Foreign passport; and

(2) VALID FOR WORK ONLY WITH

INS AUTHORIZATION

(3) VALID FOR WORK ONLY WITH

DHS AUTHORIZATION

(1) NOT VALID FOR EMPLOYMENT

Refer to Section 2 of the instructions, titled "Employer or Authorized Representative Review

and Verification," for more information about acceptable receipts.

Employees may present one selection from List A

or a combination of one selection from List B and one selection from List C.

Form W-4 (2014)Purpose. Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Consider completing a new Form W-4 each year and when your personal or financial situation changes.

Exemption from withholding. If you are exempt, complete only lines 1, 2, 3, 4, and 7 and sign the form to validate it. Your exemption for 2014 expires February 17, 2015. See Pub. 505, Tax Withholding and Estimated Tax.

Note. If another person can claim you as a dependent on his or her tax return, you cannot claim exemption from withholding if your income exceeds $1,000 and includes more than $350 of unearned income (for example, interest and dividends).

Exceptions. An employee may be able to claim exemption from withholding even if the employee is a dependent, if the employee:

• Is age 65 or older,

• Is blind, or

• Will claim adjustments to income; tax credits; or itemized deductions, on his or her tax return.

The exceptions do not apply to supplemental wages greater than $1,000,000.

Basic instructions. If you are not exempt, complete the Personal Allowances Worksheet below. The worksheets on page 2 further adjust your withholding allowances based on itemized deductions, certain credits, adjustments to income, or two-earners/multiple jobs situations.

Complete all worksheets that apply. However, you may claim fewer (or zero) allowances. For regular wages, withholding must be based on allowances you claimed and may not be a flat amount or percentage of wages.

Head of household. Generally, you can claim head of household filing status on your tax return only if you are unmarried and pay more than 50% of the costs of keeping up a home for yourself and your dependent(s) or other qualifying individuals. See Pub. 501, Exemptions, Standard Deduction, and Filing Information, for information.

Tax credits. You can take projected tax credits into account in figuring your allowable number of withholding allowances. Credits for child or dependent care expenses and the child tax credit may be claimed using the Personal Allowances Worksheet below. See Pub. 505 for information on converting your other credits into withholding allowances.

Nonwage income. If you have a large amount of nonwage income, such as interest or dividends, consider making estimated tax payments using Form 1040-ES, Estimated Tax for Individuals. Otherwise, you may owe additional tax. If you have pension or annuity iincome, see Pub. 505 to find out if you should adjust your withholding on Form W-4 or W-4P.

Two earners or multiple jobs. If you have a working spouse or more than one job, figure the total number of allowances you are entitled to claim on all jobs using worksheets from only one Form W-4. Your withholding usually will be most accurate when all allowances are claimed on the Form W-4 for the highest paying job and zero allowances are claimed on the others. See Pub. 505 for details.

Nonresident alien. If you are a nonresident alien, see Notice 1392, Supplemental Form W-4 Instructions for Nonresident Aliens, before completing this form.

Check your withholding. After your Form W-4 takes effect, use Pub. 505 to see how the amount you are having withheld compares to your projected total tax for 2014. See Pub. 505, especially if your earnings exceed $130,000 (Single) or $180,000 (Married).

Future developments. Information about any future developments affecting Form W-4 (such as legislation enacted after we release it) will be posted at www.irs.gov/w4.

Personal Allowances Worksheet (Keep for your records.)A Enter “1” for yourself if no one else can claim you as a dependent . . . . . . . . . . . . . . . . . . A

B Enter “1” if: {• You are single and have only one job; or

• You are married, have only one job, and your spouse does not work; or . . .

• Your wages from a second job or your spouse’s wages (or the total of both) are $1,500 or less.} B

C Enter “1” for your spouse. But, you may choose to enter “-0-” if you are married and have either a working spouse or more

than one job. (Entering “-0-” may help you avoid having too little tax withheld.) . . . . . . . . . . . . . . C

D Enter number of dependents (other than your spouse or yourself) you will claim on your tax return . . . . . . . . D

E Enter “1” if you will file as head of household on your tax return (see conditions under Head of household above) . . E

F Enter “1” if you have at least $2,000 of child or dependent care expenses for which you plan to claim a credit . . . F

(Note. Do not include child support payments. See Pub. 503, Child and Dependent Care Expenses, for details.)

G Child Tax Credit (including additional child tax credit). See Pub. 972, Child Tax Credit, for more information.

• If your total income will be less than $65,000 ($95,000 if married), enter “2” for each eligible child; then less “1” if you

have three to six eligible children or less “2” if you have seven or more eligible children.

• If your total income will be between $65,000 and $84,000 ($95,000 and $119,000 if married), enter “1” for each eligible child . . . G

H Add lines A through G and enter total here. (Note. This may be different from the number of exemptions you claim on your tax return.) H

For accuracy, complete all worksheets that apply.

{• If you plan to itemize or claim adjustments to income and want to reduce your withholding, see the Deductions and Adjustments Worksheet on page 2.

• If you are single and have more than one job or are married and you and your spouse both work and the combined earnings from all jobs exceed $50,000 ($20,000 if married), see the Two-Earners/Multiple Jobs Worksheet on page 2 to avoid having too little tax withheld.

• If neither of the above situations applies, stop here and enter the number from line H on line 5 of Form W-4 below.

Separate here and give Form W-4 to your employer. Keep the top part for your records.

Form W-4Department of the Treasury Internal Revenue Service

Employee's Withholding Allowance Certificate Whether you are entitled to claim a certain number of allowances or exemption from withholding is

subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS.

OMB No. 1545-0074

20141 Your first name and middle initial Last name

Home address (number and street or rural route)

City or town, state, and ZIP code

2 Your social security number

3 Single Married Married, but withhold at higher Single rate.

Note. If married, but legally separated, or spouse is a nonresident alien, check the “Single” box.

4 If your last name differs from that shown on your social security card,

check here. You must call 1-800-772-1213 for a replacement card.

5 Total number of allowances you are claiming (from line H above or from the applicable worksheet on page 2) 5

6 Additional amount, if any, you want withheld from each paycheck . . . . . . . . . . . . . . 6 $

7 I claim exemption from withholding for 2014, and I certify that I meet both of the following conditions for exemption.

• Last year I had a right to a refund of all federal income tax withheld because I had no tax liability, and

• This year I expect a refund of all federal income tax withheld because I expect to have no tax liability.

If you meet both conditions, write “Exempt” here . . . . . . . . . . . . . . . 7

Under penalties of perjury, I declare that I have examined this certificate and, to the best of my knowledge and belief, it is true, correct, and complete.

Employee’s signature (This form is not valid unless you sign it.) Date

8 Employer’s name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.) 9 Office code (optional) 10 Employer identification number (EIN)

For Privacy Act and Paperwork Reduction Act Notice, see page 2. Cat. No. 10220Q Form W-4 (2014)

Form W-4 (2014) Page 2

Deductions and Adjustments WorksheetNote. Use this worksheet only if you plan to itemize deductions or claim certain credits or adjustments to income.

1 Enter an estimate of your 2014 itemized deductions. These include qualifying home mortgage interest, charitable contributions, state and local taxes, medical expenses in excess of 10% (7.5% if either you or your spouse was born before January 2, 1950) of your income, and miscellaneous deductions. For 2014, you may have to reduce your itemized deductions if your income is over $305,050 and you are married filing jointly or are a qualifying widow(er); $279,650 if you are head of household; $254,200 if you are single and not head of household or a qualifying widow(er); or $152,525 if you are married filing separately. See Pub. 505 for details . . . . 1 $

2 Enter: {$12,400 if married filing jointly or qualifying widow(er)

$9,100 if head of household . . . . . . . . . . .

$6,200 if single or married filing separately} 2 $

3 Subtract line 2 from line 1. If zero or less, enter “-0-” . . . . . . . . . . . . . . . . 3 $

4 Enter an estimate of your 2014 adjustments to income and any additional standard deduction (see Pub. 505) 4 $

5 Add lines 3 and 4 and enter the total. (Include any amount for credits from the Converting Credits to

Withholding Allowances for 2014 Form W-4 worksheet in Pub. 505.) . . . . . . . . . . . . 5 $

6 Enter an estimate of your 2014 nonwage income (such as dividends or interest) . . . . . . . . 6 $

7 Subtract line 6 from line 5. If zero or less, enter “-0-” . . . . . . . . . . . . . . . . 7 $

8 Divide the amount on line 7 by $3,950 and enter the result here. Drop any fraction . . . . . . . 8

9 Enter the number from the Personal Allowances Worksheet, line H, page 1 . . . . . . . . . 9

10 Add lines 8 and 9 and enter the total here. If you plan to use the Two-Earners/Multiple Jobs Worksheet,

also enter this total on line 1 below. Otherwise, stop here and enter this total on Form W-4, line 5, page 1 10

Two-Earners/Multiple Jobs Worksheet (See Two earners or multiple jobs on page 1.)Note. Use this worksheet only if the instructions under line H on page 1 direct you here.

1 Enter the number from line H, page 1 (or from line 10 above if you used the Deductions and Adjustments Worksheet) 1

2 Find the number in Table 1 below that applies to the LOWEST paying job and enter it here. However, if

you are married filing jointly and wages from the highest paying job are $65,000 or less, do not enter more

than “3” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 If line 1 is more than or equal to line 2, subtract line 2 from line 1. Enter the result here (if zero, enter

“-0-”) and on Form W-4, line 5, page 1. Do not use the rest of this worksheet . . . . . . . . . 3

Note. If line 1 is less than line 2, enter “-0-” on Form W-4, line 5, page 1. Complete lines 4 through 9 below to

figure the additional withholding amount necessary to avoid a year-end tax bill.

4 Enter the number from line 2 of this worksheet . . . . . . . . . . 4

5 Enter the number from line 1 of this worksheet . . . . . . . . . . 5

6 Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Find the amount in Table 2 below that applies to the HIGHEST paying job and enter it here . . . . 7 $

8 Multiply line 7 by line 6 and enter the result here. This is the additional annual withholding needed . . 8 $

9 Divide line 8 by the number of pay periods remaining in 2014. For example, divide by 25 if you are paid every two

weeks and you complete this form on a date in January when there are 25 pay periods remaining in 2014. Enter

the result here and on Form W-4, line 6, page 1. This is the additional amount to be withheld from each paycheck 9 $

Table 1Married Filing Jointly

If wages from LOWEST paying job are—

Enter on line 2 above

$0 - $6,000 06,001 - 13,000 1

13,001 - 24,000 224,001 - 26,000 326,001 - 33,000 433,001 - 43,000 543,001 - 49,000 649,001 - 60,000 760,001 - 75,000 875,001 - 80,000 980,001 - 100,000 10

100,001 - 115,000 11115,001 - 130,000 12130,001 - 140,000 13140,001 - 150,000 14150,001 and over 15

All Others

If wages from LOWEST paying job are—


$0 - $6,000 06,001 - 16,000 1

16,001 - 25,000 225,001 - 34,000 334,001 - 43,000 443,001 - 70,000 570,001 - 85,000 685,001 - 110,000 7

110,001 - 125,000 8125,001 - 140,000 9140,001 and over 10

Table 2Married Filing Jointly

If wages from HIGHEST paying job are—


$0 - $74,000 $59074,001 - 130,000 990

130,001 - 200,000 1,110200,001 - 355,000 1,300355,001 - 400,000 1,380400,001 and over 1,560

All Others

If wages from HIGHEST paying job are—


$0 - $37,000 $59037,001 - 80,000 99080,001 - 175,000 1,110

175,001 - 385,000 1,300385,001 and over 1,560

Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. Internal Revenue Code sections 3402(f)(2) and 6109 and their regulations require you to provide this information; your employer uses it to determine your federal income tax withholding. Failure to provide a properly completed form will result in your being treated as a single person who claims no withholding allowances; providing fraudulent information may subject you to penalties. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation; to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their tax laws; and to the Department of Health and Human Services for use in the National Directory of New Hires. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism.

You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by Code section 6103.

The average time and expenses required to complete and file this form will vary depending on individual circumstances. For estimated averages, see the instructions for your income tax return.

If you have suggestions for making this form simpler, we would be happy to hear from you. See the instructions for your income tax return.

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RECEIPT & ACKNOWLEDGEMENT

Please carefully read the Policy that follows this Receipt & Acknowledgementname, your job title, and sign and date where indicatedManager on your first day of work. Do not return the Policy; it is

I have received and read a copy of the United Mortg

understand that said policy may be subject to chang

Company will announce any future changes or additio

on the Company’s Intranet website (http://umccms/

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LOAN FRAUD ZERO TOLE


that follows this Receipt & Acknowledgement. Then and date where indicated; return this Receipt to the

Do not return the Policy; it is for your future reference.

I have received and read a copy of the United Mortgage Corp’s LOAN FRAUD ZERO TOLERANCE

understand that said policy may be subject to change at any time at the sole discretion of United Mort

Company will announce any future changes or additions made to this Policy, and the revised Policy will

http://umccms/).��

ERANCE POLICY �

. Then insert your printed return this Receipt to the Company’s HR

future reference.

LOAN FRAUD ZERO TOLERANCE POLICY. I

e at any time at the sole discretion of United Mortgage Corp. The

ns made to this Policy, and the revised Policy will be made available

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Please carefully read the Advertising Compliancethis Receipt & Acknowledgementsign and date where indicated; your first day of work. Retain the Policy for your future reference.

I have received and read a copy of the United Mortg

POLICY AND PROCEDURES. I understand that said policy may be subject to cha

time at the sole discretion of United Mortgage Corp

changes or additions made to this Policy, and the r

Company’s Intranet website (http://umccms/

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ADVERTISING

POLICY AND

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Advertising Compliance Policy and Procedures this Receipt & Acknowledgement. Then insert your printed name,

; return this Receipt to the Company’s HR Manager on Retain the Policy for your future reference.

I have received and read a copy of the United Mortgage Corp’s ADVERTISING COM

I understand that said policy may be subject to cha

time at the sole discretion of United Mortgage Corp. The Company will announce any future

changes or additions made to this Policy, and the revised Policy will be made available on the

http://umccms/).��

G COMPLIANCE

PROCEDURES

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and Procedures that follow your job title, and

return this Receipt to the Company’s HR Manager on

ADVERTISING COMPLIANCE

I understand that said policy may be subject to change at any

. The Company will announce any future

e made available on the

GRANTING INSTITUTION ACCESS

Updated: 1/2/2014 State Regulatory Registry LLC

In order to give your employer or prospective employer the ability to facilitate the registration process on your behalf, you will need to grant them access to your account. Institution access to your record will continue until you remove access or the employment has been terminated.

NOTE: Once your institution confirms employment and your registration is active, you cannot remove access unless you or the institution terminates your employment record.

Granting Institution Access:

1. Navigate to the NMLS Federal Registry Resource Center.

2. Select in the upper right corner.

3. Select the appropriate context: State: Non-depository or Federal, if applicable, and Log

into NMLS.

4. Select in the top right corner.

5. Select the sub-menu option.

6. Click Add to search for the institution you want to grant access to your record. You can

search by the institution�s NMLS ID number or legal name.

7. Select the correct institution by checking the box next to the name, and click Save.

8. Once access had been granted, the institution is able to view your composite information

and process MU4R filings on your behalf.

NOTE: The system will reflect the institution you selected under Current Institution

Access and the institution will receive notification that you have granted them access.

For further assistance, please contact the NMLS Call Center at 1-855-NMLS-123 (1-855-

665-7123).

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**Prices subject to change** Updated 12/19/12

In order to provide you with the best possible service, Gallagher Mortgage Banking Solutions

charges the following fees:

Minimum Premium Fee $100

Endorsement Fee $15

Continuation Certificate Fee $10

Duplicate of Original Fee $15

Shipping Fee $20

Reinstatement Fee $25

Copy of bond; rider $10

Gallagher Mortgage Banking Solutions charges a minimum $100 premium on all surety bonds. This

fee is nonrefundable once a premium has been paid.

Gallagher Mortgage Banking Solutions charges $15 for any endorsement except those that require the bond’s penal sum to be increased. We will then prorate the bond premium and invoice accordingly.

Gallagher Mortgage Banking Solutions charges an additional $10 at renewal for any bond in which the

state requires a continuation certificate.

Gallagher Mortgage Banking Solutions charges $20 to ship any bond, endorsement, continuation certificate, or duplicate of original overnight in which the client has requested the form to be sent overnight

but does not have an account number with an overnight carrier. We do require that the client write “Bill Me” on their request form where the overnight account number is required.

Gallagher Mortgage Banking Solutions charges $25 to reinstate any bond that has been canceled.

Gallagher Mortgage Banking Solutions charges $10 for each copy of a bond, rider, continuation

certificate, or reinstatement requested.

Please have an officer enter in their company name and sign and date this fee schedule

acknowledging the above fees of Gallagher Mortgage Banking Solutions. Please fax the

completed form to 847-458-7266. The original is for your records. We only require this

faxed completed form one time for your file.

___________________________________________________________________________________

Individual Name

____________________________________ _______________________

Signature Date

Mortgage Loan Originator Application

Applicant __________________________________________________ SS#________________ NMLS ID. No. _________(name exactly as it appears on your license and/or will appear on your bond)

Applicant�s address _______________________________________________________ ____________ ___

_________________________________________________________________________________________

Has applicant, business owner or indemnitor ever:

��Yes �� No Been convicted of fraud or a felony?

��Yes �� No Had a business-related license suspended or revoked, or currently have open claims or complaints against your license, in this

or any other state?

� Yes ��No Had any lawsuits, judgments, liens or claims against them?

� Yes ��No Had a bond cancelled, renewal refused or claims paid by a surety company?

PLEASE PROVIDE AN EXPLANATION FOR ANY �YES� ANSWERS

GENERAL AGREEMENT OF INDEMNITY - READ CAREFULLY

Each of the undersigned herby af�rms that the foregoing statements made and answers given are the truth and are made to The Guarantee Company of

North America USA and/or The Guarantee Company of North America (hereinafter called the Company) to execute or procure the execution of any or all of

the bonds above, described subsequent bonds, undertakings and any and all extensions, modi�cations or renewals thereof, additions thereto or substitutions

therefore, any and all such instruments separately called the Bond. The undersigned authorize the Company to investigate its business and credit history

with any person or entity, whether named herein or not. Should the Company execute, or procure the execution of said bond, the undersigned hereby agree,

for themselves, their personal representatives, successors and assigns, jointly and severally, as follows:

(1)To pay, or cause to be paid, premium or premiums on said bond as determined by the Company.

(2)To completely indemnify the Company from and against any liability, loss, cost, attorneys fees, and expenses of whatsoever kind or nature, including

the enforcement of this agreement, which the Company shall at any time sustain, or incur by reason or in consequence of having executed or procured the

execution of the bond.

(3)That liability hereunder shall extend to and include all amounts paid by the Company in good faith under the belief that it was liable therefore or that such

payments were necessary to protect any of its rights hereunder or to avoid or lessen its liability, and the vouchers or other evidence of such payments shall

be conclusive evidence of the fact and extent of the liability of the undersigned to the Company.

(4)If the Company shall set up a reserve to cover any liability, claim, suit or judgment under said bond, the undersigned will, immediately upon demand,

deposit with Company a sum of money, equal to such reserve and any increase thereof, to be held by the Company as collateral security on said bond. Any

money or property which shall have been or shall hereafter be pledged by any of the undersigned�s collateral security on said bond shall be held subject to

the terms of the Company�s regular form of collateral receipt which is hereby made a part of this instrument to the same extent as if set out at length herein,

and any such collateral shall be available, in the discretion of the Company, as collateral security on any other or all bonds heretofore or hereafter executed

for or at the request of any of the undersigned. Surety shall have the right and sole discretion to determine whether a claim or liability involving any Bond

shall be settled, compromised, paid, defended, prosecuted or appealed, and/or take any action it may deem necessary or expedient with respect to such

claims.

(5)To waive and does hereby waive all right to claim any property, including homestead, as exempt from levy, execution, attachment, sale, or other legal

process under the constitution or law of the United States of America, or any State, territory or province.

(6)If the Company shall procure any other company or companies to execute or join with it in executing, or to reinsure said bond, this instrument shall inure

to the bene�t of such other company or companies, its or their successors and assigns, so as to give it or them a direct right of action against the under-

signed to enforce the provisions of this instrument and in that event the word � Company� wherever used herein, shall be deemed to include such other

company or companies, as their respective interests may appear.

(7)That the undersigned shall not be relieved of liability hereunder by the Company�s consenting to any change, addition, substitution or new obligation in

connection with said bond, or any obligation covered thereby, notice of any such change, addition, substitution or new obligation being hereby waived.

(8)That the Company shall have the right to cancel said bond whenever it shall see �t without giving any reason, and is herby released from and any dam-

ages that may be sustained by the undersigned by reason of such action.

(9)That separate suits may be brought hereunder as causes of action accrue, and the bringing of suit or the recovery of judgment upon any cause of action

shall not prejudice or bar the bringing of other suits upon other causes of action, whether theretofore or thereafter arising.

(10)Each of the undersigned agrees to pay the full amount of the foregoing regardless of (a) the failure of the Principal to sign any such bond or (b) any claim

that other indemnity, security or collateral was to have been obtained or (c) the release, return or exchange by the Company with or without the consent of

the undersigned, of any indemnity, security or collateral that may have been obtained or (d) the fact that any party signing this instrument is not bound for

any reason.

(11) This application and indemnity agreement bearing the signature of the Applicant and Indemnitor(s) shall be valid, effective and enforceable whether

received by the Company as an original, facsimile transmission or by other electronic means.

(12)This agreement shall be liberally construed so as to fully protect and indemnify the Company.

FRAUD STATEMENT: Any person who knowingly and with intent to defraud any insurance company or other persons �les an application for insurance containing any false information or conceals

for the purpose of misleading information concerning any fact material therefore commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties.

First year�s premium is fully earned.

StateBond

Penalty(Full address including County)

(Full address including County)

Witness: By:

Witness: By:

This application is incorporated into and made part of the Undertaking. Signed and sealed this ____ day of _______________, _______.

(Signature of Applicant )

(Additional Indemnitor if required )

(Seal if Corporate

Indemnitor )

CS00880610

Name and addressof Employer

SURETY BOND REQUEST FORM

PLEASE TYPE OR PRINT CLEARLY

FROM: Surety Department

PHONE: 847-458-9900 FAX: 847-458-7266 EMAIL: @mtgins.com

: For bond requests sent regular mail, check the US Postal Service box below. Should you prefer to use our overnight account, check the MIA box*. As indicated on our Fee Schedule, the fee associated for this service is $2 .00. For bond requests sent overnight, please enter your account number in one of the appropriate overnight carrier fields below.

US POSTAL SERVICE MIA include $2 .00 with payment

ED EX UPS

Mortgage !s Personal Nam

Mortgage !s Residence Address: City: State: Zip Code: Mortgage !s Home Phone Company Name:

Company Address:

City: State: Zip Code: County: Phone: Fax: Contact Name: Originator NMLS ID No. Signature: :

PAYMENT METHOD:

Make check payable to: Mortgage Insurance Agency, Ltd. 1125 Mitchell Court Crystal Lake, Illinois 60014

STATE FOR BOND: EFFECTIVE DATE: BOND AMOUNT:

The first $100.00 premium of all new and renewal surety bonds are considered to be fully earned. Meaning that the first $100.00 is non-refundable if the surety bond is cancelled after the premium has been paid.

Gallagher Mortgage Banking Solutions

*Please Note: Your personal name on your bond must match your NY license exactly.

Arthur J. Gallagher, RMS

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All Loan Originators must be aware that Un

Knowing this, it is expected that the Loan Ori

application taken and each loan submitted to Un�

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SUBMISSION OF A LOAN APPL�

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TYPES OF LOAN FRAUD

• Submission of inaccurate informat

documents purporting to substant

including identity, ownership/non-

• The alteration or forgery of inform

• Inaccurate representation of current

security instrument;

• Lack of due diligence by loan offic

application and failure to request

or coaching the consumer will not

• Unquestioned acceptance of infor

fabricated.

• Allowing applicant or interested th

• Accepting loans from unlicensed t

• Non disclosure of relevant informat

• Any action that conflicts with the p

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IMPACT OF LOAN FRAUD

The effects of Loan Fraud are costly to all pa

production. We procure, originate and pres

and guarantee this with representations and

contains fraud. Fraudulent loans damage our

providers and regulatory agencies.

United Mortgage Corp will not tolerate any e

discovered that an employee has acted in th

�

CONSEQUENCES

• Criminal prosecution

• Information provided to state regu

investors and lenders.

• Civil action taken by United Mortg

• Civil Actions by applicant/borrower

• Incident report filed with MARI for

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MANDATORY: Please sign and return the attached Receipt & Ackno

Manager on your first day of employment.�

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LOAN FRAUD ZERO TOLE

nited Mortgage Corp. bears the responsibility for all a

Originator understand they are responsible for the co

to United Mortgage Corp.

PPLICATION CONTAINING FALSE INFORM

ation including false statements on a loan application

tiate credit, employment, deposit and asset informati

-ownership of real property, etc.

mation, signatures, or any aspect of a loan or its suppo

ent occupancy or intent to maintain required occupan

cer/interviewer, including failure to obtain all informat

further information as dictated by Borrower’s respon

ot be tolerated.

rmation or documentation that is known or suspected

hird party assist with the processing of the loan.

third parties.

ation.

practices and policies of UMC or deceptive practices

parties involved. United Mortgage Corp. stands behind

sent quality mortgage loans to all our investors and S

nd warrantees. These ‘reps and warrants’ require UMC

our representation with government agencies such as

employee perpetrating or committing any of the acts

his fashion, the following will occur:

ulatory agencies, MI companies, government agencie

gage Corp vs. individual

ower or other parties to the transaction

or review by industry professionals

Please sign and return the attached Receipt & Acknowledgement for this Policy to

ERANCE POLICY �

actions of our employees.

ontent and quality of each

MATION IS A CRIME!

and falsification of

ion, personal information

upporting documentation.

upancy as agreed in the

ation required by the

ponse to questions. Steering

ted to be inaccurate or

es or intent to deceive UMC.

nd the qualify of its loan

Secondary Market contacts

UMC to buy back any loan that

as HUD, our investors, MI

described above. If it is

es, and all correspondent

wledgement for this Policy to the Company’s HR

�

1. INTRODUCTION

�a. Various federal statutes and regulat

staff, Account Managers, and Loan

compliance policy.

�b. For the purpose of this statement, a

Corp. (The Company) to induce the�

�

2. POLICY STATEMENT

�a. It is The Company’s policy that all ad

the Advertising Compliance Procedu

Company is in compliance with all fe

institutions.

�3. ADVERTISING MORTGAGE LOAN

�a. The Company cannot advertise an a

payment, or similar related features

�b. In advertising for mortgage loans, T

providing a complete set of disclosu

�c. If any of the following terms are stat

paragraph must be disclosed:

• The number of payments or peri

• The amount or percentage of any

• The amount of any payment.

• The amount of any finance char

�d. An advertisement stating any of the

following terms:

• The amount or percentage of the

• The terms of repayment such as

• The “annual percentage rate” usi

NOTE: Using the term “annual pe

provided that no other loan terms a

�e. General statements such as “We Ma

long as the advertisement does not

�f. When advertising loan rates, the AP

interest rate, the APR must be at lea

advertising or in any conversation w

�

ADVERTISING

POLICY AND

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tions restrict advertising by financial institutions. To

Officers, all employees are expected to follow UMC

advertising includes all presentations or descriptions

e public to apply for a mortgage loan with UMC.

advertising be clear and not misleading. The procedu

edures are designed to outline this policy and to ensure

federal and state regulations covering advertising by

AN PROCEDURE

an amount of a loan, an installment amount or payment,

s, unless The Company usually makes loans on thos

The Company cannot feature one aspect of a loan wi

ures for the loan.

tated in an advertisement, then all the terms set forth in

riod or repayment terms.

ny down payment.

rge.

e following terms in the preceding paragraph (c.), mu

he down payment.

as payment frequency, payment amount, and number

sing that term and if the rate may be increased after

percentage rate” may be advertised without triggering o

are stated.

Make Mortgage Loans” can be advertised without disc

ot use any specific terms, a full set of disclosures will no

APR can be used by itself or if the APR is used in conj

east conspicuous. Add-on or discount rates must nev

with consumers.

G COMPLIANCE

PROCEDURES

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assist our marketing

’s advertising

used by United Mortgage

edures detailed in

e that The

financial

ment, specific down

e terms.

ithout

n the following

must also state all of the

ber of payments.

consummation.

other disclosure

sclosures. Again, as

not be required.

junction with the simple

ver be used in

�

g. All print of electronic advertisement�

h. The following advertising practices a

�• Use of the word “FIXED” rate w

• Comparisons between actual or

• Reference to “GOVERNMENT

• References to borrowers current

• Promises to eliminate debt

• Use of the word “Counselor” �

�

4. FAIR HOUSING ADVERTISING PR

�a. The Fair Housing Act requires a spe

area when involved in real estate le

�b. When advertising real estate lending

an “Equal Housing Lender”.

�c. Written advertisements should conta

logo type (house). Both the legend

specified by HUD’s Fair Housing Ad

�d. The Company’s advertising can nev

race, color, religion, national origin,

to enter into

a binding contract); the fact that all or

programs; or the fact that the applic

Credit Protection Act. �

�

5. ADVERTISING APPROVAL AND C

�a. No employee may advertise mortga

obtaining written approval. There a

�b. No person is authorized to pay for

to this policy. �

c. Advertising includes but is not limite

cards, directories, etc.

d. Once advertising is approved, there

e. All NY advertising copy submitted

UNITED MORTGAGE CORP. Licen f. All advertisement copy must have t

ADVERTISING

POLICY AND

��

nt must include licensing information required by appli

are considered misleading and are prohibited in any

when rate and/or payments may increase.

or hypothetical rates or payment amounts.

ENDORSED LOANS”

ent lender on direct mailers

ROCEDURE

pecific fair housing poster to be displayed in each finan

ending.

ng services, The Company must, in a conspicuous ma

ain a prescribed HUD Equal Housing Lender (the wo

and the logo type are required to be placed in the ad

dvertising Requirements.

ver contain a suggestion that it discriminates in any way

sex, marital status, or age (provided that the applica

or part of the applicant’s income is derived from any

cant has in good faith exercised any right under the fe

COMPLIANCE CHECK PROCEDURE

gage loans or mortgage services in any mediums what

are no exceptions to this policy.

any advertising without corporate approval. There a

ed to: all prior print media including journal placement

e can be no deviations from the approved medium and

ed for approval must include the following legend:

ensed Mortgage Banker – NYS Department of Financ

the address and phone number of a licensed location.

G COMPLIANCE

PROCEDURES

�cable state law.

advertising:

nancial institution’s public

anner, indicate that it is

ords) along with the

advertisement as

way on the basis of

ant has the capacity

public assistance

federal Consumer

whatsoever without first

are no exceptions

ements, business

and content.

cial Services

n.

�

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g. No advertisement may include langu

conditions or charges, including but

“immediate closing”.

�h. If approved, a hard copy of the fina

�i. All advertising copy must include the

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�j. No loan officer may advertise or do any

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ALL FINAL DRAFTS OF ADV

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do any mortgage related business on any web-site wh

Company and when applicable, relevant Banking Depa

will result in the employee’s immediate termination on

mployment with The Company. No commissions will be p

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Instructions: This is a ‘fillable’ PDF form. If you choose to print it out must print the necessary information requested of the titles listed below. If you do not see speak with your immediate supervisor for assistance. A

FAX completed form to: (631) 209

Date of Request:

Employee’s Name:

Be sure to provide the name as you wish it to appear on the card.

Employee Title:

Branch Manager

Sales Manager

Loan Officer

Insert Approved Title Here:

NMLS #:

(If Applicable)

BRANCH ADDRESS:

Street:

City:

(If Applicable)

BRANCH NMLS ID #:

Office or Cell #:

(__________

FAX # (If Any):

(__________

Bus. E-Mail Address:

__________________________________________

Employee Signature:

(E-signatures are acceptable)

Approval

Employee’s Supervisor:

Business Card Request Form

PDF form. If you choose to print it out & complete it by hand, ymust print the necessary information requested clearly and legibly. Please be sure to check off

not see your title or are unsure, please contact the HR Manager, or speak with your immediate supervisor for assistance. Allow up to 10 business days for delivery.

completed form to: (631) 209-5336


Branch Manager

Sales Manager

Loan Officer

Team Manager

Account Executive

Other Approved Title

Insert Approved Title Here:

________________________________ Suite # if any:

________________________________State:______

__________) __________________________

__________) __________________________

[email protected]

signatures are acceptable)

Business Card Request Form

complete it by hand, you . Please be sure to check off one

contact the HR Manager, or p to 10 business days for delivery.


Account Executive

Other Approved Title (Specify Below)

Suite # if any: ___________

______ Zip: _________

@unitedmortgage.com

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