Bolivia (Plurinational State of)'s Constitution of 2009 - Constitute
STATE DISCLOSURES - Compliance€¦ · STATE DISCLOSURES . Legal Disclaimer: This table was...
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STATE DISCLOSURES
Legal Disclaimer: This table was compiled for informational and reference purposes only. It does not constitute, nor should it be used as a substitute for, legal advice. No warranty, either expressed or implied, is attached in any regard to this table. Any reproduction, distribution, sharing, or modification of this table without the express written permission of an authorized agent of Docutech, LLC is prohibited. Last Updated: January, 2019
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Matrix Guide
United States (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Processing and Closing
U.S. Constitution 1 (Federal) All government agencies Both
Credit extended on full faith and
credit
Government lands
Before any laws are made
U.S. Const. art. 1 through 34
Constitution of the United States
of America
Constitutional
Lists all of the document packages in which the
document will print
“UR” or “Upon Request” refers to generic documents which will only print if requested.
Other words in parenthesis indicate whether the particular disclosure is a Federally required, Federal Agency, or Government Sponsored Enterprise document
Documents are first sorted by Package Type, starting with earlier packages (e.g. Initials before
Closings). Documents which print in multiple packages are listed before Closing packages. Documents are then sorted based on their ConformX number.
Words in italics indicate that the document will print either when the
lender is acting as a broker, as a lender, or as either (both).
References applicable laws and contains a link to an official (or officially sponsored) law library.
The text in italics is the official Short Title which at least one of the cited laws is a part (or under which
an administrative law is made pursuant to).
The terms “Constitutional,” “Statutory,” or “Administrative” indicate that the language of the disclosure is prescribed by law. Adjectives preceding either of these terms indicate the extent to which the language is
prescribed. If no adjective, the entire language of the form is prescribed by law.
Other terms refer to either official or model forms prescribed by either a federal or state government agency.
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Table of Contents Click Text to Jump to Page
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Alabama (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A creditor licensed under the Alabama
“Mini-Code” Both
A consumer credit transaction (aka a consumer
loan)
Property in which the creditor is
given a security interest
Not specified Ala. Code § 5-19-20(e)
Alabama “Mini-Code”
No
Initial Disclosure
AL Mortgage Broker Agreement
Cx4068 A licensee under the Mortgage Brokers
Licensing Act Brokers
A mortgage loan 1- to 4- family residential real
estate
Prior to the collection of a
mortgage broker fee
Ala. Code § 5-25-12(a)(1) Mortgage
Brokers Licensing Act
No
Initial Disclosure AL Commitment Agreement
Cx17166 (upon request)
A lender Both
A mortgage loan 1-to-4 family residential real
estate
Before a mortgage broker
collects any mortgage broker
fees
Ala. Code §§ 5-25-2(2) and 5-25-12(b)(3) & (b)(5)
Mortgage Brokers Licensing
Act
No
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier Disclosed on 1003 Uniform Residential Loan
Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling.
On the application
Ala. Code § 5-26-20
Alabama S.A.F.E. Mortgage
Licensing Act of 2009
FNMA 1003 Form - Uniform Residential
Loan Application
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Alabama (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing Caution Notice in 3200, FHA, and VA 3200 Note Fixed, Fixed Rate Note
Alabama Second, and other Notes
On Cx5 (FNMA/FHLMC),
Cx36 (FHA), Cx58, Cx1033
and other Notes
A creditor licensed under the Alabama
“Mini-Code” Both
A consumer credit transaction (aka a consumer
loan)
Property in which the creditor is
given a security interest
At closing Ala. Code § 5-19-6(a)
Alabama “Mini-Code”
Statutory
FNMA Form 3200 – Multistate Fixed-
Rate Note
Closing AL FHA Addendum to Wood
Infestation Inspection Report
Cx1260 (upon request)
Not specified Both
Not specified Property Not specified Ala. Admin. Code r. 80-10-9-.18
No
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Alaska (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure AK Anti-Coercion Insurance Disclosure
Cx3842 Either: (1) a creditor or lender; or (2) a person
Both
Either: (1) a debt or loan; or (2) a
loan of money or extension of
credit
Either: (1) real or personal property of every kind and of every interest
therein; or (2) property
Not specified Alaska Stat. §§ 21.36.160 & 21.36.319
No
Initial Disclosure Tangible Net Benefit Worksheet
Cx12531 (upon request)
A “covered person,” who is either licensed
under the Alaska Secure and Fair Enforcement for
Mortgage Licensing Act of 2010 or the
Alaska Small Loans Act (Alaska Stat. §§
06.20.010 through 06.20.920))
Both
A refinance of a mortgage loan
(aka a residential mortgage loan)
A dwelling (a residential structure
containing 1-to-4 family housing
units, or a condo or coop) or
residential real estate, upon
which a dwelling is (or is intended
to be) constructed,
including affixed manufactured
homes
Not specified Alaska Stat. § 06.60.350
Alaska Secure and Fair Enforcement
for Mortgage Licensing Act of
2010
No
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Alaska (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure AK Consumer Credit Insurance
Disclosure
Cx17164 (upon request)
A creditor Lenders
A credit transaction, of an
amount of $30,000 or less,
which is not secured by a first lien and which is
not made to finance the
purpose of real property, the
construction of a dwelling, or a
refinance of either of these.
Not specified Not specified Alaska Stat. § 21.57.120
No
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Alaska (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure AK Commitment Agreement
Cx17686 (upon request)
Either: (1) a licensee under the Alaska Secure and Fair Enforcement for
Mortgage Licensing Act of 2010; or (2) a licensee under the
Alaska Small Loans Act (Alaska Stat. §§
06.20.010 through 06.20.920)
Both
A mortgage loan transaction (aka a
residential mortgage loan)
A dwelling (a residential structure
containing 1-to-4 family housing
units, or a condo or coop) or
residential real estate, upon
which a dwelling is (or is intended
to be) constructed,
including affixed manufactured
homes
Not specified Alaska Stat. § 06.60.340(19) &
(22) Alaska Secure and Fair Enforcement
for Mortgage Licensing Act of
2010
No
Initial Disclosure AK Depository Institution Insurance Disclosure
Cx17687 (upon request)
A financial institution, which sells insurance
Both
An extension of credit
Not specified At the time of application for
the extension of credit
Alaska Stat. § 21.36.323
No
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Alaska (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, TILA Redisclosure,
and Closing
All Federal Disclosures
Cx18, 14221, 14222, & Others
(Federal)
A person subject to the Alaska Secure and Fair
Enforcement for Mortgage Licensing
Act of 2010
A mortgage loan (aka a residential mortgage loan)
A dwelling (a residential structure
containing 1-to-4 family housing
units, or a condo or coop) or
residential real estate, upon
which a dwelling is (or is intended
to be) constructed,
including affixed manufactured
homes
Various Alaska Stat. § 06.60.330
Alaska Secure and Fair Enforcement
for Mortgage Licensing Act of
2010
12 CFR Pt. 1024 App.
12 CFR Pt. 1026,
App.
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Alaska (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, Processing,
Underwriting, and Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
Cx4193 (FNMA/FHLMC)
A person operating as a mortgage lender, mortgage broker, or
mortgage loan originator
Both
A residential mortgage loan
A dwelling (a residential structure
containing 1-to-4 family housing
units, or a condo or coop) or
residential real estate, upon
which a dwelling is (or is intended
to be) constructed,
including affixed manufactured
homes
On the application
Alaska Stat. § 06.60.325
Alaska Secure and Fair Enforcement
for Mortgage Licensing Act of
2010
FNMA 1003 Form - Uniform Residential
Loan Application
Closing Notice of Suit in 3200, FHA, and VA 3200 Note Fixed, Fixed Rate Note Alaska Second,
and other Notes
Cx5 (FNMA/FHLMC),
Cx36 (FHA), Cx58, Cx1032,
and other Notes
A lender Both
An obligation secured by a
mortgage or deed of trust
Not specified On the promissory note
Alaska Stat. § 34.20.160
Statutory
FNMA Form 3200 – Multistate Fixed-
Rate Note
Closing TILA HELOC Disclosures in AK Open-End Loan
Agreement
Cx1338 A licensee under the Alaska Small Loans Act
Both
Open-end loans, with an aggregate
total not exceeding $25,000
Not specified In the loan agreement
Alaska Stat. § 06.20.285(d) Alaska Small
Loans Act
No
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Alaska (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing AK Loan Statement
Cx14786 A licensee under the Alaska Small Loans Act
Both
A small loan which has a
principal amount of $25,000 or less and which has a greater rate of interest than
otherwise permitted under the Small Loans
Act
Not specified At the time the loan is made
Alaska Stat. § 06.20.270
Alaska Small Loans Act
No
Closing Alaska Escrow Account
Agreement
Cx16005 (upon request)
A “covered person,” who is either licensed
under the Alaska Secure and Fair Enforcement for
Mortgage Licensing Act of 2010 or the
Alaska Small Loans Act (Alaska Stat. §§
06.20.010 through 06.20.920)
Both
A refinance of a mortgage loan
(aka a residential mortgage loan)
A dwelling (a residential structure
containing 1-to-4 family housing
units, or a condo or coop) or
residential real estate, upon
which a dwelling is (or is intended
to be) constructed,
including affixed manufactured
homes
Not specified Alaska Stat. § 06.60.360
Alaska Secure and Fair Enforcement
for Mortgage Licensing Act of
2010
No
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Arizona (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure AZ Authorization to Complete Blank
Spaces
Cx2779 Either: (1) a mortgage broker licensed under Article 1, Chapter 9, Title 6 of Arizona’s
Revised Statutes; or (2) a mortgage banker
licensed under Article 2 of the same Chapter
Both
A mortgage banking loan or a
mortgage loan
Real estate Closing Ariz. Rev. Stat. Ann. §§ 6-909(A) & 6-947(A); Ariz.
Admin. Code R20-4-921 & R20-4-
1808
Administrative
Initial Disclosure Advanced Fee/Application Disclosure and
Good Faith Estimate 01-01-10
Cx2783 and Cx14221 (Federal)
Either: (1) a mortgage broker licensed under Article 1, Chapter 9, Title 6 of Arizona’s
Revised Statutes; or (2) a mortgage banker
licensed under Article 2 of the same Chapter
Both
Either: (1) a mortgage loan of $200,000 or less; or (2) a mortgage banking loan or mortgage loan
Real estate Before accepting any monies or documents in
connection with an application or before collecting
any other advance fee
Ariz. Rev. Stat. Ann. §§ 6-906(c),
6-909(k), & 6-946(c)
12 CFR Pt. 1024, App. C
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Arizona (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2788 Either: (1) a mortgage broker licensed under Article 1, Chapter 9, Title 6 of Arizona’s
Revised Statutes; (2) a mortgage banker
licensed under Article 2 of the same Chapter;
(3) a loan originator; (4) a person engaged in
the business of financing or lending
money on real property; or (5) any
other person Both
A loan secured by real property
Real estate and real property
Not specified Ariz. Rev. Stat. Ann. §§ 6-909(P),
6-947(O), 6-991.02(L), 20-
452.01, 20-452.02, 20-452.03, & 44-
1208
No
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Arizona (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Disclosure of Multiple Roles in a
Consumer Real Estate Transaction
Cx3581 Either: (1) a mortgage broker licensed under Article 1, Chapter 9, Title 6 of Arizona’s
Revised Statutes, who also renders services as a real estate broker or
salesman; (2) a mortgage banker
licensed under Article 2 of the same Chapter,
who also renders services as a real estate broker or salesman; or
(3) a loan originator licensed under Title 32,
Chapter 20 Both
A mortgage banking loan, a
mortgage loan, or a residential
mortgage loan
Real estate, or a dwelling (as defined it 15
USCA § 1602[v]) or residential real estate on which a
dwelling is (or intended to be)
constructed
Before collecting compensation for rendering services
as a real estate broker or real
estate salesman
Ariz. Rev. Stat. Ann. §§ 6-909(I),
6-947(I), & 6-991.02(F)
No
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Arizona (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure AZ Consumer Credit Insurance
Disclosure
UR A creditor Lenders
A loan or credit transaction, with a term of 15 years or less and which is not secured as
a first lien and made to finance the purchase of real property,
construction of a dwelling, or
refinance either of these.
Not specified Before the loan transaction is
completed
Ariz. Rev. Stat. Ann. § 20-1614;
Ariz. Admin. Code § 20-6-
604.01(a)(2)
No
Initial Disclosure CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Before execution of a contract
between the CSO and the buyer or before receipt by the CSO of any consideration,
whichever comes first
Ariz. Rev. Stat. Ann. §§ 44-1704
& 44-1705
No
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified Ariz. Rev. Stat. Ann. § 44-1706
Partial Statutory
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Arizona (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure and TILA
Redisclosure
RESPA and TILA Disclosures
Cx1591, Cx14221,
Cx14222, and Others (All
Federal)
Either: (1) a mortgage broker licensed under Article 1, Chapter 9, Title 6 of Arizona’s
Revised Statutes; or (2) a mortgage banker
licensed under Article 2 of the same Chapter
Both
A mortgage loan or a mortgage banking loan
Residential real property designed principally for 1-
to-4 families
Before closing Ariz. Rev. Stat. Ann. §§ 6-906(D)
& 6-946(E)
12 CFR Pt. 1024, App. & Pt. 1026,
App. G & H
Initial Disclosure & Adverse Action
Appraisal Disclosure
Cx3397 Either: (1) a mortgage broker licensed under Article 1, Chapter 9, Title 6 of Arizona’s
Revised Statutes; or (2) a mortgage banker
licensed under Article 2 of the same Chapter
Both
A mortgage banking loan or a
mortgage loan
Real estate Not specified Ariz. Rev. Stat. Ann. §§ 6-906(c)
& 6-946(c)
No
Closing AZ Disbursement of Funds
Permission
UR Either: (1) a mortgage broker licensed under Article 1, Chapter 9, Title 6 of Arizona’s
Revised Statutes; or (2) a mortgage banker
licensed under Article 2 of the same Chapter
Both
A mortgage loan or a mortgage banking loan
Real estate Before the recording of the
security instrument
Ariz. Rev. Stat. Ann. § 6-909(O) &
6-947(N)
No
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Arkansas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Right to Choose Attorney
Cx3846 A creditor Both
A high-cost home loan
Real estate upon which there is a 1-
to-4 family structure which is or which will be occupied by the borrower as his
principal dwelling
Not specified Ark. Code Ann. § 23-53-
103(6)(B)(ii)(h) Arkansas Home Loan Protection
Act
No
Initial Disclosure Tangible Net Benefit Worksheet
Cx12531 (upon request)
Either: (1) a person; or (2) a creditor
Both
Either: (1) a mortgage loan
transaction which refinances a residential
mortgage loan; or (2) a high-cost
home loan which refinances an existing home
loan
Either: (1) a dwelling (as
defined in 15 USCA § 1602[w], as it existed on January 1, 2011)
or residential real estate upon which is (or is intended
to be) constructed a
dwelling; or (2) real estate upon
which there is a 1-to-4 family
structure which is (or will be) borrower-
occupied as a principal dwelling
Not specified Ark. Code Ann. §§ 23-39-513(10) &
23-53-104(b) Fair Mortgage
Lending Act and Arkansas Home Loan Protection
Act
No
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Arkansas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure AR Anti-Coercion Insurance Disclosure
Cx17018 Either: (1) a savings and loan association,
financial institution, national bank,
mortgage company, or any public or provide
mortgagee; (2) a person, including
depository institutions and affiliates, primary
and secondary mortgagees, vendors,
or lenders; or (3) depository institutions and unaffiliated third
parties conducting the insurance sales
activities on behalf of a depository institution
Both
Either: (1) a mortgage loan;
(2) credit; or (3) a loan or extension
of credit
Property Prior to the sale of most, but not all, insurances
Ark. Code Ann. §§ 23-32-206, 23-66-312, 23-66-605, &
23-66-606 Insurance Sales
Consumer Protection Act
No
Initial Disclosure AR Commitment Agreement
Cx17162 Any person or entity Both
An extension of credit exceeding
$10,000
Not specified Not specified Ark. Code Ann. § 4-59-101(d)
No
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Arkansas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Before execution of a contract
between the CSO and the buyer or before receipt by the CSO of any consideration,
whichever comes first
Ark. Code Ann. §§ 4-91-107 & 4-91-
108 Credit Services
Organizations Act of 1987
No
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified Ark. Code Ann. § 4-91-109
Credit Services Organizations Act
of 1987
Partial Statutory
Adverse Action Addendum to Statement of Credit Denial,
Termination, or Change
Cx15905 A user of a consumer report (aka a creditor)
Both
Credit, an extension of
existing credit, or increase in
existing credit
Not specified When credit is denied either in whole or in part
Ark. Code Ann. §§ 4-93-103 & 4-93-
104
No
Initial Disclosure, Processing,
Underwriting, and Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
A person soliciting or originating a mortgage
loan. Both
A mortgage loan A dwelling (as defined in 15
USCA § 1602[w], as it existed on January 1, 2011)
or residential real estate upon which is (or is intended
to be) constructed a
dwelling
On the application
Ark. Code Ann. § 23-39-510(b) Fair Mortgage Lending Act
FNMA 1003 Form - Uniform Residential
Loan Application
Property of Docutech, LLC Page 20 Version 19.01
Arkansas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing Principal and Interest Disclosure on the HUD-1 01-
01-10
Cx14222 (Federal)
A lender or any other person, corporation, or legal entity extending
credit Both
Credit Property At the time of extending credit
Ark. Code Ann. § 4-57-103(a)
12 CFR Pt. 1024, App. A
Closing Notice of Servicing Transfer
Cx17905 (Federal)
A mortgage servicing licensee under the Fair Mortgage Lending Act (Ark. Code Ann. §§ 23-39-501 through 23-39-
518) Both
A mortgage loan A dwelling (as defined in 15
USCA § 1602[w], as it existed on January 1, 2011)
or residential real estate upon which is (or is intended
to be) constructed a
dwelling
At least 15 days before the first
payment affected by the transfer is
due
Ark. Admin. Code § 214.00.2-5010-
1(c) Fair Mortgage Lending Act
12 CFR Pt. 1024, App. MS-2
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Property of Docutech, LLC Page 21 Version 19.01
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California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Initial Disclosure
CA Disclosure Receipt
Cx2687 Either: (1) a real estate broker (aka a licensee under Chapter 3 of the Real Estate Law); or (2) a licensee under the California Residential
Mortgage Lending Act) Both
Either: (1) a federally regulated residential
mortgage loan transaction, the principal
loan amount of which exceeds (a) $30,000 for a first deed of trust, or (b) $20,000 if a lien junior
thereto; or (2) A residential mortgage loan, which is either a federally related
mortgage loan as defined in 24 CFR § 3500.2 or a
loan made to finance the construction of a 1-to-4
family dwelling
Either: (1) real property; or (2) residential real
property or a 1-to-4 family dwelling
With forms furnished for application
Cal. Bus. & Prof. Code § 10240(c); Cal. Code Regs.
Tit. 10, § 1950.204
Real Estate Law and California
Residential Mortgage
Lending Act
No
Initial Disclosure
CA Mortgage Brokerage Agreement
Cx2784 A licensee under the California Residential
Mortgage Lending Act, specifically a residential mortgage lender, or a
mortgage loan originator employed by
the residential mortgage lender
Brokers
A residential mortgage loan, which is either a
federally related mortgage loan as defined in 24 CFR
§ 3500.2 or a loan made to finance construction of a
1-to-4 family dwelling, but not one that is considered
a high cost mortgage under 12 USCA § 1602(aa)
Residential real property or a 1-to-4 family
dwelling.
As soon as practical after
a borrower requests broker services
Cal. Fin. Code §§ 50700(c) & 50701(a) through (f) California
Residential Mortgage
Lending Act
No
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California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Initial Disclosure
CA Balloon Disclosure Regarding
Extension of Credit
Cx2786 (upon request)
A real estate broker (aka a licensee under Chapter 3 of the Real
Estate Law) Brokers
Any loan secured by a dwelling, which is subject to Cal. Bus. & Prof. Code §
10240, which also provides for a balloon
payment, but not a bona fide loan that is either: (1)
secured by a first trust deed with a principal amount of $30,000 or
more; or (2) secured by a junior lien with a principal
amount of $20,000 or more
A dwelling, including a single dwelling unit in a condo or co-op or any parcel containing only
residential buildings if the total number of units on
the parcel is 4 or less
Prior to a borrower becoming
obligated on the loan
Cal. Bus. & Prof. Code §
10241.4 Real Estate
Law
Statutory
Initial Disclosure
CA Home Equity Loan Disclosure
Cx2787 A creditor Lenders
A home equity loan The consumer’s dwelling At the time of application, or
within 3 business days
if the customer applies by
mail or telephone
Cal. Civ. Code § 2971
Statutory
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California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Initial Disclosure
CA Addendum to Uniform
Residential Loan Application
Cx2796 Either: (1) not specified; or (2) a lender,
presumably a finance lender licensed under
the California Financing Law
Both
Either: (1) credit; or (2) a consumer loan, but not including a commercial bridge loan made by a
venture capital company to an operating company
Either: (1) not specified; or (2) real property
As a part of the
application
Cal. Civ. Code § 1812.30(j);
Cal. Fin. Code §§ 22203 &
22204 California Financing
Law
No
Initial Disclosure
CA Consumer Caution and
Home Ownership Counseling Notice for
Covered Loans
Cx2797 A “licensed person,” which includes all the major license types (see Cal. Fin. Code § 4970[g] for details)
Both
A covered loan Real property used or intended to be used or
occupied as the principal dwelling of the consumer
that is improved by a 1-to-4 residential unit
No later than 3 business
days prior to closing
Cal. Fin. Code § 4973(k)
No
Initial Disclosure
CA Mortgage Loan Disclosure
Statement
Cx2798 A real estate broker (aka a licensee under Chapter 3 of the Real
Estate Law) Brokers
A loan secured by a lien Real property Within 3 business days after receipt of a written loan
application
Cal. Bus. & Prof. Code §§ 10236.4(b),
10240, 10241, & 10241.2; Cal. Code
Regs. tit. 10, § 2840
Real Estate Law
RE 882 - Mortgage Loan
Disclosure Statement, Traditional
Initial Disclosure
CA Title Insurance Disclosure
Cx2799 Not specified Both
An escrow transaction for the purchase or
simultaneous exchange of real property
Real property At the time of an escrow transaction
Cal. Civ. Code § 1057.6
Statutory
Property of Docutech, LLC Page 24 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Initial Disclosure
CA Balloon Disclosure
Cx2800 A real estate broker (aka a licensee under Chapter 3 of the Real
Estate Law) Both
A loan secured by a lien Real property Within 3 business days after receipt of a written loan
application
Cal. Bus. & Prof. Code §
10241(h) Real Estate
Law
Statutory
Initial Disclosure
HCL Prepayment Charge
Disclosure
Cx2892 The person originating the covered loan.
Both
A covered loan which contains a prepayment
penalty
Real property used or intended to be used or
occupied as the principal dwelling of the consumer
that is improved by a 1-to-4 residential unit
At least 3 business days prior to loan
consummation
Cal. Fin. Code §
4973(a)(2)(B)
No
Initial Disclosure
CA Financing Law Statement
of Loan - Broker
Cx5188 A licensed broker under the California
Financing Law Brokers
Consumer loans (of $5,000 or more), but excluding a commercial bridge loan
made by a venture capital company to an operating
company
Real property At the time the final
negotiation or arrangement
is made
Cal. Fin. Code §§ 22314 & 22338; Cal. Code Regs.
tit. 10, § 1454 California Financing
Law
Partial Administrative
Initial Disclosure
CA Rate Lock Agreement
Cx7442 A licensee under the California Residential
Mortgage Lending Act Both
A residential mortgage loan which is either a
federally related mortgage loan (as defined in 24 CFR § 3500.2) or a loan made
to finance the construction of a 1-to-4
family dwelling
Residential real property, which has a 1-to-4 family
structure
Not specified, but practically
before requiring a lock-in fee
prior to closing
Cal. Fin. Code §
50203(a)(3)(A) & (B)
California Residential Mortgage
Lending Act
No
Property of Docutech, LLC Page 25 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Initial Disclosure
CA Mortgage Loan Disclosure Statement/Good
Faith Estimate
Cx12922 Either: (1) a real estate broker (aka a licensee under Chapter 3 of the Real Estate Law); (2) a
real estate broker, when acting on behalf of a mortgage lender, mortgage broker, or mortgage lender and
broker under the California Financing
Law; or (3) a real estate broker, when acting on
behalf of a licensee under the California
Residential Mortgage Loan Act
Both
Either: (1) a loan secured by a lien; (2) a loan
secured by a dwelling that provides for a balloon
payment; (3) a nontraditional loan or an
adjustable rate loan that is subject to the Guidance;
(4) a home loan which is a nontraditional mortgage
product; or (5) a nontraditional loan or an
adjustable rate loan that is subject to the Guidance
Either: (1) real property; (2) residential real property
improved by a 1-to-4 family dwelling; or (3) a 1-
to-4-unit single-family residence
Within 3 business days after receipt of a written loan
application
Cal. Bus. & Prof. Code §§
10240(a), 10241,
10241.2, & 10241.4; Cal. Code Regs. Tit. 10, §§ 1436(d), 2842, &
1950.314.8(d) Real Estate
Law and California
Residential Mortgage Loan Act
Re885 - Mortgage Loan Disclosure Statement/Good Faith Estimate, Non Traditional
Mortgage Product
Initial Disclosure
CA Disclosure of Negative
Amortization
Cx12996 A person originating a covered loan.
Both
A first mortgage, negative amortization covered loan
Real property used (or intended to be used) or
occupied as the principal dwelling of the consumer
that is improved by a 1-to-4 residential unit
Not specified Cal. Fin. Code § 4973(c)
No
Initial Disclosure
Addendum to Loan
Application
Cx13441 Not specified Both
Not specified Not specified Not specified Cal. Fam. Code § 297.5
No
Property of Docutech, LLC Page 26 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Initial Disclosure
CA Comparison of Sample Mortgage Features
Cx13522 Either: (1) a mortgage lender, mortgage
broker, and mortgage lender and broker licensed under the California Financing Law; or (2) a licensee under the California
Residential Mortgage Lending Act
Both
A nontraditional loan or an adjustable rate loan that is subject to the
Guidance
Residential real property improved by a 1-to-4
family dwelling
Within 3 business days after receipt of a written loan
application
Cal. Code Regs. tit. 10, §§ 1436(d) & 1950.314.8(d)
California Financing Law and California
Residential Mortgage
Lending Act
Comparison Chart
Initial Disclosure
CA Broker HPML Disclosure
Cx14956 (upon request)
A mortgage broker who arranges only
higher-priced mortgage loans,
including the major licensed types (see Cal. Fin. Code § 4995[b] for
details) Both
A higher-priced mortgage loan
A consumer’s principal dwelling
At the time of initially
engaging in mortgage brokerage services
Cal. Fin. Code § 4995.2(c)
No
Initial Disclosure
CA Spanish Good Faith
Estimate
Cx15532 (Spanish)
A supervised financial organization (see Cal.
Civ. Code § 1632.5[b][2] for license
types) Both
A loan or extension of credit secured by
residential real property
Residential real property No later than 3 business days after
receipt of a written
application
Cal. Civ. Code § 1632.5
Housing and Urban
Development - Good Faith
Estimate Forms (Spanish)
Property of Docutech, LLC Page 27 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Initial Disclosure
High Cost Tangible Net
Benefit Worksheet
Cx15773 A person originating a covered loan.
Both
A covered loan that refinances a consumer
loan.
Real property used (or intended to be used) or
occupied as the principal dwelling of the consumer
that is improved by a 1-to-4 residential unit
Not specified Cal. Fin. Code § 4973(j)
No
Initial Disclosure
CA Loan Commitment
Cx16083 A licensee under the California Residential
Mortgage Lending Act Both
A residential mortgage loan, which is either a
federally related mortgage loan (as defined in 24 CFR § 3500.2) or a loan made
to finance the construction of a 1-to-4
family dwelling
Residential real property, which has a 1-to-4 family
structure
Upon approval of the
application
Cal. Fin. Code § 50203(a)(4)
California Residential Mortgage
Lending Act
No
Initial Disclosure
CA Advanced Fee/Application
Disclosure
Cx16084 A licensee under California’s Real Estate Law (Cal. Bus. & Prof.
Code §§ 10000 through 10602) Both
Not specified, but practically a loan secured directly or collaterally by
liens on real property
Real property Not specified, but practically
before performing any services for which the fee is charged
Cal. Code Regs. tit. 10, §
2970 Real Estate
Law
No
Property of Docutech, LLC Page 28 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Initial Disclosure
CA Fair Lending Notice
Cx16170 & Cx991
Financial Institutions, including banks, savings and loan associations, and public agencies
Both
Financial assistance, including combination mobile home and land
loans or contracts, combination personal
property and real property secured loans, and
purchase of secured home improvement contracts
Any improved or unimproved real property that is used as a residence, is (or will be) occupied by the owner, and is 1-to-4 dwelling units; (b) any 1-
to-4-unit residential dwelling, regardless of occupancy, where the
owner has (or will) apply for a secured home improvement loan
Upon submission of
a written application
Cal. Health and Safety
Code § 35830; Cal. Code Regs.
Tit. 21, § 7114 Holden Act
and California Fair Lending Regulations
Administrative
Re867 - Fair Lending Notice
(receipt)
Initial Disclosure
Request for Fair Lending
Information
Cx18014 Financial Institutions, including banks, savings and loan associations, and public agencies
Both
Financial assistance, including combination mobile home and land
loans or contracts, combination personal
property and real property secured loans, and
purchase of secured home improvement contracts
Any improved or unimproved real property that is used as a residence, is (or will be) occupied by the owner, and is 1-to-4 dwelling units; (b) any 1-
to-4-unit residential dwelling, regardless of occupancy, where the
owner has (or will) apply for a secured home improvement loan
Upon submission of
a written application
Cal. Health and Safety
Code § 35830; Cal. Code Regs.
Tit. 21, § 7114.1
Holden Act and California Fair Lending Regulations
Partial Administrative
Property of Docutech, LLC Page 29 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Initial Disclosure
CA REL Supplemental
Disclosure
Cx19898 Broker Loans, including federally regulated residential
mortgage loan transactions secured by
first trust deed with principal of $30,000 or
more, or loans secured by a junior lien with a
principal amount of $20,000 or more
Real property CA Bureau of Real Estate Licensee
Advisory (10-17-2015)
Initial Disclosure
CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Before execution of a
contract between the CSO and the
buyer
Cal. Civ. Code §§ 1789.14 &
1789.15 Credit
Services Act of 1984
Partial Statutory
Initial Disclosure
CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified, but practically
before any services are performed
Cal. Civ. Code § 1789.16
Credit Services Act
of 1984
Partial Statutory
Initial Disclosure
CA Processing-Underwriting
Disclosure
UR A licensee under the California Residential
Mortgage Lending Act Both
A residential mortgage loan, which is either a
federally related mortgage loan (as defined in 24 CFR § 3500.2) or a loan made
to finance the construction of a 1-to-4
family dwelling
Residential real property, which has a 1-to-4 family
structure
As soon as practical, but prior to loan
closing
Cal. Fin. Code § 50129(a)(2)
California Residential Mortgage
Lending Act
No
Property of Docutech, LLC Page 30 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Adverse Action Statement of Credit Denial,
Termination or Charge
Cx15858 (Federal)
Either: (1) a user of a consumer credit report (i.e. a credit grantor); (2) a creditor; or (3) a financial institution,
including a bank, savings and loan
association, or public agency Both
Either: (1) a credit for personal, family, or
household purposes; or (2) financial assistance,
including combination mobile home and land
loans or contracts, combination personal
property and real property secured loans, and
purchase of secured home improvement contracts
Either: (1) not specified; (2) property; or (2) a housing
accommodation, including: (a) any
improved or unimproved real property that is used as a residence, is (or will
be) occupied by the owner, and is 1-to-4
dwelling units; (b) any 1-to-4-unit residential
dwelling, regardless of occupancy, where the
owner has (or will) apply for a secured home improvement loan
Within 30 days of taking
action on an application
Cal. Civ. Code §§ 1785.20 & 1787.2 ; Cal.
Health & Safety Code §
35810 Cal. Code
Regs. tit. 21, § 7114.2
Consumer Credit
Reporting Agencies Act, The Holden
Credit Denial Disclosure
Act of 1976, Holden Act,
and California Fair Lending Regulations
12 CFR Pt. 1002, App. C; Form C-1
Initial Disclosure &
Closing
CA Earthquake Insurance for
Condominiums Disclosure
Cx998 A lender originating the loan.
Both
A loan secured by a borrower’s separate
interest in a condominium project which requires
earthquake insurance or imposes a fee or any other
condition in lieu thereof
A condominium project. As soon as reasonably practical
Cal. Civ. Code § 2955.1
No
Property of Docutech, LLC Page 31 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Initial Disclosure &
Closing
CA Credit Score Disclosure
Cx2112 Either: (1) a consumer credit reporting
agency; or (2) any person who makes or
arranges loans Both
A closed end loan or the establishment of an open end loan for a consumer
purpose
1- to 4- units of residential real property
As soon as reasonably practical
Cal. Civ. Code §§
1785.15.1(a) &
1785.20.2(a) Consumer
Credit Reporting
Agencies Act
No
Initial Disclosure &
Closing
CA Credit Score Notice
Cx2114 Any person who makes or arranges loans.
Both
A closed end loan or the establishment of an open end loan for a consumer
purpose
1- to 4- units of residential real property
As soon as reasonably practical
Cal. Civ. Code § 1785.20.2(d)
Consumer Credit
Reporting Agencies Act
Statutory
Initial Disclosure &
Closing
CA Insurance Disclosure
Cx2350 Either: (1) a lender; (2) a person engaged in
the business of financing the purchase
of real property or lending money on the
security of real property; (3) not
specified Both
Either: (1) a loan secured by real property; or (2) a financed purchase or a
loan of money
Either: (1) real property upon which buildings or
structures are attached; or (2) not specified
As soon as practical, but
before execution of any note or
security documents
Cal. Civ. Code § 2955.5(a) & (b); Cal. Ins. Code §§ 770 & 772; Cal. Code Regs.
tit. 10, § 1492
No
Property of Docutech, LLC Page 32 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Initial Disclosure, Processing,
Underwriting, and Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Either: (1) a licensed mortgage loan
originator under the California Financing Law; or (2) a licensed
mortgage loan originator under the California Residential Mortgage Loan Act (Cal. Fin. Code §§
50000 through 50707) Both
Either: (1) a residential mortgage loan, but
excluding a commercial bridge loan made by a
venture capital company to an operating company;
or (2) a residential mortgage loan which is either a federally related
mortgage loan (as defined in 24 CFR § 3500.2) or a loan made to finance
construction of a 1-to-4 family dwelling
Either: (1) a 1-to-4-unit dwelling (as defined in
Section 103[w] of TILA) or residential real estate upon which is (or is
intended to be) constructed a dwelling; or
(2) residential real property or a 1-to-4 family
dwelling
On the application
Cal. Fin. Code §§ 22347 & 50209; Cal. Code Regs. tit. 10, §§ 1433(d) &
1950.209(a) California Financing Law and California
Residential Mortgage Loan Act
FNMA 1003 Form - Uniform
Residential Loan Application
Initial Disclosure &
Closing
Automated Valuation Model
Notice
Cx11978
A licensee under the California Financing
Law Both
A consumer loan secured by real property (of $5,000 or more), but excluding a commercial bridge loan
made by a venture capital company to an operating
company
Real property, but excluding property owned
by the licensee
No later than 15 days after receipt of the written loan application
Cal. Fin. Code § 22317.2 California Financing
Law
Partial Statutory
Property of Docutech, LLC Page 33 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Initial Disclosure &
Closing
CA Notice of Right to Receive
Copy of Appraisal Report
Cx18023 A lender Both
A loan transaction, but not a loan modification, if the lender has not charged for
the appraisal
Real property, including residential real property
consisting of 1-to-4 family residences
Either no later than 15 days
after receiving a written
application, in the case of
residential real property, or
within 15 days of receiving the appraisal
for nonresidential real property
Cal. Bus. & Prof. Code §
11423 Real Estate Appraisers’
Licensing and Certification
Law
12 CFR Pt. 202, App. C; Form C-9
Closing CA Deed of Trust, CA Deed of Trust FHA, & CA ARM Notice
Addendum
Cx312, Cx365, & Cx17110
A lender, but practically only
applying to a licensee under the California Real Estate Law (Cal. Bus. & Prof. Code §§
10000 through 10580) Both
A purchase or construction loan
Real property containing (or which will be
constructed) 1-to-4 residential units
With the note and security instrument
Cal. Civ. Code § 1916.5
Usury Law
Partial Statutory
Property of Docutech, LLC Page 34 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Closing CA Per Diem Interest
Disclosure
Cx878 Either: (1) a lender; or (2) a licensee under the California Residential
Mortgage Lending Act Both
Either: (1) a promissory note secured by a
mortgage or deed of trust; or (2) a residential
mortgage loan, which is either a federally related
mortgage loan (as defined in 24 CFR § 3500.2) or a
loan made to finance the construction of a 1-to-4
family dwelling.
Excluded are loans subject to Cal. Bus. & Prof. Code § 10242(c), which is one in
which interest is not charged prior to the date
the loan proceeds are made available to the
borrower, or are deposited in escrow
Either: (1) real property improved with between 1-to-4 residential dwelling
units; or (2) residential real property or a 1-to-4 family
dwelling
Prior to placing funds
in escrow
Cal. Civ. Code § 2948.5(b);
Cal. Fin. Code § 50204(o) California
Residential Mortgage
Lending Act
No
Property of Docutech, LLC Page 35 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Closing CA Statement of Loan and HUD-
1 01-01-10
Cx883 (upon request) and
Cx14222 (Federal)
An industrial loan company (aka a premium finance
agency) Both
A loan made pursuant to the Industrial Loan Law,
Division 7 of the California Financial Code
Excluded are either: (1) a loan to an industrial loan company of a principal amount of $10,000 or
more; (2) an amount due from a contingent
guarantor on obligations purchased under Division
7; or (3) a loan to a primary borrower who has
pledged accounts receivable or installment accounts to secure loans which, in the aggregate,
are $10,000 or more
Not specified At the time the loan is
made
Cal. Fin. Code § 18231; Cal. Code Regs.
tit. 10, § 40.600
Industrial Loan Law
12 CFR Pt. 1024, App. A
Closing CA Notice to Cosigner
Cx886 A creditor Both
A consumer credit transaction (see Cal. Civ.
Code § 1799.90[a] for specifics)
Real property Prior to a co-signer
becoming obligated under the consumer
credit contract
Cal. Civ. Code §§ 1799.91 &
1799.92
Statutory
Property of Docutech, LLC Page 36 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Closing CA Mortgage Guaranty Insurance
Cancellation Disclosure
Cx999 or Cx17040
A lender or person making or arranging
the loan Both
A loan secured by a deed of trust or mortgage, but not any mortgage funded
with bond proceeds issued under an indenture requiring insurance for the life of the loan, nor loans insured by the FHA or VA
Real property No later than 30 days after the close of
escrow
Cal. Civ. Code § 2954.6
No
Closing CA Impound Account
Statement
Cx1231 A lender Both
A loan secured by a deed of trust or mortgage on real property in which an
escrow account is not required. See Cal. Civ. Code § 2954(a)(1) for further exemptions
Real property containing only a single-family,
owner-occupied dwelling, which will be occupied by a signatory to the security instrument within 90 days
of execution of such instrument
Prior to the execution of the loan or
sales agreement.
Cal. Civ. Code § 2954(a)
No
Closing CA HELOC Request For
Notice of Default
Cx3475 Any person desiring a copy of any notice of
default and of any notice of sale
Both
A deed of trust or mortgage with power of
sale
Real property or an estate for years
Subsequent to recording of the deed of
trust or mortgage, but
prior to a recordation of
default
Cal. Civ. Code § 2924b(a)
Statutory
Property of Docutech, LLC Page 37 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Closing FACT Act Notice On Cx4387 (Federal)
A creditor Both
A transaction or extension of credit subject to Title 1.6, Part 4, Division 3 of the California Civil Code (Cal. Civ. Code §§ 1427 through 1785.36), but
excluding a nonconsumer transaction
Not specified Prior to or within 30 days
after the transmission of negative
credit information
Cal. Civ. Code § 1785.26(b) through (d) Consumer
Credit Reporting
Agencies Act
Statutory
Closing CA Financing Law Statement
of Loan – Finance Lenders
Cx14027 A licensed finance lender under the
California Financing Law Both
Either: (1) consumer loans (of $5,000 or more); or (2)
amortizing consumer loans (of less than $5,000)
Not including a
commercial bridge loan made by a venture capital company to an operating
company
Real property At the time the loan is
made
Cal. Fin. Code §§ 22337 &
22400(b); Cal. Code Regs.
tit. 10, § 1454 California Financing
Law
Partial Administrative
Property of Docutech, LLC Page 38 Version 19.01
California (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference
Specific Language Required
Closing CA Credit Disability Claim
Procedure
Cx15326 (upon request)
A creditor who directly arranges or
participates in the sale or receives
compensation for the sale of credit disability
insurance Both
A credit transaction (including an open line of credit) which is either (1)
of less than 10 years’ duration; or (2) of more than 10 years’ duration, the principal purpose of
which is for the construction,
rehabilitation, or improvement of real
property consisting of 1-to-4 residential units
Not specified At the time the creditor sells credit disability insurance coverage
Cal. Civ. Code §
1812.402(f)(1)
Statutory
Closing CA Important Privacy Choices for Consumers
Cx16539 (upon request)
A financial institution Both
A financial product or service
Not specified Not specified, but must be
given annually
Cal. Fin. Code §§ 4052.5, 4053, & 4054.6(c) California Financial
Information Privacy Act
Statutory
Closing
CA Exemption Recording Sheet
Cx21960 Not specified Both
Not specified, but practically any loan that involves real property
Real property At the time of recording
Cal.Gov.Code § 27388.1
Model Form
Click here for Table of Contents
Property of Docutech, LLC Page 39 Version 19.01
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Colorado (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure CO Loan Product Choice
Cx2749 A lender Lenders
A covered loan which contains a
prepayment penalty
An interest in land, which
should also be the consumer’s
principal dwelling
Not specified, but practically before a prepayment penalty fee is included in the
loan
Colo. Rev. Stat. Ann. § 5-3.5-102(1)(g)(III)
Uniform Consumer Credit
Code
Statutory
Initial Disclosure CO Consumer Caution Notice
Cx2750 A lender or mortgage broker Both
A covered loan An interest in land, which
should also be the consumer’s
principal dwelling
Within a reasonable period of time after determining that the loan will be a covered loan, but no later than 3 business days before
consummation
Colo. Rev. Stat. Ann. § 5-3.5-103(1)(a)(I)
Uniform Consumer Credit
Code
Statutory
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 Either: (1) a financial institution licensed under the Colorado Producer Licensing
Model Act; (2) a person who lends money or extends credit, enters
into a lease transaction, or a renewal of any of these; (3) a lender
Both
Either: (1) a loan of money or an
extension of credit; (2) a loan secured by real
property
Property, particularly real
property
Not specified Colo. Rev. Stat. Ann. §§ 10-2-602, 10-3-1105 & 10-
4-114 Colorado Producer
Licensing Model Act
No
Property of Docutech, LLC Page 40 Version 19.01
Colorado (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure CO Consumer Credit
Transaction Disclosure
Cx3584 A creditor Lenders
Either: (1) a particular
consumer credit transaction
(practically a consumer loan), which subjected to the Uniform
Consumer Credit Code; or (2) an
extension of credit for a consumer purpose
Either: (1) real estate; or (2) a
dwelling, which is a residential
structure containing 1-to-4 units, including a condo or coop
unit, mobile home, or trailer
Not specified, but practically when an
assignment of rights is made
Colo. Rev. Stat. Ann. §§ 5-3-106
& 5-18-107 Uniform
Consumer Credit Code and Colorado
Consumer Credit Reporting Act
Partial Statutory
Initial Disclosure CO Reasons for Loan
Cx12874 A licensee under the Mortgage Loan
Originator Licensing and Mortgage
Company Registration Act
Both
A transaction, presumably a
residential mortgage loan
A dwelling or residential real
estate upon which is (or is
intended to be) constructed a 1-to-4 family unit
dwelling (as defined in 15
USCA § 1602[v])
Before recommending an appropriate
mortgage product
4 Colo. Code Regs. § 725-
3:5.7(B) Mortgage Loan
Originator Licensing and
Mortgage Company
Registration Act
No
Property of Docutech, LLC Page 41 Version 19.01
Colorado (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure CO Lock-In Disclosure
Cx13134 Mortgage Loan Originator
Both
A transaction, presumably a
residential mortgage loan
A dwelling or residential real
estate upon which is (or is
intended to be) constructed a 1-to-4 family unit
dwelling (as defined in 15
USCA § 1602[v])
Within 3 business days from application
4 Colo. Code Regs. Pt. §725-3
Lock-in disclosure
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified, but practically at application
Colo. Rev. Stat. Ann. § 15-22-
105(3)(a) Colorado
Designated Beneficiary
Agreement Act
No
Initial Disclosure CO Dual Status Disclosure
Cx14095 A licensee under the Colorado Mortgage
Loan Originator Licensing and
Mortgage Company Registration Act who
also acts as a real estate broker or
salesperson. Both
Residential mortgage loans
A dwelling or residential real
estate upon which is (or is
intended to be) constructed 1-
to-4 family dwelling units
Within 3 business days after receipt of a loan
application or any moneys from a
borrower
Colo. Rev. Stat. Ann. § 12-61-912; 4 Colo. Code Regs. § 725-3:5.22 Colorado
Mortgage Loan Originator
Licensing and Mortgage Company
Registration Act
Dual Status Disclosure
Property of Docutech, LLC Page 42 Version 19.01
Colorado (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure Good Faith Estimate 01-01-
10
Cx14221 (Federal)
A person who is regularly engaged in the making of certain
loans Both
A loan secured by a security
instrument, but in the case of
certain entities, only first liens of
such loans
A 1-to-4 family dwelling
No less than 3 business days after receipt of the loan
application
Colo. Rev. Stat. Ann. § 38-40-102
12 CFR Pt. 1024, App. C
Initial Disclosure Cost of Insurance Disclosure
Cx16488 The creditor Lenders
A consumer credit transaction (consumer loan)
Land Not specified Colo. Rev. Stat. Ann. § 5-2-202(3)
Uniform Consumer Credit Code – Finance
Charges and Related
Provisions
No
Initial Disclosure CO Commitment Agreement
Cx17939 Either: (1) a mortgage loan originator,
licensed under the Colorado Mortgage
Loan Originator Licensing and
Mortgage Company Registration Act; (2) a
creditor; or (3) a lender Both
Either: (1) a residential
mortgage loan; (2) an extension
of credit of a principal amount
exceeding $25,000; or (3) a
loan secured by a mortgage or
deed of trust, but in the case of
certain entities, only first liens of
such loans.
Either: (1) a dwelling (as
defined in TILA) or residential real
estate upon which is (or is
intended to be) constructed a 1-to-4 family unit dwelling; (2) not specified; or (3) a
1-to-4 family dwelling
Not specified Colo. Rev. Stat. Ann. §§ 12-61-915, 38-10-124, & 38-40-102(1)
Colorado Mortgage Loan
Originator Licensing and
Mortgage Company
Registration Act and Statute of
Frauds
No
Property of Docutech, LLC Page 43 Version 19.01
Colorado (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure CO Consumer Credit Insurance
Disclosure
Cx17940 (upon request)
A creditor who requires consumer credit
insurance Lenders
A consumer credit transaction (consumer loan)
Land Not specified Colo. Rev. Stat. Ann. §§ 5-4-109
& 10-10-113 Uniform
Consumer Credit Code – Insurance
and Credit Insurance Act
No
Initial Disclosure CO Financial Institutions Insurance Disclosure
Cx17941 (upon request)
A financial institution, which offers, recommends,
sponsors, or sells insurance (or on whose premises such actions
occur) Both
Not specified Not specified Not specified, but practically before the
insurance is purchased
Colo. Rev. Stat. Ann. § 10-2-604
Colorado Producer
Licensing Model Act
No
Initial Disclosure CO Truncated Coverage Disclosure
UR A creditor Lenders
A credit transaction
Not specified When a debtor elects truncated insurance
coverage
Colo. Rev. Stat. Ann. § 10-10-
119(1) Credit Insurance
Act
No
Initial Disclosure CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Before execution of a contract between the CSO and the buyer or before receipt by the
CSO of any consideration,
whichever comes first
Colo. Rev. Stat. Ann. §§ 5-19-105
& 5-19-106 Colorado Credit
Services Organization Act
Partial Statutory
Property of Docutech, LLC Page 44 Version 19.01
Colorado (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified Colo. Rev. Stat. Ann. § 15-19-107 Colorado Credit
Services Organization Act
Partial Statutory
Initial Disclosure, TILA Redisclosure,
& Closing
Federal Truth-in-Lending
Disclosure
Cx18 (Federal), Cx1591
(Federal), and others
A mortgage loan originator
Both
A residential mortgage loan
A dwelling or residential real
estate upon which is (or is
intended to be) constructed a 1-to-4 family unit
dwelling (as defined in 15
USCA 1602[v] of TILA]
Within 3 business days after receipt of a loan
application or any moneys from a
borrower
4 Colo. Code Regs. §§ 725-3:5.13 & 725-
3:5.14 Mortgage Loan
Originator Licensing and
Mortgage Company
Registration Act
12 CFR Pt. 1026, App. H
Initial Disclosure, TILA Redisclosure,
& Closing
All Disclosures Required Under
the Truth-in-Lending Act
Cx18, Cx1591, Cx13457, and
others (all Federal)
A creditor Both
A consumer credit transaction
(a consumer loan)
Land At various times Colo. Rev. Stat. Ann. § 5-3-101(2)
& (3) Uniform
Consumer Credit Code
12 CFR Pt. 1026, App. G & H
Property of Docutech, LLC Page 45 Version 19.01
Colorado (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure & Closing
CO Refinance Disclosure
Cx993 A lender Lenders
Loans secured by a first lien that refinances a purchase or
initial construction loan
A dwelling, which is improved real property that is
(or is intended to be) used as a residence and contains not more than 4
dwelling units
Not specified Colo. Rev. Stat. Ann. §§ 5-1-
301(26)(c) & 5-5-112
Uniform Consumer Credit
Code and Uniform
Consumer Credit Code – Remedies
and Penalties
No
Initial Disclosure & Closing
CO Disburser’s Notice
Cx3760 The disburser (any lender who has agreed
to make any loan to the owner or contractor)
A loan, presumably
consisting of a mechanic’s lien
A structure Prior to the first disbursement
Colo. Rev. Stat. Ann. § 38-22-
126(2)
No
Initial Disclosure, Processing,
Underwriting, and Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
A licensee or registrant under the Mortgage
Loan Originator Licensing and
Mortgage Company Registration Act
(includes mortgage loan originators and
mortgage companies) Both
A residential mortgage loan
A dwelling or residential real
estate upon which is (or is
intended to be) constructed a 1-to-4 family unit
dwelling (as defined in 15
USCA § 1602[v])
On the application Colo. Rev. Stat. Ann. § 12-61-918 Mortgage Loan
Originator Licensing and
Mortgage Company
Registration Act
FNMA 1003 Form - Uniform
Residential Loan Application
Property of Docutech, LLC Page 46 Version 19.01
Colorado (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure, Processing,
Underwriting, & Closing
Uniform Residential Loan
Application Disclosure & CO
Tangible Net Benefit Disclosure
Cx4193 (FNMA/FHLMC)
& Cx12873
Either: (1) a lender or assignee; or (2) a mortgage loan
originator (including a mortgage broker) licensed under the
Mortgage Loan Originator Licensing
and Mortgage Company Registration
Act Both
Either: (1) a covered loan
which refinances another covered
loan; or (2) a residential
mortgage loan
Either: (1) an interest in land, which should also be the consumer’s
principal dwelling; or (2) a
dwelling or residential real
estate upon which is (or is
intended to be) constructed a 1-to-4 family unit
dwelling (as defined in 15 USCA 1602[v])
Before recommending an appropriate
mortgage product
Colo. Rev. Stat. Ann. §§ 5-3.5-
103(1)(c), 12-61-904.5, 38-40-
105(1.7(a)(II) ; 4 Colo. Code Regs.
§§ 725-3:5.6, 725-3:5.7(A), &
725-3:5.8 Uniform
Consumer Credit Code and
Mortgage Loan Originator
Licensing and Mortgage Company
Registration Act
FNMA 1003 Form - Uniform
Residential Loan Application
Tangible Net
Benefit Disclosure
Initial Disclosure & Closing
Good Faith Estimate 01-01-
10, HUD-1 01-01-10, Itemization of Amount Financed
01-01-10
Cx14221, Cx14222, & 14224 (all Federal)
A mortgage loan originator (aka a
licensee under the Colorado Mortgage
Loan Originator Licensing and
Mortgage Company Registration Act)
Both
Residential mortgage loans
A dwelling (as defined in 15
USCA § 1602[v]) or residential real
estate upon which is, or is
intended to be, constructed 1-
to-4 family dwelling units
Within 3 business days after receipt of a loan
application or any moneys from a
borrower
Colo. Rev. Stat. Ann. § 12-61-914(1); 4 Colo. Code Regs. §§ 725-3:5.15 & 725-3:5.17
Mortgage Loan Originator
Licensing and Mortgage Company
Registration Act
12 CFR Pt. 1024 App. A & C
12 CFR Pt. 1026,
App. H; Form H-3
Property of Docutech, LLC Page 47 Version 19.01
Colorado (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure & Closing
Good Faith Estimate 01-01-
10, HUD-1 01-01-10, CO
Explanation of Fee Increase
Cx14221 (Federal) and
Cx14222 (Federal), or
Cx14439 (upon request)
A licensee under the Colorado Mortgage
Loan Originator Licensing and
Mortgage Company Registration Act
Both
Residential mortgage loans
A dwelling (as defined in 15
USCA § 1602[v]) or residential real
estate upon which is, or is
intended to be, constructed 1-
to-4 family dwelling units
At least 3 business days prior to the
signing of the loan closing documents
4 Colo. Code Regs. §§ 725-3:5.13 & 725-
3:5.16 Colorado
Mortgage Loan Originator
Licensing and Mortgage Company
Registration Act
12 CFR Pt. 1024, App. A & C
Closing All Promissory Notes and/or
Security Instruments
Cx5 (FNMA/FHLMC),
Cx313 (FNMA/FHLMC),
Cx366 (FHA), Cx472, Cx1361,
and others
A creditor Both
A consumer credit transaction
(a consumer loan)
Land Not specified, but practically at or before
the time credit is extended
Colo. Rev. Stat. Ann. § 5-3-108
Uniform Consumer Credit
Code
FNMA Form 3200 – Multistate Fixed-
Rate Note
FNMA Form 3006 - Colorado
FHA Single Family Handbook 4155.2
ch. 12.A Closing CO Notice to
Cosigners Cx994 Not specified
Both Consumer credit
transaction (a consumer loan)
Land Before or contemporaneously
with signing any agreement of
obligation or any writing setting forth
the terms of the agreement
Colo. Rev. Stat. Ann. § 5-3-105
Uniform Consumer Credit
Code
12 CFR §§ 227.14 & 16 CFR § 444.3
Property of Docutech, LLC Page 48 Version 19.01
Colorado (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Closing CO Balloon Note Disclosure
Cx2793 A creditor Consumer credit transaction (a
consumer loan)
Land At the time the transaction is entered
into
Colo. Rev. Stat. Ann. § 5-3-208
Uniform Consumer Credit
Code
No
Closing Notice of Servicing Transfer
Cx17905 (Federal)
Not specified, but practically a creditor
Both
A consumer credit transaction
(a consumer loan)
Land Not specified, but practically when an
assignment of rights is made
Colo. Rev. Stat. Ann. § 5-3-102 .
Uniform Consumer Credit
Code
12 CFR Pt. 1024, App. MS-2
Click here for Table of Contents
Property of Docutech, LLC Page 49 Version 19.01
Click here for Table of Contents
Connecticut (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure CT Private Mortgage Insurance Disclosure
Cx1029 Mortgage lenders Both
First mortgage loan
1-to-4 family residential,
owner-occupied real property.
At the time the application is
filed
Conn. Gen. Stat. Ann. § 36a-
726(a)
No
Initial Disclosure CT Real Estate Broker/Salesperson
Disclosure
Cx3589 A real estate broker who receives compensation
for the sale of residential real property.
Brokers
First mortgage loan
1-to-4 family residential real
estate
Prior to the buyer’s signing a broker contract
Conn. Gen. Stat. Ann. § 20-
325c(b) & (c)
Statutory
Initial Disclosure Anti-Coercion Insurance
Cx3750 Either: (1) a mortgage lender; or (2) a person
Both
Either: (1) a mortgage loan; or (2) a loan of
money or extension of
credit
Residential real estate
Not specified Conn. Gen. Stat. Ann. §§ 36a-757 & 38a-816(11)
No
Initial Disclosure CT Agreement Concerning
Nonrefundability of Advance Fees
Cx3751 A mortgage lender, correspondent lender, or
mortgage broker, licensed under Chapter
668, Title 36A of Connecticut’s General
Statutes. Both
Residential mortgage loans
A dwelling (as defined in 15
USCA § 1602), or residential real estate which is or will contain
such a dwelling.
Prior to the payment of any
advance fee
Conn. Gen. Stat. Ann. § 36a-
498(c)
Partial Statutory
Property of Docutech, LLC Page 50 Version 19.01
Connecticut (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure CT Notice of Right to Receive Copy of
Appraisal
Cx3752 A financial institution Both
Mortgage loan 1-to-4 family residential real
property, including a
condo
No later than 10 days after
receipt of an appraisal report,
but before consummation
Conn. Gen. Stat. Ann. § 36a-755(b) & (c)
No
Initial Disclosure CT Disclosure Regarding Legal Representation
Cx3753 A creditor Both
A first lien mortgage loan
1-to-4 family residential real
property
When an application is
filed
Conn. Gen. Stat. Ann. § 49-6d
No
Initial Disclosure CT Interim Financing Disclosure
Cx3754 A creditor who has a policy of not offering
interim financing Lenders
A first lien mortgage loan
1-to-4 family residential real
property
At the time when an application is
filed
Conn. Gen. Stat. Ann. § 49-6a(b)
No
Initial Disclosure CT High Cost Home Loan Disclosure
Cx13002 A lender ((i.e. any person who originates one or more high cost home
loans) Both
A high cost home loan
1-to-4 family residential real property that is (or is intended to be) occupied by the borrower
as a principal residence
Not specified, but practically
before consummation
Conn. Gen. Stat. Ann. § 36a-746b
Connecticut Abusive Home Loan Lending Practices Act
Partial Statutory
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified, but practically at
application
Kerrigan v. Commissioner of
Public Health, 957 A.2d 407 (Conn. 2008)
No
Property of Docutech, LLC Page 51 Version 19.01
Connecticut (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure CT Nonprime Home Loan Disclosure
Cx14773 A lender licensed under Chapter 668 (Conn. Gen. Stat. Ann. §§36a-485 to
36a-498a), including most banks and credit
unions. Both
Nonprime home loans, which
have a principal amount of
$417,000 or less.
1-to-4 family residential real property, which is (or is intended
to be) used or occupied by the borrower as a
principal residence
No later than 3 business days
after receipt of a completed application
Conn. Gen. Stat. Ann. §§ 36a-
760a(c) & 36a-760d(3)
No
Initial Disclosure CT Higher Interest Rate In Lieu of PMI
Disclosure
Cx14798 A mortgage lender Both
A first mortgage loan, made to an
individual, wherein the interest rate
exceeds an 80% LTV ratio
1-to-4 family residential,
owner-occupied real property
At the time the application is
filed
Conn. Gen. Stat. Ann. § 36a-
726(b)
No
Initial Disclosure Tangible Net Benefit Worksheet
Cx15773 (upon request)
Either: (1) a lender (i.e. any person who
originates one or more high cost home loans; or
(2) a lender or a mortgage broker
Both
Either: (1) a high cost home loan which refinances another loan; or (2) a nonprime
home loan which refinances a mortgage
1-to-4 family residential real property that is (or is intended to be) occupied by the borrower
as a principal residence
Not specified Conn. Gen. Stat. Ann. §§ 36a-
746e(8) & 36a-760g(b)
Connecticut Abusive Home Loan Lending Practices Act
No
Property of Docutech, LLC Page 52 Version 19.01
Connecticut (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure CT Mortgage Rate Lock-In Confirmation
Cx15855 A mortgage lender or correspondent lender licensed under Conn.
Gen. Stat. Ann. §§36a-485 to 36a-498a.
Lenders
A first mortgage loan
A dwelling or residential real
estate upon which is, or will be, a dwelling (defined in 15 USCA § 1602)
Before the lender commits
to making a loan at a specified rate within a
specified period of time.
Conn. Gen. Stat. Ann. §§ 36a-
705(4) & 36a-706(a)
No
Adverse Action Addendum to Statement of Credit Denial, Termination,
or Change
Cx15905 Financial institutions Both
A home purchase, home improvement, or mortgage loan.
Residential real property, which is improved real property used (or to be used) for residential
purposes.
When adverse action is taken
on an application
Conn. Agencies Regs. § 36a-744-
7(b) Home Mortgage
Disclosure Act
Statutory
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier Disclosed on 1003 Uniform Residential Loan
Application
On Cx4193 (FNMA/FHLMC)
A mortgage loan originator, loan
processor, or underwriter Both
A residential mortgage loan
A dwelling or residential real
estate upon which is, or will be, a dwelling (defined in 15 USCA §1602)
At application Conn. Gen. Stat. Ann. § 36a-498d
FNMA 1003 Form - Uniform
Residential Loan Application
Closing CT Tax Bill Authorization
CX1842 Not specified Both
A residential mortgage loan
Not specified At closing Customarily given
Conn. Gen. Stat. Ann. § 12-39n(8)
& 49-2
No
Property of Docutech, LLC Page 53 Version 19.01
Connecticut (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing CT Loan Payoff Disclosure Statement
Cx16059 A notification agent Both
A residential real estate
transaction involving the payoff of a
mortgage loan
A 1-to-4 family dwelling
Within 2 business days
from the date of completion of
the closing
Conn. Gen. Stat. Ann. § 49-10b(b)
Statutory
Closing CT Fair Housing Notice
Cx20625 Any person who offers residential property for
rent or lease or sale
A residential property
2 or more units At closing Conn. Gen. Stat. Ann. § 20-327h
Fair Housing Notice
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Property of Docutech, LLC Page 54 Version 19.01
Delaware (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure DE Broker Agreement
Cx3583 A mortgage broker, acting as such, licensed under Chapter 21, Title
5 (Del. Code Ann. §§ 2101 through 2119)
Brokers
A mortgage loan 1-to-4 family residential,
owner-occupied property
Prior to the time that brokerage
services are provided
Del. Code Ann. tit. 5, § 2113; 5 Del. Admin. Code §§ 2102-1.2.7, 2103-2.0 & 6.0, 2104, and 2203-6.0
Partial Administrative
Initial Disclosure Anti-Coercion Insurance
Cx3750 Either: (1) a person; or (2) a mortgagee or
obligee Both
Either: (1) a loan of money; or (2) a mortgage or
other instrument given for the purpose of
creating a lien on real property
Real property, including 1-to-4 family residential
properties
Not specified Del. Code Ann. tit. 18, § 2305 & tit.
25, § 2119(b)
No
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified, but practically at application
Del. Code Ann. tit. 13, § 212(a)
No
Initial Disclosure Good Faith Estimate 01-01-10
Cx14221 (Federal)
Either: (1) a licensee under Chapter 21, Title
5 (Del. Code Ann. §§ 2101 through 2119); or
(2) a licensee under Chapter 22, Title 5 (Del.
Code Ann. §§ 2201 through 2213A)
Both
Either: (1) an extension of
credit; or (2) a consumer credit
transaction
Includes, but is not limited to, a
1-to-4 family residential owner-
occupied property, which is less than 25 acres
in size
When an application is
made
5 Del. Admin. Code §§ 2103-1.2
& 2203-1.2
12 CFR Pt. 1024, App. C
Property of Docutech, LLC Page 55 Version 19.01
Delaware (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure DE Mortgage Loan Commitment
Letter
Cx15752 A qualified lender Both
A mortgage loan A 1-to-4 family residential,
owner-occupied property
Before a mortgage broker licensed under
Chapter 21, Title 5 receives an
application fee or any bona fide
third party fees
Del. Code Ann. tit. 5, § 2115 ; 5 Del. Admin. Code §§
2102-1.3.3, 2103-3.0 & 4.0, and
2203-2.0
No
Initial Disclosure DE Lock-in Agreement
Cx18557 Either: (1) a licensee under Chapter 21, Title
5 (Del. Code Ann. §§ 2101 through 2119); or
(2) a licensee under Chapter 22, Title 5 (Del.
Code Ann. §§ 2201 through 2213A)
Both
Either: (1) an extension of
credit; or (2) a consumer credit
transaction
Includes, but is not limited to, a
1-to-4 family residential owner-
occupied property, which is less than 25 acres
in size
Not specified, but practically before
a written commitment is
issued
5 Del. Admin. Code §§ 2103-
3.1.3 & 2203-5.1
No
Initial Disclosure CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Before execution of a contract
between the CSO and the buyer or before receipt by the CSO of any consideration
Del. Code Ann. tit. 6, § 2406
No
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified Del. Code Ann. tit. 6, § 2407
Partial Statutory
Property of Docutech, LLC Page 56 Version 19.01
Delaware (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon which is (or is intended
to be) constructed such
a dwelling
On the application
Del. Code Ann. tit. 5, § 2420; 5 Del. Admin. Code §§
2101-5.3 & 2201-8.3
Delaware S.A.F.E. Mortgage
Licensing Act of 2009
FNMA 1003 Form - Uniform Residential
Loan Application
Closing HUD-1 01-01-10 Cx14222 (Federal)
Either: (1) a licensee under Chapter 21, Title
5 (Del. Code Ann. §§ 2101 through 2119); or
(2) a licensee under Chapter 22, Title 5 (Del.
Code Ann. §§ 2201 through 2213A)
Both
Either: (1) an extension of
credit; or (2) a consumer credit
transaction
Includes, but is not limited to, a
1-to-4 family residential owner-
occupied property, which is less than 25 acres
in size
At closing 5 Del. Admin. Code §§ 2102-
1.3.4, 2202-1.3.4.3, & 2203-
5.0
12 CFR Pt. 1024, App. A
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Property of Docutech, LLC Page 57 Version 19.01
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District of Columbia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Disclosure Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A person who lends money or extends
credit and who solicits insurance on real
property Both
A credit extension Real property Not specified D.C. Code Ann. § 31-2231.20(c)
No
Initial Disclosure DC Financing Agreement
Cx3633 A licensee under Chapter 11, Title 26
(D.C. Code Ann. §§ 26-1101 through 26-1121), but must be executed by a licensed lender
Both
A mortgage loan A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling, specifically a 1-to-
4 family home
At least 72 hours before the time of
settlement
D.C. Code Ann. § 26-1113(a)
No
Initial Disclosure DC Red Flag Warning
Disclosure Notice
Cx4245 A lender or a mortgage broker Both
A covered loan Residential real property in which there is (or is to be) located a 1-to-4 family unit
structure which is (or will be) the
borrower’s principal dwelling
At least 3 business days
prior to closing
D.C. Code Ann. § 26-1152.11 & 26-
1152.19; D.C. Mun. Regs. Tit. 26C, §§ 2005 &
2099 Home Loan
Protection Act of 2002
Administrative
Property of Docutech, LLC Page 58 Version 19.01
District of Columbia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Disclosure Required
Initial Disclosure DC Disclosure of Dual Capacity
Cx5072 A mortgage broker licensed under Chapter 11, Title 26 (§§ 26-1101 through 26-1121) who
is acting in a dual capacity Brokers
A mortgage loan A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
At the time brokerage
services are first offered
D.C. Code Ann. § 26-1114(b)(3)
Statutory
Initial Disclosure DC Lock-In Agreement
Cx10455 A licensed mortgage lender under Chapter 11, Title 26 (D.C. Code
Ann. §§ 26-1101 through 26-1121)
Both
A mortgage loan A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Not specified D.C. Mun. Regs. tit. 26-C, §§
1117.4, 1117.5, & 1117.6
No
Initial Disclosure DC Mortgage Disclosure Form
Cx13354 A licensee under Chapter 11, Title 26
(D.C. Code Ann. §§ 26-1101 through 26-1121), though the disclosure must be executed by a
licensed lender Both
A non-conventional
mortgage loan (a mortgage loan
that is not a fixed-rate one with an
amortization period of less than 30 years)
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Within 3 business days of an application
D.C. Code Ann. § 26-1113(a-1)
Statutory
Property of Docutech, LLC Page 59 Version 19.01
District of Columbia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Disclosure Required
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
A mortgage or deed of trust
Not specified Not specified D.C. Code Ann. §§ 15-502 & 46-401
No
Initial Disclosure DC Spanish Mortgage
Disclosure Form
Cx15561 (Spanish)
A licensee under Chapter 11, Title 26
(D.C. Code Ann. §§ 26-1101 through 26-1121), though the disclosure must be executed by a
licensed lender Both
A non-conventional
mortgage loan (a mortgage loan
that is not a fixed-rate one with an
amortization period of less than 30 years)
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Within 3 business days of an application
D.C. Code Ann. § 26-1113(a-1)(8)(b)
Statutory (Spanish)
Initial Disclosure Cost of Insurance Disclosure
Cx16488 A lender Lenders
Either: (1) a
covered loan; or (2) a loan or
financial transaction
Either: (1) residential real
property in which there is (or is to be) located a 1-to-4 family unit
structure which is (or will be) the
borrower’s principal dwelling;
or (2) property
At least 3 days before closing
D.C. Code Ann. §§ 26-1152.03 and 28-3311(a)(4) &
(a)(5) Home Loan
Protection Act of 2002
No
Property of Docutech, LLC Page 60 Version 19.01
District of Columbia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Disclosure Required
Initial Disclosure CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Before execution of a contract
between the CSO and the consumer or before receipt
by the CSO of any consideration,
whichever comes first
D.C. Code Ann. § 28-4605(a) & (b)
No
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified D.C. Code Ann. § 28-4605(c) & (d)
No
Initial Disclosure, TILA Redisclosure,
& Closing
Initial Truth-in-Lending
Disclosure, ARM Disclosure –
Lender, and other TILA Disclosures
Cx1591 (Federal), Cx14089
(Federal), and other TILA Disclosures
A lender Lenders
A loan, financial, or consumer
credit transaction
Residential real property
Prior to execution of the loan or
financial transaction
D.C. Code Ann. § 28-3301(f)(3) Home Loan
Protection Act of 2002
12 CFR Pt. 1026, App. H
Property of Docutech, LLC Page 61 Version 19.01
District of Columbia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Disclosure Required
Initial Disclosure, Processing, TILA
Redisclosure, Underwriting, &
Closing
Various Federal disclosures used
to fulfill loan application disclosure
requirements
Cx1591 (Federal), Cx4193
(FNMA/FHLMC), Cx14089
(Federal), and Cx14221 (Federal)
A licensee under Chapter 11, Title 26
(D.C. Code Ann. §§ 26-1101 through 26-1121)
Both
A mortgage loan A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling, specifically a 1-to-
4 family home
On or with the application
D.C. Mun. Regs. tit. 26-C, § 1116
12 CFR Pt. 1024, App. C
12 CFR Pt. 1026,
App. H
FNMA 1003 Form - Uniform Residential
Loan Application
Initial Disclosure & Closing
Waiver of 72 Hour Notice
Cx8268 (upon request)
A licensee under Chapter 11, Title 26
(D.C. Code Ann. §§ 26-1101 through 26-1121)
Both
A mortgage loan A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling, specifically a 1-to-
4 family home
Prior to execution of the financing
agreement
D.C. Code Ann. § 26-1113(b)(2)
No
Property of Docutech, LLC Page 62 Version 19.01
District of Columbia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Disclosure Required
Initial Disclosure & Closing
DC Nonresident Borrower
Confirmation
Cx17181 (upon request)
A lender Both
A covered loan Residential real property in which there is (or is to be) located a 1-to-4 family unit
structure which is (or will be) the
borrower’s principal dwelling
Before a co-borrower, who
does not own or reside in the
subject property, is added to a covered loan
D.C. Code Ann. § 26-1152.02(a)(4)
Home Loan Protection Act of
2002
No
Closing DC Escrow Account
Disclosure
Cx1026 Either: (1) a licensed mortgage lender under Chapter 11, Title 26 of the District’s Code; or
(2) a lender
Either: (1) a mortgage loan; or
(2) a loan or financial
transaction. In either case, the loan must have present either a
down payment of 20% of the
purchase price or the borrower has an equity interest of 20% or more of
the fair market value
Either: (1) a dwelling (as
defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling; or (2) residential real
property
On the date of execution of the loan or financial
transaction
D.C. Code Ann. §§ 26-1115(b) & 28-
3301(f)(2)
No
Property of Docutech, LLC Page 63 Version 19.01
District of Columbia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Disclosure Required
Closing HELOC Deed of Trust – DC
Cx1340 Not specified Both
A credit line deed of trust
Single family residential
property used for non-transient
residential purposes
On the deed of trust
D.C. Code Ann. § 42-2302
Partial Statutory
Closing DC Real Property Recordation and
Transfer Tax Forms FP 7/C &
DC Real Property Recordation and
Transfer Tax Addendum
Cx2485 & Cx16282 (upon
request)
Not specified Both
Not specified Real property At the time of recording
D.C. Mun. Regs. tit. 9, §§ 335, 337
& 338 District of
Columbia Real Property Tax
Revision Act of 1974
Form FP 7/C
Form FP7CA
Closing DC Final Financing Agreement
Cx13979 A licensee under Chapter 11, Title 26
(D.C. Code Ann. §§ 26-1101 through 26-1121)
Both
A mortgage loan A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling, specifically a 1-to-
4 family home
At least 72 hours prior to closing,
unless the borrower signs a
waiver
D.C. Code Ann. §§ 26-1113(a) & (b)
and 26-1114(a)(8); D.C. Mun. Regs.
tit. 26C, §§ 1117.1, 1117.2, & 1117.3
No
Click here for Table of Contents
Property of Docutech, LLC Page 64 Version 19.01
Click here for Table of Contents
Florida (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure FL Anti-Coercion Insurance Notice
Cx2834 A person, particularly a lender Both
An extension of credit or a loan
Not specified When negotiations begin and before
application
Fla. Stat. Ann. § 626.9551(1); Fla.
Admin. Code Ann. r. 69B-124.002, 69B-
124.013, 69O-124.002, & 69O-124.013
Unfair Insurance Trade Practices Act
Administrative
Initial Disclosure FL Notice to Purchaser – Mortgagor
Cx4131 Agents, employees, officials of lending, or
other institutions Both
Not specified, but practically a purchase money
loan
Not specified Not specified Fla. Stat. Ann. § 627.798; Fla. Admin. Code Ann. r. 69O-
186.002
Administrative
Property of Docutech, LLC Page 65 Version 19.01
Florida (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure FL Conflict of Interest
Disclosure
Cx4550 A licensee under Chapter 494 of Florida’s
Annotated Statutes (Fla. Stat. Ann. §§ 494.001 through
494.121) Both
A mortgage transaction,
presumably a mortgage loan
Not specified, but presumably a
dwelling (as defined in
Section 103[w] of TILA), residential real estate upon which a dwelling
is to be constructed,
commercial real property, or
improved real property
consisting of 5 or more dwelling
units
Not specified Fla. Stat. Ann. § 494.0023; Fla. Admin.
Code r. 69V-40.260(2)(f)
No
Initial Disclosure FL Credit Life Disclosure
Cx7225 A creditor agent or agent
Lenders
An installment loan or a home equity line of
credit
Not specified Before any credit life insurance may
be sold
Fla. Stat. Ann. § 627.679(1)(c)
No
Property of Docutech, LLC Page 66 Version 19.01
Florida (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure FL Interest Rate Lock Agreement
Cx13498 A licensed mortgage lender under Part 3 of Chapter 494, Title 33
(Fla. Stat. Ann. §§ 494.006 through
494.0077), though the agreement may be given via a broker
Both
A mortgage loan A dwelling (as defined in
Section 103[w] of TILA), residential real estate upon which a dwelling
is to be constructed,
commercial real property, or
improved real property
consisting of 5 or more dwelling
units
Not specified Fla. Stat. Ann. § 494.0069; Fla. Admin. Code r. 69V-40.155 &
69V-40.260(2)(d)
No
Initial Disclosure FL Commitment Letter
Cx18169 A licensed mortgage lender under Part 3 of Chapter 494, Title 33
(Fla. Stat. Ann. §§ 494.006 through
494.0077) Lenders
A mortgage loan A dwelling (as defined in
Section 103[w] of TILA), residential real estate upon which a dwelling
is to be constructed,
commercial real property, or
improved real property
consisting of 5 or more dwelling
units
Not specified Fla. Stat. Ann. §§ 494.007 & 494.0071; Fla. Admin. Code r. 69V-40.260(2)(e)
Partial Statutory
Property of Docutech, LLC Page 67 Version 19.01
Florida (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure FL Depository Institution Insurance Disclosure
UR Federally insured or state-insured
depository institutions and credit unions
Both
An extension of credit
Not specified Prior to the sale of any insurance
policy, but generally
excluding private mortgage
insurance and credit life and
disability insurance
Fla. Stat. Ann. § 626.9551(2)(b)
Unfair Insurance Trade Practices Act
No
Initial Disclosure CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Upon execution of a contract
between the CSO and the consumer or before receipt
by the CSO of any consideration,
whichever comes first
Fla. Stat. Ann. §§ 817.702 & 817.703
No
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified Fla. Stat. Ann. § 817.704
Statutory
Property of Docutech, LLC Page 68 Version 19.01
Florida (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure & TILA Redisclosure
Itemization of Amount Financed
01-01-10
Cx14224 (Federal)
A licensed mortgage lender under Part 3 of Chapter 494, Title 33
(Fla. Stat. Ann. §§ 494.006 through
494.0077) Both
A mortgage loan A dwelling (as defined in
Section 103[w] of TILA), residential real estate upon which a dwelling
is to be constructed,
commercial real property, or
improved real property
consisting of 5 or more dwelling
units
Within 3 business days after a
licensee under Part III, Chapter 494 of Florida’s
Annotated Statues receives a written loan application.
Fla, Stat. Ann. § 494.0067(8); Fla.
Admin. Code r. 69V-40.260(2)(a)
12 CFR Pt. 1026, App. H; Form H-3
Closing Florida Radon Gas Notification
Cx9541 (upon request)
Not specified Both
Not specified A building At the time of or prior to contract
for sale and purchase of any
building.
Fla. Stat. Ann. § 404.056(5)
Florida Radiation Protection Act
Statutory
Click here for Table of Contents
Property of Docutech, LLC Page 69 Version 19.01
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Georgia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 An insurer or agent of same Both
A financing of real property
Real property Not specified Ga. Code Ann. § 33-6-4(b)(11)
Georgia Insurance Code
No
Initial Disclosure Right to Choose
Attorney Cx3846 Not specified
Both Not specified, but
practically required only in connection with high-cost home
loans.
Not specified, but practically real estate upon
which is located a 1-to-4 family,
borrower-occupied
principal dwelling
Not specified Ga. Code Ann. § 7-6A-2(12)(B) &
(G)(ii) Georgia Fair Lending Act
No
Initial Disclosure GA Disclosure of Net Tangible
Benefit
Cx4235 A creditor Both
A high-cost home loan which refinances a special home
loan consummated with the prior 5
years
Real estate upon which is located a
1-to-4 family, borrower-occupied
principal dwelling
Not specified Ga. Code Ann. § 7-6A-4
Georgia Fair Lending Act
No
Property of Docutech, LLC Page 70 Version 19.01
Georgia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Good Faith Estimate 01-01-10
and Acknowledgment of Receipt of GFE and TIL 01-01-10
Cx14221 & Cx14600 (both
Federal)
A licensed or registered lender or
broker under the Georgia Residential
Mortgage Act Both
A mortgage loan A 1-to-4 family residential
property, which is the primary
residence of a natural person, but does not include rental property or
second homes
Within 3 business days after the application is
received
Ga. Code Ann. § 7-1-1014(2);
Ga. Comp. R. & Regs. r. 80-11-1-
.01(6) & (7) Georgia
Residential Mortgage Act
12 CFR Pt. 1024, App. C
Initial Disclosure GA Lock-In Agreement
Cx15969 (upon request)
A licensed or registered lender or
broker under the Georgia Residential
Mortgage Act Both
A mortgage loan A 1-to-4 family residential
property, which is the primary
residence of a natural person, but does not include rental property or
second homes
Not specified Ga. Code Ann. §§ 7-1-1000(16), 7-1-1021, & 13-5-
30(7) Georgia
Residential Mortgage Act
No
Initial Disclosure GA Advanced Fee/Application
Disclosure
Cx2783
Any person, mortgage lender or broker
required to be licensed or registered under
Article 13 of the Financial Institutions
Code of Georgia
A mortgage loan A 1-to-4 family residential
property, which is the primary
residence of a natural person, but does not include rental property or
second homes
Prior to accepting an application fee or any third-party
fee such as a property
appraisal fee, credit report fee,
or any other similar fee
Ga. Code Ann. §§ 7-1-1000, et seq. & 7-1-1014 ; Ga. Comp. R. & Regs. r. 80-11-1-.01(1)
& (4)
No
Property of Docutech, LLC Page 71 Version 19.01
Georgia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, Pre-closing,
Redisclsoure, & TILA Redisclosure
GA Acknowledgment
of receipt
Cx19978 A licensee or registrant under the Georgia
Residential Mortgage Act
Both
Either: (1) a mortgage loan; or
(2) a residential mortgage loan
Either: (1) a 1-to-4 family
residential property that is
the primary residence of a
natural person; or (2) A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling, consisting of 1-
to-4 units
Before accepting any application,
property appraisal, credit report, or any
other third-party fee
Ga. Comp. R & Regs. R. 80-11-1-
1.01
No
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier Disclosed on 1003 Uniform Residential Loan
Application
On Cx4193 (FNMA/FHLMC)
A person originating a residential mortgage
loan Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling, consisting of 1-
to-4 units
On the application
Ga. Code Ann. § 7-1-1004.3
Georgia Residential
Mortgage Act
FNMA 1003 Form - Uniform Residential
Loan Application
Property of Docutech, LLC Page 72 Version 19.01
Georgia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing On all Notes and Georgia Security
Deeds
On Cx5 (FNMA/FHLMC), all other Notes,
and Cx318 (FNMA/FHLMC), 371 (FHA), 477,
and 1406
Not specified Both
A high-cost home loan
Real estate upon which is located a
1-to-4 family, borrower-occupied
principal dwelling
Not specified Ga. Code Ann. § 7-6A-5(15)
Georgia Fair Lending Act
Statutory
FNMA Form 3200 – Multistate Fixed-
Rate Note
FNMA Form 3011 - Georgia
Closing GA Affidavit of Exemption Form
Withholding Seller
Cx1010 Not specified Both
A sale or transfer of real property of $20,000 or
more.
Real property Not specified Ga. Code Ann. § 48-7-128; Ga.
Comp. R. & Regs. r. 560-7-8-.34 &
560-7-8-.35 Georgia Public Revenue Code
Form AFF3 Seller's Certificate of Exemption
Closing GA Foreclosure Disclosure
Cx1011 Either: (1) a licensed or registered lender under the Georgia Residential Mortgage Act; or (2) a licensed or registered
broker under the same Act, in connection with
a table-funded transaction
Both
A mortgage loan A 1-to-4 family residential
property, which is the primary
residence of a natural person, but does not include rental property or
second homes
At or before the time of closing
Ga. Code Ann. § 7-1-1014(3); Ga.
Comp. R. & Regs. r. 80-11-1-.01(9)
Georgia Residential
Mortgage Act
Administrative
Closing GA Application for Homestead Tax
Exemption
Cx1016 Not specified Both
Not specified A homestead Not specified Ga. Code Ann. §§ 48-5-44 & 48-5-
45 Georgia Public Revenue Code
Application for Homestead Exemption
Property of Docutech, LLC Page 73 Version 19.01
Georgia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing GA Fair Market Property Values
Affidavit
Cx15037 The holder of the note Both
A long-term note secured by real estate, in which any part of the
principal falls due more than 3 years from the date of
the note
Real property located in more than one county
At recording Ga. Code Ann. § 48-6-69(a)
Georgia Public Revenue Code
No
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Property of Docutech, LLC Page 74 Version 19.01
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Hawaii (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 Every person who lends money or extends
credit and who solicits insurance.
Both
A loan of money or an extension of
credit
Not specified Not specified Haw. Rev. Stat. Ann. § 431:13-
104(c) Insurance Code
No
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified, but practically at application
Haw. Rev. Stat. § 572B-9
No
Initial Disclosure HI Public Information
Notice
Cx16995 A financial institution, mortgagee, lender,
business entity, organization, or person who intends to use the
power of sale foreclosure
Both
A loan secured by residential property
Residential property
Within 3 business days after the application is submitted or
within 3 business days after the
property is required to be
secured
Haw. Rev. Stat. § 667-41
Statutory
Initial Disclosure HI Commitment Agreement
Cx18836 (upon request)
A lender Lenders
A loan or extension of
credit
Not specified Before soliciting insurance
Haw. Rev. Stat. § 431:13-104(b)(1) Insurance Code
No
Initial Disclosure HI Credit Life Insurance
18837 (upon request)
A creditor Lenders
Any indebtedness in which credit life
insurance or credit disability
insurance is required, which
has a duration of 10 years or less
Not specified When credit life insurance or
credit disability insurance is
required.
Haw. Rev. Stat. § 431:10B-112
Insurance Code
No
Property of Docutech, LLC Page 75 Version 19.01
Hawaii (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, TILA Redisclosure,
& Closing
Initial and Closing Truth-in-Lending
Disclosures
Cx18 (Federal) & Cx1591 (Federal)
Either: (1) a financial services loan company;
or (2) a creditor Both
Either: (1) a pre-computed or
simple interest loan; or (2) a
consumer credit transaction that, generally, does
not exceed $250,000, but
generally excluding a first
lien and a purchase-money junior mortgage
lien
Not specified, but includes real
property used as the borrower’s
principal dwelling
Various times Haw. Rev. Stat. §§ 412:9-302 & 478-
4(b)
12 CFR Pt. 1026, App. H; Form H-2
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan Both
Residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate, upon
which a dwelling is (or is intended
to be) constructed
On the application
Haw. Rev. Stat. Ann. § 454F-19 Secure and Fair Enforcement for
Mortgage Licensing Act
FNMA 1003 Form - Uniform Residential
Loan Application
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Property of Docutech, LLC Page 76 Version 19.01
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Idaho (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure ID Mortgage Banker
Application
Cx2688 A licensee under the Idaho Residential
Mortgage Practices Act (Idaho Code Ann. §§
26-31-101 through 26-31-321)
Both
A residential mortgage loan or
a loan modification
A dwelling (as defined in Section 103[w] of TILA) or on residential real estate upon which is (or is intended
to be) constructed such
a dwelling
Upon receipt of application, but before receiving
any money from a borrower
Idaho Admin. Code r.
12.01.10.050(1) Idaho Residential
Mortgage Practices Act
Idaho-required Model Application
Forms and Disclosures
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A person engaged in the business of
financing the purchase of real property.
Both
Purchase loan Real property Not specified Idaho Code Ann. §§ 41-1310 & 41-
1312 Idaho Insurance
Code
No
Initial Disclosure ID Commitment Agreement
Cx16367 (upon request)
A person or entity engaged in the
business of lending money or extending
credit Both
A loan of money or an extension of credit of $50,000
or more.
Not specified Not specified Idaho Code Ann. § 9-505(5)
No
Property of Docutech, LLC Page 77 Version 19.01
Idaho (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure ID Notice of Financial Interest in Title Company
Cx18886 A producer of a title business, including
mortgage brokers and lenders, who has a
financial interest in the title entity providing
title services Both
Loans by interest in real property
Real property At the time the sales and/or
purchase contract is entered into
Idaho Admin. Code r.
18.01.39.011 & .012
Rebates and Illegal
Inducements in Title Insurance
Business
Administrative
Initial Disclosure, TILA Redisclosure,
& Closing
Initial Truth-in-Lending
Disclosure and Good Faith
Estimate 01-01-10
Cx18 (Federal), Cx1591
(Federal), & Cx14221 (Federal)
Either: (1) a licensee under the Idaho
Residential Mortgage Practices Act (Idaho Code Ann. §§ 26-31-101 through 26-31-321); or (2) a person
subject to the Federal Consumer Credit Protection Act (15
USCA §§ 1601 et seq.) Both
Either: (1) a residential
mortgage loan; or (2) a credit transaction
subject to the Federal Consumer Credit Protection
Act
Either: (1) a dwelling (as
defined in Section 103[w] of TILA) or on residential real estate upon which is (or is intended
to be) constructed such a dwelling; or (2)
not specified
Various times Idaho Code Ann. §§ 26-31-211(3) & 28-43-201; Idaho Admin. Code r. 12.01.10.050(2)
Idaho Credit Code – Regulation of
Agreements and Practices and
Idaho Residential Mortgage
Practices Act
12 CFR Pt. 1024, App. C
12 CFR Pt. 1026,
App. H; Form H-2
Property of Docutech, LLC Page 78 Version 19.01
Idaho (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Any person engaged in the origination of a
residential mortgage loan Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or on residential real estate upon which is (or is intended
to be) constructed such
a dwelling
On the application
Idaho Code Ann. § 26-31-320 Idaho S.A.F.E.
Mortgage Licensing Act
FNMA 1003 Form - Uniform Residential
Loan Application
Initial Disclosure & Closing
ID Reserve Account
Disclosure
Cx10170 A mortgage company Both
A residential mortgage loan, in
which an impound or
escrow account is maintained
Residential real property
Not specified Idaho Code Ann. § 26-2807 Mortgage
Company Act
No
Initial Disclosure & Closing
Good Faith Estimate 01-01-10 and HUD-1 01-01-
10
Cx14221 (Federal) &
Cx14753 (Federal)
Any person or individual subject to
the Idaho S.A.F.E. Mortgage Licensing
Act (Idaho Code Ann. §§ 26-31-301 through
26-31-321) Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or on residential real estate upon which is (or is intended
to be) constructed such
a dwelling
Before accepting any fees at
closing
Idaho Code Ann. § 26-31-317(19)
Idaho S.A.F.E. Mortgage
Licensing Act
12 CFR Pt. 1024, App. A & C
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Property of Docutech, LLC Page 79 Version 19.01
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Illinois (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure IL Right to Choose Title
Cx1097 A person, firm, corporation,
partnership, or association which may extend credit or make
a loan. Both
An extension of credit or a loan secured by an interest in real
estate
Real estate which shall have a single family residence or
residential condo unit occupied (or to be occupied)
as a principal residence by the
borrower or beneficiary
Not specified 815 Ill. Comp. Stat. Ann. 505/2T
Consumer Fraud and Deceptive
Business Practices Act
No
Initial Disclosure IL Borrower Information Document
Cx1206 A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Before the borrower signs the application,
or gives the licensee any
consideration (whichever comes
first)
Ill. Admin. Code tit. 38, § 1050.1110(a)
& (i) Residential
Mortgage License Act of 1987
Partial Administrative
Property of Docutech, LLC Page 80 Version 19.01
Illinois (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure IL Mortgage Escrow Account
Act
Cx1207 A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Both
A residential mortgage loan,
which is a purchase loan, but not FHA-
insured or VA-guaranteed and in which there is
a certainly that an escrow account
will not be established
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a dwelling, but
which is also a single-family
security, owner-occupied real
estate
Before the borrower signs the application,
or pays any consideration
(whichever comes first).
765 Ill. Comp. Stat. Ann. 910; Ill. Admin.
Code tit. 38, §§ 1050.1110(f) & 1050.1360(a)(1)
Residential Mortgage License
Act of 1987
Mostly Statutory
Initial Disclosure IL Mortgage Awareness
Program Notice
Cx1902 A lender Both
A high risk home loan
A borrower’s principal residence
Prior to making a high risk home
loan
815 Ill. Comp. Stat. Ann. 137/110(f) High Risk Home
Loan Act
Notice Mortgage Awareness Program
Initial Disclosure IL Mortgage Awareness Waiver
Cx1903 A lender Both
A high risk home loan
A borrower’s principal residence
No less than 2 business days
after the borrower receives
Cx1902
815 Ill. Comp. Stat. Ann. 137/110(h) High Risk Home
Loan Act
Waiver of Participation in
Mortgage Awareness Program
Property of Docutech, LLC Page 81 Version 19.01
Illinois (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure IL Loan Brokerage Disclosure Statement
Cx1908 A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Brokers
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Before the borrower signs a loan brokerage agreement or
pays any consideration
(whichever comes first)
Ill. Admin. Code tit. 38, § 1050.1020
Residential Mortgage License
Act of 1987
No
Initial Disclosure IL Loan Brokerage Agreement
Cx1909 A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) who perform loan brokering services
Brokers
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Before the borrower signs the application,
or pays any consideration
(whichever comes first)
Ill. Admin. Code tit. 38, §§ 1050.1010,
1050.1170, 1050.1335, &
1050.1340 Residential
Mortgage License Act of 1987
No
Initial Disclosure Advanced Fee/Application
Disclosure
Cx2783 A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Not specified Ill. Admin. Code tit. 38, §§ 1050.1335(a)
& 1050.1340 Residential
Mortgage License Act of 1987
No
Property of Docutech, LLC Page 82 Version 19.01
Illinois (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure IL Required Underwriting
Documentation
Cx4558 A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
At the time of application
Ill. Admin. Code tit. 38, § 1050.1120
Residential Mortgage License
Act of 1987
No
Initial Disclosure IL GFE Charges Paid by Seller
Cx13000 A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Both
A FHA-insured or VA-guaranteed
residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
At the time of application
Ill. Admin. Code tit. 38, § 1050.1320(b)
Residential Mortgage License
Act of 1987
No
Initial Disclosure IL Notice to Borrower
Cx13001 A lender Both
A high risk home loan
A borrower’s primary residence
Before offering or making a high risk home loan
and not later than 3 business days before closing.
815 Ill. Comp. Stat. Ann. 137/95
High Risk Home Loan Act
Statutory
Property of Docutech, LLC Page 83 Version 19.01
Illinois (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Addendum to Loan Application
Cx13441 Either: (1) not specified; or (2)
a licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Both
Either: (1) not specified; or (2)
a residential mortgage loan
Either: (1) not specified; or (2) a dwelling (as
defined in Section 103[w] of
TILA) or residential real
estate upon which is (or is
intended to be) constructed a
dwelling
With forms furnished for
application by mail
750 Ill. Comp. Stat. Ann. 75/20 ; Ill.
Admin. Code tit. 38, § 1050.1150
Illinois Religious Freedom Protection and Civil Union Act
and Residential Mortgage License
Act of 1987
No
Initial Disclosure IL Float/Rate-Lock Fee Agreement
Cx14101 A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Not specified, but practically before
closing
Ill. Admin. Code tit. 38, §
1050.1335(a)(2); Dep’t of Fin. & Prof.
Reg. Bulletin WD99/2
Residential Mortgage License
Act of 1987
No
Property of Docutech, LLC Page 84 Version 19.01
Illinois (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure IL Pledged Time Deposit Account
Disclosure – Example
Cx14180 A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Both
A residential mortgage loan, which is for the purchase of the property, but
which is not for either FHA-
insured or VA-guaranteed
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling, which is also owner-
occupied, single-family real estate
Before an applicant signs
the application or gives the licensee
any consideration,
whichever comes first
765 Ill. Comp. Stat. Ann. 910/6; Ill.
Admin. Code tit. 38, § 1050.1110(f)
Mortgage Escrow Account Act and
Residential Mortgage License
Act of 1987
No
Initial Disclosure IL Loan Approval Notice
Cx14271 (upon request)
A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Immediately upon approval of
a residential mortgage loan
application
Ill. Admin. Code tit. 38, § 1050.1305
Residential Mortgage License
Act of 1987
No
Initial Disclosure High Cost Tangible Net
Benefit Worksheet
Cx15773 A lender Both
A high risk home loan
A borrower’s principal residence
Not specified 815 Ill. Comp. Stat. Ann. 137/45
High Risk Home Loan Act
No
Property of Docutech, LLC Page 85 Version 19.01
Illinois (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure IL Notice of Independent
Review
Cx16096 A lender Both
A high risk home loan
A borrower’s primary residence
Not specified 815 Ill. Comp. Stat. Ann. 137/125
High Risk Home Loan Act
Notice of Independent
Review
Initial Disclosure IL Notice of Material Change in Loan Terms
Cx16217 (upon request)
A licensee under the Residential Mortgage License Act of 1987
Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
No later than 3 days after
learning of the change or 24 hours before
closing, whichever is
earlier
205 Ill. Comp. Stat. Ann. 635/5-9 Residential
Mortgage License Act of 1987
No
Initial Disclosure IL Disclosure of Refinancing
Options
Cx16232 (upon request)
A licensee under the Residential Mortgage License Act of 1987
Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
When the subject of a future loan is
discussed
205 Ill. Comp. Stat. Ann. 635/5-12
Residential Mortgage License
Act of 1987
No
Property of Docutech, LLC Page 86 Version 19.01
Illinois (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure IL Anti-Coercion Insurance Disclosure
Cx17688 A licensee under the Consumer Installment
Loan Act Both
A loan between $500 and
$40,000, which has a greater rate
of interest or discount than allowed under
other laws
Real property Not specified 205 Ill. Comp. Stat. Ann. 670/15b
Consumer Installment Loan
Act
No
Initials IL Statement of Borrowers Benefits
Cx1875 A financial institution Both
A refinancing loan
A borrower’s principal
residence, consisting of either 1-to-4
family units or a dwelling
consisting of condo or coop
units
Not specified 815 Ill. Comp. Stat. Ann. 120/2(e) &
120/3(e) Illinois Fairness in
Lending Act
No
Adverse Action & Closing
IL Failure to Close Disclosure
Cx1013 A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
After a loan fails to close
Ill. Admin. Code tit. 38, § 1050.1355
Residential Mortgage License
Act of 1987
No
Property of Docutech, LLC Page 87 Version 19.01
Illinois (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure & Closing
IL Private Mortgage Insurance Disclosure
Cx1311 A mortgagee Both
A mortgage, in connection with
which private mortgage
insurance may be required, but not FHA-insured or VA-guaranteed
loans
The principal, single family
residence of the mortgagor
Not specified 765 Ill. Comp. Stat. Ann. 930/15 Mortgage Insurance
Limitation and Notification Act
No
Initial Disclosure & Adverse Action
IL Failure to Qualify Notice
Cx1603 A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Immediately after determining that a borrower does
not qualify for the loan applied for and the costs of
another recommended
program materially differ
Ill. Admin. Code tit. 38, § 1050.1230(a)
Residential Mortgage License
Act of 1987
No
Initial Disclosure & Adverse Action
IL Notice of Change Affecting
Loan
Cx1605 A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
When a notice is received from a
secondary market underwriter, an
investor, the FHA, or the VA, that
materially affects a loan in process
Ill. Admin. Code tit. 38, § 1050.1230(b)
Residential Mortgage License
Act of 1987
No
Property of Docutech, LLC Page 88 Version 19.01
Illinois (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
On the application
205 Ill. Comp. Stat. Ann. 635/7-14
Residential Mortgage License
Act of 1987
FNMA 1003 Form - Uniform Residential
Loan Application
Initial Disclosure & Closing
IL Notice of Material Facts
Cx16231 (upon request)
A mortgage broker, who is licensed under
the Residential Mortgage License Act of 1987 (205 Ill. Comp.
Stat. Ann. 635) Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Not specified 205 Ill. Comp. Stat. Ann. 635/5-7(a)(3)
Residential Mortgage License
Act of 1987
No
Closing Homestead Waiver in IL Mortgage
On Cx323 (FNMA/FHLMC),
Cx376 (FHA), Cx481, & Cx1357
Not specified, but practically a mortgagee
Both
A loan secured by a mortgage
A homestead In the mortgage 735 Ill. Comp. Stat. Ann. 5/12-904; 765 Ill. Comp. Stat. Ann.
5/11 & 5/27 Conveyances Act
Statutory
FNMA Form 3014 - Illinois
Property of Docutech, LLC Page 89 Version 19.01
Illinois (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing IL Escrow Account Disclosure Agreement
Cx1012 A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Both
A primary lien, residential
mortgage loan which provides for an escrow
account
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
At closing Ill. Admin. Code tit. 38, § 1050.1360(b)
Residential Mortgage License
Act of 1987
No
Closing IL Pledged Time Deposit Account
Disclosure
Cx1014 Either: (1) a mortgage lender; or (2) a licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp.
Stat. Ann. 635) Both
Either: (1) a purchase loan; or (2) a residential mortgage loan, which is for the purchase of the property, but
which is not for either FHA-
insured or VA-guaranteed
Either: (1) a residence; or (2) a
dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling, which is also owner-
occupied, single-family real estate
At closing 765 Ill. Comp. Stat. Ann. 910/6; Ill.
Admin. Code tit. 38, § 1050.1360(a)(1) Mortgage Escrow Account Act and
Residential Mortgage License
Act of 1987
No
Closing IL Collateral Protection Act
Notice
Cx1302 A creditor Both
A credit transaction
Property In or with the credit agreement
815 Ill. Comp. Stat. Ann. 180/10(3)
Collateral Protection Act
Statutory
Property of Docutech, LLC Page 90 Version 19.01
Illinois (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing IL First Payment Letter Enhanced
Fees
Cx7606 (Upon Request)
A servicer Both
A residential mortgage loan
Not specified At least 15 days before the first payment it due
38 Ill. Adm. Code 1050.810
Statutory
Closing IL Mortgage Escrow Account Act Applicability
Cx14127 A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635), which is also not a lender required to comply with the Mortgage Escrow
Account Act (765 Ill. Comp. Stat. Ann. 910)
Both
A residential mortgage loan, which is for the purchase of the property, but
which is not for either FHA-
insured or VA-guaranteed, or in which an escrow account or other
specific arrangement for payment of taxes
is made
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling, which is also owner-
occupied, single-family real estate
At closing Ill. Admin. Code tit. 38, §
1050.1360(a)(2) Residential
Mortgage License Act of 1987
No
Closing IL Mortgage Escrow Account
Act
Cx16095 Not specified, but practically a mortgage
lender Lenders
A purchase loan A residence At closing 765 Ill. Comp. Stat. Ann. 910/11
Mortgage Escrow Account Act
Mostly Statutory
Property of Docutech, LLC Page 91 Version 19.01
Illinois (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing Notice of Servicing Transfer
Cx17905 (Federal)
A licensee under the Residential Mortgage License Act of 1987 (205 Ill. Comp. Stat.
Ann. 635) Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Simultaneous with the transfer
of servicing
205 Ill. Comp. Stat. Ann. 635/3-7; Ill.
Admin. Code tit. 38, § 1050.820 Residential
Mortgage License Act of 1987
12 CFR Pt. 1024, MS-2
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Property of Docutech, LLC Page 92 Version 19.01
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Indiana (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 Either: (1) a creditor; or (2) not specified
Both
Either: (1) a consumer loan, which generally
excludes first lien mortgage
transactions; or (2) a mortgage
loan
Either: (1) an interest in land
used (or expected to be used) as the debtor’s principal
dwelling; or (2) real property
Not specified Ind. Code Ann. §§ 24-4.5-4-109 and 27-4-1-4(a)(9) &
(12) Uniform
Consumer Credit Code - Insurance
No
Initial Disclosure IN Mortgage Broker Agreement
Cx3828 Either: (1) a loan broker licensed under Chapter 5, Article 2, Title 23 of
Indiana’s Code; or (2) a licensee supervised by the Indiana Securities
Commission. Brokers
Either: (1) a residential
mortgage loan; or (2) a loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate on which a dwelling is (or is intended to be)
constructed
Within 3 business days of the time
an application for a loan is made to
a licensee
Ind. Code Ann. §§ 23-2-5-9 & 23-2-5-23; Ind. Admin. Code tit. 710, r. 1-
22-5
Approved Indiana Loan Broker Agreement
Initial Disclosure IN Notice to Borrower
Cx13003 A creditor Both
A high cost home loan
Real estate, on which there is (or will be) located a
structure or structures designed
primarily for 1-to-4 families and
that is (or will be) the borrower’s
principal dwelling
Not later than 3 business days
prior to consummation
Ind. Code Ann. § 24-9-4-11
Statutory
Property of Docutech, LLC Page 93 Version 19.01
Indiana (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure IN Notice to Borrower
Cx14601 A creditor Both
A mortgage loan, including most of
the usual loans regulated by
Indiana law (see Ind. Code Ann. § 24-5-23.5-4 for
details)
Real property Not later than 3 business days
after receiving a completed
written application
Ind. Code Ann. § 24-5-23.5-8
Borrower Notice Form
Initial Disclosure Cost of Insurance Disclosure
Cx16488 A lender Lenders
A consumer loan, which generally
excludes first lien mortgage
transactions
An interest in land used (or expected to be used) as the debtor’s principal
dwelling
Not specified, but practically before
charging for optional
consumer credit insurance
Ind. Code Ann. § 24-4.5-3-202(2)
Uniform Consumer Credit
Code - Loans
No
Initial Disclosure
IN Commitment Agreement
Cx18838 A creditor Both
Credit Agreement Not specified Not specified Ind. Code Ann. §26-2-9-4
No
Initial Disclosure CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Before executing a contract or
agreement with a buyer or receiving
money or other valuable
consideration
Ind. Code Ann. § 24-5-15-6
No
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified Ind. Code Ann. § 24-5-15-7
Statutory
Property of Docutech, LLC Page 94 Version 19.01
Indiana (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure & TILA Redisclosure
Consumer Loan Information in
Truth-in-Lending Disclosures
In Cx18, Cx1591, and other TILA
Disclosures
A lender Both
A consumer loan An interest in land used (or expected to be used) as the debtor’s principal
dwelling
Various times Ind. Code Ann. § 24-4.5-3-301(2)
Uniform Consumer Credit
Code - Loans
12 CFR Pt. 1026, App. H; Form H-2
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Either: (1) a licensee under the First Lien
Mortgage Lending Act – Miscellaneous; or (2) a person originating a mortgage transaction
Both
Either: (1) a first lien mortgage
transaction; or (2) a mortgage
transaction (a consumer loan)
A 1-to-4 unit dwelling or
residential real estate upon
which a dwelling is constructed or intended to be
constructed
On the application
Ind. Code Ann. § 24-4.4-2-405(2); 750 Ind. Admin. Code 9-4-1(b)
First Lien Mortgage
Lending Act - Miscellaneous
FNMA 1003 Form - Uniform Residential
Loan Application
Closing High Cost Home Loan Legend,
Document Preparation
Disclosure, and Social Security Redactment
Affirmation on IN Mortgage
On Cx324 (FNMA/FHLMC),
Cx377 (FHA), Cx482, & Cx1381
Either: (1) not specified; or
(2) an individual Both
Either: (1) a high cost home loan;
or (2) not specified
Either: (1) real estate, on which
is (or will be) located a structure designed
principally for occupancy from 1-to-4 families
and that is (or will be) occupied by the borrower’s
principal dwelling; or (2) not specified
Not specified, but practically at
closing
Ind. Code Ann. §§ 24-9-4-1(1)(6) &
36-2-7.5-5
Statutory
FNMA Form 3015 - Indiana
Property of Docutech, LLC Page 95 Version 19.01
Indiana (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing IN Property Tax Benefits (THIS
FORM MUST BE PRINTED ON
YELLOW OR GOLD PAPER)
Cx14885 Either: (1) a closing agent; or (2) a lender
Both
Either: (1) a first lien purchase
money mortgage or refinancing
transaction; or (2) a consumer loan, which generally
excludes first lien mortgage
transactions
Either: (1) single family residential property; or (2) an
interest in land used or expected to be used as the principal dwelling
of the debtor, consisting of 1-
to-4 units
Before closing a transaction
Ind. Code Ann. §§ 6-1.1-12-43 & 24-
4.5-3-701 Uniform
Consumer Credit Code - Loans
Indiana Property Tax Benefits - State
Form 51781
Closing Telephone Sales Contract Notice on All Notes and
Security Instruments
Cx5 (FNMA/FHLMC),
Cx324 (FNMAlFHLMC),
Cx377 (FHA), Cx482, Cx1381, and others (all upon request)
A seller Both
A mortgage made as a consequence
of a telephone sales call (“cold
calling”)
Real estate At closing Ind. Code Ann. § 24-4.7-4-4(c); 11 Ind. Admin. Code
1-1-2 9
Statutory
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Iowa (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Format
Initial Disclosure IA Payment Reduction Fee
Disclosure
Cx1906 A lender Both
A loan with a payment
reduction fee, but excluding
loans subject to Iowa Code Ann. § 636.46 (federally
insured loans)
A 1-to-2 family, dwelling
occupied (or to be occupied) by
the borrower
Prior to accepting an application
Iowa Code Ann. § 535.8(5)
No
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 Either: (1) a person; or (2) a financial
institution Both
Either: (1) a loan of money or extension of
credit; or (2) a real estate
mortgage loan
Residential property
containing (or to contain) 1-to-4 family dwelling
units
Not specified Iowa Code Ann. §§ 507B.5(1)(a) &
535A.9(1)(a)
No
Initial Disclosure IA Broker Agreement
Cx5110 A loan broker Brokers
A loan Not specified Not specified Iowa Code Ann. §§ 535C.2(5) &
535C.7 Iowa Loan Brokers Act
No
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified, but practically at application
Varnum v. Brien, 763 N.W.2d 862
No
Property of Docutech, LLC Page 97 Version 19.01
Iowa (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Format
Initial Disclosure Cost of Insurance Disclosure
Cx16488 A creditor Lenders
A consumer credit transaction (consumer loan)
of $25,000 or less, excluding a first lien used to
purchase the property,
refinance a purchase loan, or
construct a dwelling on the
property
Not specified Not specified, but practically before
charging for consumer credit insurance
Iowa Code Ann. § 537.2501(2)
Iowa Consumer Credit Code –
Finance Charges and Related Provisions
No
Initial Disclosure CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Before executing a contract or agreement
with a buyer or receiving money or
other valuable consideration
Iowa Code Ann. § 538A.6
No
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified Iowa Code Ann. § 538A.7
Statutory
Initial Disclosure IA Lock-In Agreement
Cx20841 (upon request)
A lender Both
Not specified Not specified Not specified Iowa Code Ann. § 535.17(1), (5)(c)
& (8)
Statutory
Initial Disclosure IA Commitment Agreement
Cx20680 (upon request)
A lender Both
A loan of money or a financed transaction
Not specified On or after a written agreement is executed
by the borrower
Iowa Code Ann. § 535.8(4)
Statutory
Property of Docutech, LLC Page 98 Version 19.01
Iowa (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Format
Initial Disclosure, TILA Redisclosure,
& Closing
TILA Disclosures Cx18, Cx1591, and other TILA
Disclosures
A person Both
A consumer credit transaction (consumer loan)
of $25,000 or less, excluding a first lien used to
purchase the property,
refinance a purchase loan, or
construct a dwelling on the
property
Not specified Various times Iowa Code Ann. § 537.3201
Iowa Consumer Credit Code – Regulation of
Agreements and Practices
12 CFR Pt. 1026, App. H
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Number Disclosed on 1003
Uniform Residential Loan
Application
On Cx4193 (FNMA/FHLMC)
A person originating a residential mortgage
loan Both
A residential mortgage loan
A dwelling (as defined in
section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
On the application Iowa Code Ann. § 535D.19
Iowa Secure and Fair Enforcement
for Mortgage Licensing Act
FNMA 1003 Form - Uniform
Residential Loan Application
Initial Disclosure, TILA Redisclosure,
& Closing
IA Acknowledgement
of Receipt of Copies
Cx15276 A lender or other secured party
Both
A debt Not specified At the time a document relating to
a debt is signed
Iowa Code Ann. § 535.16
No
Property of Docutech, LLC Page 99 Version 19.01
Iowa (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Format
Closing Notice to Consumer on IA
Mortgage Second and Fixed Rate
Note Iowa Second
On Cx479 & Cx1044
A creditor Both
A consumer credit transaction (consumer loan)
of $25,000 or less, excluding both open end
credit and a first lien used to purchase the
property, refinance a
purchase loan, or construct a
dwelling on the property
Not specified On any writing evidencing a
consumer credit transaction
Iowa Code Ann. § 537.3203
Iowa Consumer Credit Code – Regulation of
Agreements and Practices
Statutory
Closing Homestead Waiver on IA Mortgage, IA
Mortgage FHA, IA Mortgage Second,
and HELOC Mortgage Less than 25000 – IA
On Cx321 (FNMA/FHLMC),
Cx374 (FHA), Cx479, & Cx1377
Not specified, but practically the lender
Both
Not specified A homestead On a written contract Iowa Code Ann. § 561.22(1)(a)
Statutory
FNMA Form 3016 - Iowa
Property of Docutech, LLC Page 100 Version 19.01
Iowa (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Format
Closing IA Oral Agreement Disclosure
Cx1021 A lender Both
A credit agreement, which is a
contract for a loan, but cannot be for open-end
and HELOC loans, and the loan amount must exceed
$20,000
Not specified At or after the time the credit agreement
is made.
Iowa Code Ann. § 535.17(2) & (3)
Statutory
Property of Docutech, LLC Page 101 Version 19.01
Closing IA Notice to Cosigners
Cx1022 Not specified, but practically by the
lender Both
A consumer credit transaction (consumer loan)
that does not exceed the threshold amount as
determined by 12 C.F.R.
§1026.3(b) (which is currently $54,600),
excluding a sale or lease in which
the seller or lessor allows the buyer or lessee to purchase or
lease pursuant to a seller credit card, a debt
which is secured by a first lien on real property, a
loan financed by the Iowa finance
authority and secured by a lien
on loan, or a consumer rental
purchase agreement.
Not specified Before or contemporaneously
with signing any agreement of
obligation or any writing setting forth
the terms of the debtor’s agreement
Iowa Code Ann. § 537.3208
Iowa Consumer Credit Code – Regulation of
Agreements and Practices
Statutory
Property of Docutech, LLC Page 102 Version 19.01
Iowa (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Format
Closing Consumer Credit Transaction
Notice on Fixed Rate Note Iowa
Second
On Cx1044 Not specified, but practically by the
lender Both
A consumer credit transaction (consumer loan)
of $25,000 or less, excluding a first lien used to
purchase the property,
refinance a purchase loan, or
construct a dwelling on the
property
Not specified On the face of the negotiable instrument
Iowa Code Ann. § 537.3211
Iowa Consumer Credit Code – Regulation of
Agreements and Practices
Statutory
Closing HUD-1 01-01-10 Cx14222 (Federal)
A lender Both
A loan, which is for the purpose of purchasing
the property or for refinancing a
prior loan, excluding loans subject to Iowa
Code Ann. § 636.46 (federally
insured loans)
A 1-to-2 family, dwelling
occupied (or to be occupied) by
the borrower
Not specified, but practically before
charging the disclosed fees
Iowa Code Ann. § 535.8(2)(b)
12 CFR Pt. 1024, App. A
Property of Docutech, LLC Page 103 Version 19.01
Iowa (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Format
Closing Notice of Servicing Transfer
Cx17905 (Federal)
Not specified, but practically the original
creditor Both
A consumer credit transaction (consumer loan)
of $25,000 or less, excluding a first lien used to
purchase the property,
refinance a purchase loan, or
construct a dwelling on the
property
Not specified Not specified, but practically before or at
the time the loan is assigned
Iowa Code Ann. § 537.3204
Iowa Consumer Credit Code – Regulation of
Agreements and Practices
12 CFR Pt. 1024, App. MS-2
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Kansas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure KS High LTV Consumer Notice
Cx1595 A lender, excluding a supervised financial
organization Both
A consumer credit transaction (consumer loan),
which is either: (1) a primary lien; or (2) a junior lien, either of which
have a LTV exceeding 100%
A consumer’s principal residence
Not less than 3 days before the
loan is made
Kan. Stat. Ann. § 16a-3-207(3)(b) &
(4) Revised Uniform Consumer Credit
Code – Regulation of
Agreements and Practices
No
Initial Disclosure KS Borrower Acknowledgment
Cx3585 A licensee (mortgage company) under the
Kansas Mortgage Business Act
Both
A mortgage loan A lot intended for residential
purposes or a 1-to-4 family dwelling (as
defined in section 103[w] of TILA), which is owner-
occupied
Before entering into any contract for services, or
receiving compensation or
promises of compensation.
Kan. Stat. Ann. § 9-2208(b); Kan. Admin. Regs. §
17-24-1 Kansas Mortgage
Business Act
Mostly Administrative
Initial Disclosure Loan Brokerage Agreement
Cx3841 (upon request)
A loan broker registered under
Article 10, Chapter 50 of Kansas’ Statutes
Brokers
A loan Not specified Not specified Kan. Stat. Ann. §§ 50-1007 & 50-
1015(a)(1)
No
Property of Docutech, LLC Page 105 Version 19.01
Kansas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx4172 A creditor Both
A consumer credit transaction (consumer loan),
which is either: (1) a primary lien if the LTV exceeds 100% or the APR exceeds the code mortgage rate; or
(2) a junior lien
Land On the loan agreement or
other instrument
Kan. Stat. Ann. § 16a-4-109
Revised Uniform Consumer Credit Code - Insurance
No
Initial Disclosure KS Loan Broker Disclosure
Cx4248 A loan broker registered under
Article 10, Chapter 50 of Kansas’ Statutes
Brokers
A loan Not specified At least 7 days before either a
contract for services is signed or consideration
is received, whichever occurs
first
Kan. Stat. Ann. § 50-1006(a) & (b)
Partial Statutory
Property of Docutech, LLC Page 106 Version 19.01
Kansas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Dual Capacity Disclosure
Cx12999 Either: (1) a licensee (mortgage company)
under the Kansas Mortgage Business Act;
or (2) a licensee or registrant under the Uniform Consumer
Credit Code, either of whom also acts as a real estate broker or agent in connection with the transaction
Both
Either: (1) a mortgage loan; or
(2) a residential mortgage loan, either of which
are made in connection with the sale of the
real estate
Either: (1) a lot intended for residential
purposes or a 1-to-4 family dwelling (as
defined in section 103[w] of TILA), which is owner-
occupied; or (2) A dwelling (as
defined in Section 103[w] of TILA) or
residential real estate upon
which a dwelling is (or is intended
to be) constructed
Before receiving compensation
Kan. Stat. Ann. §§ 9-2212(g) & 16a-
2-310(e) Kansas Mortgage Business Act and
Uniform Consumer Credit Code – Finance
Charges and Related
Provisions
No
Initial Disclosure Cost of Insurance Disclosure
Cx16488 A creditor Lenders
A consumer credit transaction (consumer loan),
which is either: (1) a primary lien if the LTV exceeds 100% or the APR exceeds the code mortgage rate; or
(2) a junior lien
Land Not specified, but practically before
charging for additional credit
insurance
Kan. Stat. Ann. § 16a-2-501(2)
Revised Uniform Consumer Credit Code – Finance
Charges and Related
Provisions
No
Property of Docutech, LLC Page 107 Version 19.01
Kansas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure KS Estimated Disclosure Document
Cx16584 (upon request)
A loan broker registered under
Article 10, Chapter 50 of Kansas’ Statutes
Brokers
A loan which is also covered by
the Truth-in-Lending Act (15 USCA §§ 1601
through 1667e)
Not specified Before the borrower becomes
contractually obligated on the
loan
Kan. Stat. Ann. § 50-1006(d)
Partial Statutory
Initial Disclosure, TILA Redisclosure,
& Closing
Various TILA Disclosures
Cx18, Cx1591, and other TILA Disclosures (All
Federal)
A creditor Both
A consumer credit transaction (consumer loan),
which is either: (1) a primary lien if the LTV exceeds 100% or the APR exceeds the code mortgage rate; or
(2) a junior lien
Land At various times Kan. Admin. Regs. § 75-6-26 Uniform
Consumer Credit Code
12 CFR Pt. 1026, App. G & H
Closing Various Kansas Notes and Mortgages
Cx5 (FNMA/FHLMC),
Cx36 (FHA), Cx325
(FNMA/FHLMC), Cx378 (FHA), Cx483, and
Cx1048
A creditor Both
A closed-end consumer credit
transaction (consumer loan),
which is either: (1) a primary lien if the LTV exceeds 100% or the APR exceeds the code mortgage rate; or
(2) a junior lien
Land On the written loan agreement
Kan. Stat. Ann. § 16a-3-202
Revised Uniform Consumer Credit
Code – Regulation of
Agreement and Practices
Statutory
FNMA Form 3200 – Multistate Fixed-
Rate Note
FNMA Form 3017 - Kansas
Property of Docutech, LLC Page 108 Version 19.01
Kansas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing KS UCCC Addendum
Cx4448 A lender Both
Either: (1) a first mortgage loan
made subject to the Uniform
Consumer Credit Code (Kan. Stat. Ann. §§ 16a-1-
101 through 16a-9-102); or (2) a consumer loan
made subject to Kan. Stat. Ann. § 16-207(b), which
is either: (a) a primary lien if the
LTV exceeds 100% or the APR exceeds the code mortgage rate; or
(b) a junior lien
Not specified Not specified Kan. Stat. Ann. §§ 16-207(h) & (i) and 16a-1-109;
Kan. Admin. Regs. § 75-6-1
No
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Kentucky (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 Either: (1) a financial institution; or (2) a creditor or lender
Lenders
Either: (1) A loan or extension of credit; or (2) A debt or loan
Property When application approval is
pending and insurance is offered or required.
Ky. Rev. Stat. Ann. §§ 304.9-135(2)(b) & (c) and 304.12-
150; 806 Ky. Admin. Regs.
9:190(3)
Form FI-02 Notice of Free Choice of Agent and Insurer
Available from Department of
Insurance Initial Disclosure KY Mortgage Loan
Broker Agent Disclosure
Cx3825 A mortgage loan broker Brokers
A residential mortgage loan
Residential real property, which is
a dwelling (as defined in 15
USCA § 1602[v]) or any real
property upon which is (or is
intended to be) constructed a
dwelling
Not specified Ky. Rev. Stat. Ann. § 286.8-270(1)(b)
Mortgage Licensing and Regulation Act
No
Property of Docutech, LLC Page 110 Version 19.01
Kentucky (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure KY Commitment Disclosure
Cx3826 A mortgage loan company or a loan
broker Both
A loan commitment or
funding, presumably for a mortgage loan
Residential real property, which is
a dwelling (as defined in 15
USCA § 1602[v]) or any real
property upon which is (or is
intended to be) constructed a
dwelling
Not specified Ky. Rev. Stat. Ann. §§ 286.8-120(7) &
286.8-270(2) Mortgage
Licensing and Regulation Act
No
Initial Disclosure KY Notice to Borrower – High
Cost Loans
Cx4264 A lender, including mortgage brokers and
finance companies Both
A high-cost home loan
Residential real property which is
(or will be) the borrower’s
principal dwelling
At least 3 business days
before consummation
Ky. Rev. Stat. Ann. § 360.100(2)(h)
Statutory
Initial Disclosure Affiliated Business Disclosure
Cx11413 (Federal)
A mortgage loan company, a mortgage
loan broker, or a lender Both
A mortgage loan Residential real property, which is
a dwelling (as defined in 15
USCA § 1602[v]) or any real
property upon which is (or is
intended to be) constructed a
dwelling
At the time when the Good Faith
Estimate is provided
808 Ky. Admin. Regs. 12:050(3)
Mortgage Licensing and Regulation Act
12 CFR Pt. 1024, App. D
Property of Docutech, LLC Page 111 Version 19.01
Kentucky (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Material Change of HCL Terms
Cx20851 (Upon Request)
A lender, including any person who acts as a mortgage broker or
lender
A high-cost home loan
Residential real property which is
the borrower’s principal dwelling
Within 3 days of the known
change or at least 24 hours before
closing
Ky. Rev. Stat. Ann. § 360.100(1)(c) &
(2)(x)
No
Initial Disclosure Financial Institution Disclosures
Cx20898 (Upon Request)
A financial institution Both
Not specified Not specified Prior to closing Ky. Rev. Stat. Ann. § 304.9-135(2)(f)
No
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosure on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Any person originating a mortgage loan
Both
A mortgage loan Residential real property, which is
a dwelling (as defined in 15
USCA § 1602[v]) or any real
property upon which is (or is
intended to be) constructed a
dwelling
On the application
Ky. Rev. Stat. Ann. § 286.8-030(5)
Mortgage Licensing and Regulation Act
FNMA 1003 Form - Uniform Residential
Loan Application
Initial Disclosure, TILA Redisclosure,
& Closing
HUD 01-01-10 and Itemization of
Amount Financed 01-01-10
Cx14222 (Federal) &
Cx14644 (Federal)
A mortgage loan company or a
mortgage loan broker Both
A mortgage loan Residential real property, which is
a dwelling (as defined in 15
USCA § 1602[v]) or any real
property upon which is (or is
intended to be) constructed a
dwelling
Not specified, but practically at
closing
808 Ky. Admin. Regs. 12:050(1)
Mortgage Licensing and Regulation Act
12 CFR Pt. 1024, App. A
12 CFR Pt. 1026,
App. H; Form H-3
Property of Docutech, LLC Page 112 Version 19.01
Kentucky (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing KY Fair Housing Disclosure
Cx11145 A person or entity engaged in real estate-
related transactions Both
A financing of real property
Real property At the time of sale, purchase, or financing of real
property
104 Ky. Admin. Reg. 1:010(4)
Fair Housing Brochure
Closing KY Homeownership Protection Center
Notification to Homeowners
Cx13677 A mortgagee Both
Not specified Not specified At the time of closing
Ky. Rev. Stat. Ann. §§ 198A.400 & 286.2-020(2)
Mae Street Kidd Kentucky Housing Corporation Act
Notification to Homeowners of the
Kentucky Homeownership Protection Center
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Property of Docutech, LLC Page 113 Version 19.01
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Louisiana (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure LA Loan Brokerage Agreement and
Disclosure Statement
Cx3318 A loan broker Brokers
A consumer or federally related mortgage loan in
which a loan broker is involved
If a federal related mortgage loan, a
dwelling (as defined in 15
USCA § 1602[v]) or residential immovable
property upon which is (or is
intended to be) constructed a
dwelling
With the application
La. Rev. Stat. Ann. §§ 9:3572.10 &
9:3572.11 Louisiana
Consumer Credit Law
No
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx4172 Either: (1) the extender of credit; or (2) the
mortgagee or a lender Both
Either: (1) a consumer credit
transaction (consumer loan),
generally excluding
federally related mortgage loans;
or (2) a mortgage
Immovable property
Not specified La. Rev. Stat. Ann. §§ 9:3544 & 22:1964(9) Louisiana
Consumer Credit Law and Louisiana
Insurance Code
No
Property of Docutech, LLC Page 114 Version 19.01
Louisiana (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure LA Mortgage Loan Origination Agreement
Cx4828 A mortgage broker Brokers
A residential mortgage loan
A dwelling (as defined in 15
USCA § 1602[v]) or residential immovable
property upon which is (or is
intended to be) constructed a
dwelling
No later than 3 days after the
initial loan application date.
La. Rev. Stat. Ann. § 6:1098
Louisiana S.A.F.E. Residential Mortgage
Lending Act
Partial Statutory
Initial Disclosure LA Application Fee Disclosure
Cx11909 A licensee under the Louisiana S.A.F.E.
Residential Mortgage Lending Act (La. Rev. Stat. Ann. §§ 6:1081
through 6:1104) Both
A residential mortgage loan
A dwelling (as defined in 15
USCA § 1602[v]) or residential immovable
property upon which is (or is
intended to be) constructed a
dwelling
Prior to collecting an application fee
La. Rev. Stat. Ann. § 6:1096(J)(1)
Louisiana S.A.F.E. Residential Mortgage
Lending Act
No
Property of Docutech, LLC Page 115 Version 19.01
Louisiana (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing 3200 Note Fixed, LA Mortgage
Second, Fixed Rate Note Louisiana Second, HUD-1
01-01-10, and any other applicable
Louisiana promissory notes
Cx5 (FNMA/FHLMC), Cx485, Cx1050,
Cx14222 (Federal), and
other Louisiana promissory
notes
A party to the loan (i.e. a lender) Lenders
A federally related mortgage loan (which is a first mortgage), a
residential mortgage loan
other than a federally related mortgage loan, and a consumer
loan
Residential immovable
property (upon which there is, or
will be, constructed a
dwelling), including an
immobilized 1-to-4 family mobile
home
Not specified, but practically at
closing
La. Rev. Stat. Ann. §§ 6:1096 &
6:1097 Louisiana S.A.F.E.
Residential Mortgage
Lending Act
FNMA Form 3200 – Multistate Fixed-
Rate Note
12 CFR Pt. 1024, App. A
Closing LA Title Insurance Rider
Cx16234 Not specified Both
A mortgage in connection with
the sale, conveyance,
transfer or other act transferring an
interest in the property
1-to-4 family residential property
As a part of the mortgage
La. Rev. Stat. Ann. § 22:513.1
Louisiana Title Insurance Act
No
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Property of Docutech, LLC Page 116 Version 19.01
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Maine (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure ME Notification to Buyer of
Withholding Tax Requirement
Cx1570 A real estate escrow person, including a mortgage lender
Both
A mortgage, lien, or encumbrance used as a means for purchasing
real property for $50,000 or more
from a nonresident
seller
Real property Not specified Me. Rev. Stat. Ann. tit. 36, §
5250-A(9) Maine Income
Tax Law
REW-4 - Notification of
Buyer(s) of Withholding Tax
Requirement
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A creditor or a lender, the latter of which includes a financial institution, credit
union, or supervised lender Both
A loan Not specified At the time of application or at the
outset of negotiations.
Me. Rev. Stat. Ann. tit. 24-A, §
2169 The Maine
Insurance Code
No
Initial Disclosure ME Right to Own Attorney
Disclosure
Cx3279 Either: (1) a supervised lender; (2) a creditor; or
(3) a financial institution or credit
union authorized to do business in Maine
Both
Either: (1) a residential
mortgage loan; or (2) a consumer credit transaction (consumer loan)
1-to-4 residential units
Not specified Me. Rev. Stat. Ann. tit. 9-A, §§ 3-311 & 9-303; tit. 9-B, § 241(4)
Maine Consumer Credit Code – Regulation of
Agreements and Practices
No
Property of Docutech, LLC Page 117 Version 19.01
Maine (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure ME Balloon Addendum to
Loan Application
Cx3394 A creditor Both
A consumer credit transaction (consumer loan) with a term of 4
years or less, excluding open-end credit and
generally excluding purchase,
refinance of a purchase,
construction, and first lien loans
Manufactured housing or an interest in land
Not specified Me. Rev. Stat. Ann. tit. 9-A, § 3-
308 Maine Consumer
Credit Code – Regulation of
Agreements and Practices
No
Initial Disclosure ME Disclosure to Consumer
Cx3764 Either: (1) a loan broker; or (2) a credit services organization
Both
Either: (1) an extension of credit; or (2)
consumer credit, presumably a
consumer credit transaction
(consumer loan)
Manufactured housing or an interest in land
Before any agreement is entered into or any
money is paid by a consumer (whichever
occurs first)
Me. Rev. Stat. Ann. tit. 9-A, § 10-303; 02-030 Code Me. R., ch. 350, § 4(c) & (e)
Maine Consumer Credit Code – Loan Brokers
Disclosure - Written Disclosure; required by Section
10-303
Initial Disclosure ME Broker Agreement and
Good Faith Estimate 01-01-
10
Cx4517 & Cx14221 (Federal)
Either: (1) a loan broker; or (2) a credit services organization
Brokers
Consumer credit, presumably a
consumer credit transaction
(consumer loan)
Manufactured housing or an interest in land
Not specified Me. Rev. Stat. Ann. tit. 9-A, § 10-302; 02-030 Code Me. R. ch. 350, § 4(B) & (E) Maine Consumer
Credit Code – Loan Brokers
Loan Broker Agreement
12 CFR Pt. 1024,
App. A
Property of Docutech, LLC Page 118 Version 19.01
Maine (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure ME HCL or HPML Reasonable
Tangible Net Benefit Disclosure
Form
Cx13190 or Cx16407
A creditor, including a mortgage broker, but excluding a supervised financial organization
Both
A high-cost mortgage loan or a higher-priced mortgage loan
which refinances a residential
mortgage loan
Residential real property that contains the borrower’s principal
dwelling and consists of 1-to-4
family units
Prior to or upon making the new high-cost mortgage loan or
higher-priced mortgage loan
02-030 Code Me. R. ch. 550, §§
5(3), (4) & (6) and 6 Att. A
Administrative
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified, but practically at application
Me. Rev. Stat. Ann. tit. 19-A, §
650-A
No
Initial Disclosure Privacy Policy Notice
Cx15182 (Federal)
A creditor, but not a supervised financial
organization Both
A consumer credit transaction (consumer loan)
Manufactured housing or an interest in land
No later than when a customer relationship
is established
Me. Rev. Stat. Ann. tit. 9-A, §§ 3-314 & 9-310
Maine Consumer Code and Maine Consumer Credit
Code – Regulation of
Agreements and Practices
12 CFR Pt. 1016, App. A
Property of Docutech, LLC Page 119 Version 19.01
Maine (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure ME Alternative Mortgage
Transaction Disclosures
Cx13457 (Federal), Cx17637,
Cx17638, or Cx17670
A creditor (a supervised lender) or a financial institution, but excluding a supervised financial organization
Both
An alternative mortgage
transaction, which is a
primary lien, has a term of more than 1 year, and
is a purchase loan, refinance thereof, or a construction
loan, but not an open-end credit
plan
A 1-to-4 family dwelling
At the time an application form is
provided or before the applicant pays a
nonrefundable fee, whichever is earlier
02-029 Code Me. R. ch. 119, §§ 4 &
5 and 02-030 Code Me. R. ch.
250, §§ 4 & 5
No
Initial Disclosure Cost of Insurance Disclosure
Cx16488 The creditor Both
A consumer credit transaction (consumer loan), which generally
excludes purchase,
refinance of a purchase,
construction, and first lien loans
Manufactured housing or an interest in land
Not specified, but practically before
charging for any of the disclosed
insurances
Me. Rev. Stat. Ann. tit. 9-A, § 2-
501(2) Maine Consumer
Credit Code – Finance Charges
and Related Provisions
No
Initial Disclosure ME PMI Disclosure
Cx16590 (upon request)
A supervised lender or a loan broker
Both
A mortgage loan Residential real property
At the time of application
Me. Rev. Stat. Ann. tit. 33, § 507
No
Property of Docutech, LLC Page 120 Version 19.01
Maine (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure Debt Management
Service Provider List of Counselors
UR A debt management service provider
Brokers
A residential mortgage loan
Not specified Before performing any debt management
services
Me. Rev. Stat. Ann. tit. 32, §
6183(5)(B) & (C) Debt
Management Services Act
No
Initial Disclosure Debt Management
Service Provider Contract
UR A debt management service provider
Brokers
Not specified, but can include a
residential mortgage loan
Not specified Before performing any debt management
services
Me. Rev. Stat. Ann. tit. 32, §
6176 Debt
Management Services Act
Partial Statutory
Sample Contract
Initial Disclosure, TILA Redisclosure,
& Closing
Initial Truth-in-Lending
Disclosure and other TILA Disclosures
Cx1591 and other TILA Disclosures
Either: (1) a creditor; or (2) a loan broker and
its mortgage loan originators
Both
Either: (1) a consumer credit
transaction (consumer loan); or (2) consumer
credit, presumably a
consumer loan
Manufactured housing or an interest in land
At various times Me. Rev. Stat. Ann. tit. 9-A, §§
8-504 & 10-307-A
Maine Consumer Credit Code –
Truth-in-Lending and Maine
Consumer Credit Code – Loan
Brokers
12 CFR Pt. 1026, App. G & H
Property of Docutech, LLC Page 121 Version 19.01
Maine (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure & Adverse Action
Appraisal Disclosure
Cx3397 Either: (1) a creditor; or (2) a financial
institution Both
A consumer credit transaction (consumer loan)
Either: (1) manufactured housing or an
interest in land; or (2) real estate
Not specified, but practically within 90 days of taking action on the application (or
the application is withdrawn), or at the
date of closing, whichever is later.
Me. Rev. Stat. Ann. tit. 9-A, §§ 3-313 & 9-309; tit. 9-B, § 447
Maine Consumer Credit Code – Regulation of
Agreements and Practices
No
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
On the application Me. Rev. Stat. Ann. tit. 9-A, §
13-118 The Maine
Secure and Fair Enforcement for
Mortgage Licensing Act of
2009
FNMA 1003 Form - Uniform
Residential Loan Application
Initial Disclosure & Closing
Good Faith Estimate 01-01-
10, HUD-1 01-01-10, and other
RESPA Disclosures
Cx14221, Cx14222, and other RESPA disclosures
A loan broker and its mortgage loan originators, but
generally excluding supervised financial organizations and supervised lenders
Both
Consumer credit Not specified At various times Me. Rev. Stat. Ann. tit. 9-A, §
10-307 Maine Consumer
Credit Code – Loan Brokers
12 CFR Pt. 1024, App.
Property of Docutech, LLC Page 122 Version 19.01
Maine (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Closing ME Notice to Cosigners
Cx1020 A creditor Both
A consumer credit transaction (consumer loan), which generally
excludes purchase,
refinance of a purchase,
construction, and first lien loans
Manufactured housing or an interest in land
Before or contemporaneously
with signing any writing setting forth
the debtor’s agreement
Me. Rev. Stat. Ann. tit. 9-A, § 3-
206 Maine Consumer
Credit Code – Regulation of
Agreements and Practices
12 CFR §§ 227.14(b)(1),
535.13(c)(1) & 706.3(b)(1) (2013); 16 CFR § 444.3(c)
(2013)
Closing ME HELOC Notice of Mortgage and
Request for Notice of Default
Cx4885 A person who acquires any rights in or liens upon the mortgaged
real estate Both
A lien Real estate After all filings and recordings are made
Me. Rev. Stat. Ann. tit. 33, § 505
No
Closing ME Important Notice About
Property Taxes
Cx13569 Real estate lenders Both
Not specified, but practically purchase-type transactions
Real estate At any point in the process of the transfer of property when the allocation of property taxes is discussed and
with any notices relating to property
tax liens
2008 Me. Legis. Serv. 687, § 2
Statutory
Guidance Document
Closing ME Certification of Smoke and
Carbon Monoxide Alarms
Cx14524 The purchaser Both
Not specified, but practically a
purchase transaction
A single-family dwelling or a
multi-apartment building
Within 30 days of acquisition or
occupancy of the dwelling, whichever is
later
Me. Rev. Stat. Ann. tit. 25, §§
2464(10) & 2468(6)
Certification of Smoke & Carbon Monoxide Alarm for Real Estate
Transfer
Property of Docutech, LLC Page 123 Version 19.01
Maine (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Closing Notice of Servicing Transfer
Cx17905 (Federal)
A supervised lender Both
A supervised loan
Real estate, manufactured housing, or an interest in land
Before assignment of the loan
Me. Rev. Stat. Ann. tit. 9-A, § 2-
310 Maine Consumer
Credit Code – Finance Charges
and Related Provisions
12 CFR Pt. 1024, App. MS-2
Click here for Table of Contents
Property of Docutech, LLC Page 124 Version 19.01
Click here for Table of Contents
Maryland (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure MD Financing Agreement
Cx2171 Either: (1) a lender; or (2) a credit grantor licensed under the
Maryland Mortgage Lender Law (Md. Code Ann., Fin. Inst. §§ 11-501 through 11-524)
Both
A purchase money loan, or a refinance, which
is also a first mortgage or first
deed of trust
Owner-occupied real property
having a 1-to-4 family dwelling
Within 10 business days
after the date the application is
completed
Md. Code Ann., Com. Law §§ 12-
125(b), 12-922(b), & 12-1022(b); Md.
Code Regs. 09.03.06.06
No
Initial Disclosure MD Settlement Services
Disclosure
Cx2361 A lender Both
Either: (1) a first mortgage or first deed of trust; or
(2) any loan secured by a mortgage or deed of trust
A borrower’s primary residence
At application or within 3 days
after application, or earlier upon
request.
Md. Code Ann., Com. Law §§ 12-119
& 12-120(c)
No
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 Either: (1) a lender; or (2) a person
Both
Either: (1) a loan made under
Subtitle 1, Title 12 of Maryland’s
Commercial Law (Md. Code Ann., Com. Law §§ 12-101 through 12-127); or (2) a loan
Not specified Not specified Md. Code Ann., Com. Law §§ 12-124; Md. Code
Ann., Ins. § 27-214
No
Property of Docutech, LLC Page 125 Version 19.01
Maryland (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure MD Notice of Waiver
Cx3278 Either: (1) a lender; or (2) a credit grantor licensed under the
Maryland Mortgage Lender Law (Md. Code Ann., Fin. Inst. §§ 11-501 through 11-524)
Both
A purchase money loan, or a refinance, which
is also a first mortgage or first
deed of trust
Owner-occupied real property
having a 1-to-4 family dwelling
At least 72 hours before the time of settlement
Md. Code Ann., Com. Law §§ 12-
125(c)(2), 12-922(c)(2), & 12-1022(c)(2); Md.
Code Regs. 09.03.06.14
No
Initial Disclosure MD Application Disclosure
Cx3579 A licensee under the Maryland Mortgage
Lender Law (Md. Code Ann., Fin. Inst. §§ 11-501 through 11-524)
Both
A mortgage loan, which is for the
purchase of property
An owner-occupied
dwelling or residential real
estate on which a dwelling is (or is intended to be)
constructed
At the time the borrower elects the type of loan
applied for
Md. Code Regs. 09.03.06.09(C)
Maryland Mortgage Lender Law
No
Initial Disclosure List of Homeownership
Counseling Organizations
Cx17874 (Federal)
A lender, including a licensee under the
Maryland Mortgage Lender Law (Md. Code Ann. Fin. Inst. §§ 11-501 through 11-524)
and a person who makes secondary
mortgage loans, but who is exempt from licensing under the Maryland Mortgage
Lender Law Both
Either: (1) a covered loan, including a secondary
mortgage loan; (2) a mortgage loan; or (3) a
reverse mortgage
An owner-occupied
dwelling or residential real
estate on which a dwelling is (or is intended to be)
constructed
At the time the borrower
completes the application
Md. Code Ann., Com. Law §§ 12-409.1(d)(2) & 12-1303; Md. Code
Regs. 05.19.01.03 & 09.03.06.18(C)(1)(b)
Administrative
Advisory Notice
Property of Docutech, LLC Page 126 Version 19.01
Maryland (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure MD Loan Commitment
Cx4174 Either: (1) a lender; or (2) a credit grantor licensed under the
Maryland Mortgage Lender Law (Md. Code Ann., Fin. Inst. §§ 11-501 through 11-524)
Both
A purchase money loan, or a refinance, which
is also a first mortgage or first
deed of trust
Owner-occupied real property
having a 1-to-4 family dwelling
At least 72 hours before the time of settlement
Md. Code Ann., Com. Law §§ 12-
125(c)(1), 12-922(c), & 12-1022(c); Md.
Code Regs. 09.03.06.06(C)(2)
Maryland Mortgage Lender Law
No
Initial Disclosure MD Right to Rescind After
Written Application
Cx4177 A lender Both
A mortgage loan for the purchase
of property
A single family residential real
property improved by 1-
to-4 single family units, but not
property that has never been
occupied or for which a
certificate of occupancy has
been issued within 1 year
before the sales contract
After receiving the loan
application
Md. Code Ann., Real Prop. § 10-
702(h)(2)(ii)
No
Property of Docutech, LLC Page 127 Version 19.01
Maryland (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure MD Right to Rescind Before
Application
Cx4178 A lender Both
A mortgage loan for the purchase
of property
A single family residential real
property improved by 1-
to-4 single family units, but not
property that has never been
occupied or for which a
certificate of occupancy has
been issued within 1 year
before the sales contract
At or before the time application
is made
Md. Code Ann., Real Prop. § 10-
702(h)(2)(i)
No
Initial Disclosure MD Broker Contract
Cx4565 Either: (1) a mortgage broker; (2) a person; or (3) a licensee under the
Maryland Mortgage Lender Law (Md. Code Ann., Fin. Inst. §§ 11-501 through 11-524)
who is acting as a mortgage broker
Brokers
Either: (1) a loan or advance of
money; or (2) a mortgage loan
An owner-occupied
dwelling or residential real
estate on which a dwelling is (or is intended to be)
constructed
Before undertaking to
assist the borrower in
obtaining a loan
Md. Code Ann., Com. Law §§ 12-805(c) & (d) and
12-806; Md. Code Regs. 09.03.06.07 &
09.03.06.11 Maryland Mortgage
Lender Law
No
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified Md. Code Ann., Fam. Law § 2-201
No
Property of Docutech, LLC Page 128 Version 19.01
Maryland (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure MD Net Tangible Benefit Worksheet
Cx13909 Either: (1) a licensee under the Maryland
Mortgage Lender Law (Md. Code Ann., Fin.
Inst. §§ 11-501 through 11-524); or (2) a mortgage loan
originator Both
A refinance of a mortgage loan
An owner-occupied
dwelling or residential real
estate on which a dwelling is (or is intended to be)
constructed
Not specified Md. Code Regs. 09.03.06.20 & 09.03.09.04
Maryland Mortgage Lender Law
Net Tangible Benefit Worksheet
Adverse Action Statement of Credit Denial,
Termination or Change
Cx15858 (Federal)
A lender or credit grantor who is either: (1) regulated under
Title 12 of Maryland’s Commercial Law; or (2) a credit union making
a loan under § 6-601(e) of the Financial
Institutions Article Both
Credit or an extension of
credit
Not specified Within 30 days after receipt of a
completed application for
credit
Md. Code Ann., Com. Law §§ 14-
1702, 14-1703, 14-1704, & 14-1705
12 CFR Pt. 1002, App. C; Form C-1
Property of Docutech, LLC Page 129 Version 19.01
Maryland (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, TILA Redisclosure,
& Closing
Truth-in-Lending Disclosure or
Initial Truth-in-Lending
Disclosure
Cx18 (Federal) or Cx1591 (Federal)
Either: (1) a lender who
makes loans under Subtitle 1, Title 12 of
Maryland’s Commercial Law (Md. Code Ann.,
Com. Law §§ 12-101 et seq.);
(2) a lender who makes loans under the
Maryland Consumer Loan Law – Credit
Provisions (Md. Code Ann., Com. Law §§ 12-
301 et seq.); (3) a lender; or
(4) a credit grantor. Both
Either: (1) a loan under
Subtitle 1, Title 12 of Maryland’s
Commercial Law (Md. Code Ann., Com. Law §§ 12-
101 et seq.); (2) a loan under
the Maryland Consumer Loan
Law – Credit Provisions (Md.
Code Ann., Com. Law §§ 12-301 et
seq.); (3) a mortgage
loan; (4) a revolving credit plan; or
(5) a loan (closed-end credit)
A dwelling or residential real
estate on which a dwelling will be located, which is owner-occupied
Before execution of a loan contract
Md. Code Ann., Com. Law §§ 12-
106(b), 12-308(a)(1)(ii), 12-
805(c), 12-914(b), & 12-1014(b) Maryland
Consumer Loan Law – Credit Provisions
12 CFR Pt. 1026, App. H; Form H-2
Initial Disclosure & Closing
MD Closing Attorneys Fee Certification
Cx3513 (upon request)
A lender Both
Any loan secured by a mortgage or deed of trust, but
excluding commercial loans
A borrower’s primary residence
At or prior to settlement
Md. Code Ann., Com. Law § 12-
120(b)
No
Property of Docutech, LLC Page 130 Version 19.01
Maryland (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure & Closing
Maryland DLLR Disclosure
Cx13900, Cx13901,
Cx13902 (upon request)
A regulated person, who is subject to the
regulatory authority of the Commissioner of Financial Regulation
pursuant to the Financial Institutions or
Commercial Law articles Both
A mortgage loan which either: (1)
includes a balloon payment;
(2) does not provide for the
establishment of an escrow
account; or (3) includes a mandatory
binding arbitration clause
An owner-occupied
dwelling or residential real
estate on which a dwelling is (or is intended to be)
constructed
Within 10 business days
after application is completed and not less than 72 hours before the
time of settlement
Md. Code Regs. 09.03.10.03
Administrative
Initial Disclosure & Closing
Good Faith Estimate 01-01-10 and HUD-1 01-01-
10
Cx14221 (Federal) &
Cx14222 (Federal)
A licensee under the Maryland Mortgage
Lender Law (Md. Code Ann., Fin. Inst. §§ 11-501 through 11-524)
Both
A mortgage loan A dwelling or residential real estate on which
an owner-occupied
dwelling is (or is intended to be)
constructed
Various Md. Code Regs. 09.03.06.07(C)
Maryland Mortgage Lender Law
12 CFR Pt. 1024, App. A & C
Initial Disclosure & Closing
MD Tax Property Affidavit
Cx15803 The original mortgagor A mortgage or deed of trust,
which is a refinance loan
Real property which is the
principal residence of the
original mortgagor
At closing or recording
Md. Code Ann., Tax-Prop. § 12-
108(g)(3) & (g)(4)
Refinance and Supplement
Affidavit (Howard County)
Property of Docutech, LLC Page 131 Version 19.01
Maryland (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure & TILA Redisclosure
Notice of Right to Receive Copy of Appraisal Report
Cx17903 & 17904 (Federal)
Either: (1) a bank, mortgage banker, savings and loan
association, or any other lender; or (2) a licensee under the
Maryland Mortgage Lender Law (Md. Code Ann., Fin. Inst. §§ 11-501 through 11-524)
Both
A loan transaction
Either: (1) residential real property; or (2) residential real
estate upon which an owner-
occupied dwelling is or will
be located
Not specified Md. Code Ann., Real Prop. § 14-104.1; Md. Code
Regs. 09.03.06.10(C) Maryland Mortgage
Lender Law
12 CFR Pt. 1002, App. C; Form C-9
12 CFR §
1026.35(c)(5)(i) (West 2013)
Closing Automatic Subordination
Language on MD Deed of Trust and MD Deed of Trust
FHA
Cx329 (FNMA/FHLMC)
and Cx382 (FHA)
Not specified Both
A refinance mortgage, which
has a lower interest rate than and a principal
amount equal to the unpaid
outstanding principal balance of the loan being
refinanced (plus $5,000)
Residential property,
consisting of real property
improved by 1-to-4 family
dwelling units
On the security instrument
Md. Code Ann., Real Prop. § 7-112
Statutory
FNMA Form 3021 - Maryland
Property of Docutech, LLC Page 132 Version 19.01
Maryland (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing Affidavits of Consideration and Disbursement on MD Deed of Trust, MD Deed of Trust
FHA, and MD Deed of Trust
Second
On Cx329 (FNMA/FHLMC), Cx382 (FHA), &
Cx487
The mortgagee or party secured by the
mortgage Lenders
A mortgage or deed of trust, including a
purchase-money mortgage, but
excluding a security
instrument wherein it is
lawful to charge any rate of
interest under Md. Code Ann., Com. Law § 12-
103(e) (West 2012)
Land On the security instrument
Md. Code Ann., Real Prop. § 4-106(a) & (b)(1)
FNMA Form 3021 - Maryland
Closing Provision of Attorney and
Court Fees in MD Deed of Trust, MD
Deed of Trust Second, MD Deed of Trust FHA, and
HELOC Agreement – MD
On Cx329 (FNMA/FHLMC),
Cx382 (FHA), Cx487, & Cx3035
A credit grantor Both
Either: (1) a revolving credit
plan; or (2) a loan (closed-end
credit)
Not specified At closing Md. Code Ann., Com. Law §§ 12-911
& 12-1011
FNMA Form 3021 - Maryland
Closing MD First Time Home Buyer
Affidavit
Cx3539 Not specified Both
Not specified, but practically a loan
in which the property is conveyed
Owner-occupied, residential real
property
At recording Md. Code Ann., Tax-Prop. §§ 12-
103(b)(2) & (b)(3), 13-203(b)(4), and
13-409
No
Property of Docutech, LLC Page 133 Version 19.01
Maryland (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing MD Licensee Information or
Affidavit
Cx13984 A mortgage lender licensed under the
Maryland Mortgage Lender Law or a mortgage loan
originator licensed under Subtitle 6, Title
11 of Maryland’s Financial Institutions
Code, or a person exempt from licensing
under either. Both
A mortgage loan Residential property,
improved by 1-to-4 single family
dwelling units
When the security
instrument is recorded
Md. Code Ann., Real Prop. § 3-
104.1; Md. Code Regs.
09.03.06.07(D) & 09.03.11.02(B)
Maryland Mortgage Lender Law
Administrative
Closing MD Written Acknowledgement of Delivery of the
Note
Cx16099 A credit grantor Both
Either: (1) a plan (aka a revolving
credit plan); or (2) a loan (closed
end credit)
Not specified No later than the time of
consummation
Md. Code Ann., Com. Law §§ 12-913.2(c) & 12-
1013.2(c)
No
Closing MD Delivery of Net Proceeds Authorization
Cx16100 A lender Both
A purchase-money mortgage or deed of trust,
except one wherein it is
lawful to charge any rate of
interest under Md. Code Ann., Com. Law § 12-
103(e) (West 2012)
Land Before delivering net proceeds,
deducting charges, interest,
expenses, or advancing escrow and charges due
from the borrower
Md. Code Ann., Real Prop. § 4-
106(b)(2)
No
Property of Docutech, LLC Page 134 Version 19.01
Maryland (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing MD Property Tax Installment Direction
Cx17045 (upon request)
Not specified Both
Not specified, but practically a
purchase loan
Owner-occupied residential
property, or business property in connection to which total taxes do not exceed
$100,000
Not specified Md. Code Ann., Tax-Prop. § 10-
204.3(j)
No
Closing MD Addendum to HELOC
Agreement and MD Addendum to Promissory Note
Cx17451 & 17452
A credit grantor Both
Either: (1) a revolving credit
plan; or (2) closed end credit
Not specified Not specified Md. Code Ann., Com. Law §§ 12-
913.1 & 12-1013.1; Md. Regs. Code 09.03.06.08(B)
Instructions to FNMA Form 3200 –
Multistate Fixed-Rate Note
Click here for Table of Contents
Property of Docutech, LLC Page 135 Version 19.01
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Massachusetts (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Requirement
Initial Disclosure MA Addendum to Uniform
Residential Loan Application
Cx3573 Either: (1) not specified; or (2)
a licensee under Mass. Gen. Laws Ann. ch.
255E and Mass. Regs. Code tit. 209, § 42.00
Both
Either: (1) a mortgage loan;
or (2) a residential
mortgage loan
A 1-to-4 family dwelling on residential property
occupied (or to be occupied) by
the obligor
On the application
Mass. Gen. Laws Ann. ch. 184, §
17B; Mass. Regs. Code tit. 209, § 42.12 & 42.14
No
Initial Disclosure MA High Cost Loan Insurance
Disclosure
Cx3745 A creditor Both
A high cost home loan
A consumer’s principal dwelling,
consisting of 1-to-4 units,
regardless of whether it is
attached to real property
At least 3 business days
before the loan is closed
Mass. Regs. Code tit. 209, §§
32.34(2)(a) & 40.07(2)
No
Initial Disclosure MA High Cost Loan Payment Disclosure and
Section 32 Mortgage Loan
Disclosure
Cx3746, Cx17901
(Federal), and Cx17902 (Federal)
Either: (1) a creditor; or (2) a lender, including a
financial institution Both
A high cost home loan
A consumer’s principal dwelling,
including a 1-to-4unit dwelling, regardless of whether it is
attached to real property.
At or before application or
within 24 hours after determining that the loan is a high cost home
loan.
Mass. Regs. Code tit. 209, §§
32.32(3)(f)(2) & 40.04(6)(b)
Administrative
12 CFR Pt. 1026, App. H, Form H-16
Property of Docutech, LLC Page 136 Version 19.01
Massachusetts (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Requirement
Initial Disclosure Anti-Coercion Insurance
Cx3750 Either: (1) a person, firm, or corporation; (2)
a bank, lending institution, mortgage
company, or any mortgagee; or (3) a bank, including a federal bank and
lenders Both
Either: (1) a loan of money; (2) a
loan of money or extension of credit; (3) a
mortgage loan; or (4) an
extension of credit
Either: (1) real property; (2) property; (3)
property which is the subject of the mortgage; or (4)
not specified
At the time the customer applies for an extension
of credit
Mass. Gen. Laws Ann. ch. 175, §
193E; ch. 176D, § 4; & ch. 183, § 66; Mass. Regs. Code tit. 209, § 49.06(5)
No
Initial Disclosure MA Borrower’s Interest
Worksheet
Cx5771 A lender Both
A home loan which refinances another home loan within 60
months prior to application
Real estate improved with a
1-to-4 family dwelling,
occupied by the borrower
No later than closing
Mass. Gen. Laws Ann. ch. 183, §
28C, Mass. Regs. Code tit. 209, §§ 53.03, 53.04, &
53.07
No
Initial Disclosure MA No Doc/Limited Doc
Disclosure
Cx13093 A mortgage broker or a mortgage lender
Both
A “no documentation” mortgage loan, but excluding certain reverse mortgages and open-end home equity lines of
credit
Residential property,
consisting of a dwelling house
with accommodations
for 1-to-4 separate
households that is (or is intended to be) occupied by the obligor
(either in whole or in part)
In advance of the closing
Mass. Regs. Code tit. 940, § 8.06(16)
No
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Massachusetts (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Requirement
Initial Disclosure MA Counseling Disclosure
Cx13391 A mortgagee Both
An adjustable-rate subprime
loan
Owner-occupied, 1-to-4 family
residential property
At or before closing
Mass. Gen. Laws Ann. ch. 184, §
17B½ Division of Banks Regulatory Bulletin 1.3-104
No
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified, but practically at
application
Goodridge v. Dep’t of Pub.
Health, 440 Mass. 309 (2003)
No
Initial Disclosure MA Mortgage Loan Rate Lock Commitment
Cx13544 or Cx14521 (upon
request)
A mortgage lender licensed under Mass. Gen. Laws Ann. ch.
255E and Mass. Regs. Code tit. 209, § 42.00
Both
A mortgage loan Residential property having
thereon a dwelling house
with accommodations
for 1-to-4 households and occupied (or to be occupied) by the obligor (in
whole or in part)
Prior to taking a rate lock
commitment fee, or otherwise offering or
entering into a lock commitment
Mass. Regs. Code tit. 209, § 42.11A(4)
No
Initial Disclosure MA High Cost Home Loan Disclosure
Cx14937 A creditor, other than a broker Both
A high cost home loan
A consumer’s principal dwelling,
consisting of 1-to-4 units,
regardless of whether it is
attached to real property
Not specified Mass. Regs. Code tit. 209, §
32.32(3)(a) through (e)
Partial Administrative
Property of Docutech, LLC Page 138 Version 19.01
Massachusetts (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Requirement
Initial Disclosure Statement of Credit Denial,
Termination, or Change
On Cx15858 (Federal)
Either: (1) the user of the consumer report
which formed the basis for adversely affecting a consumer; or (2) a
mortgagee Both
Either: (1) credit; or (2) a
residential mortgage loan
Residential real property of 1- to-
4 separate households
occupied (or to be occupied) by the applicant (in whole or in part)
Within 10 business days of deciding to take adverse action
Mass. Gen. Laws Ann. ch. 93, § 62;
ch. 183, § 64
Partial Statutory
12 CFR Pt. 1002, App. C; Form C-1
Initial Disclosure Section 32 Mortgage Loan
Disclosure
Cx17901 & 17902 (Federal)
A lender, including a financial institution, but
excluding lenders subject to Mass. Regs. Code tit. 209, § 40.03
and brokers Both
A high cost home loan
A consumer’s principal dwelling
Not specified Mass. Regs. Code tit. 209, §
40.04(1), (2), (3), (4), & (5)
Partial Administrative
Initial Disclosure MA Additional Broker Fee
Authorization
Cx18932 (upon request)
A mortgage lender or a mortgage broker
Both
A mortgage loan, excluding reverse mortgages and open-end home equity lines of
credit
Residential property,
consisting of a dwelling house
with accommodations
for 1-to-4 separate
households and occupied (or to be occupied) by the obligor (in
whole or in part)
Not specified Mass. Regs. Code tit. 940, § 8.06(4)
No
Property of Docutech, LLC Page 139 Version 19.01
Massachusetts (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Requirement
Initial Disclosure MA Conflict of Interest
Disclosure
Cx18933 (upon request)
A mortgage broker Brokers
A loan, presumably a
mortgage loan, but excluding certain reverse mortgages and open-end home equity lines of
credit
Residential property,
consisting of a dwelling house
with accommodations
for 1-to-4 separate
households that is (or is intended to be) occupied by the obligor
(either in whole or in part)
Before processing, making, or
arranging the loan
Mass. Regs. Code tit. 940, § 8.06(17)
No
Initial Disclosure MA Commitment Agreement
CX18934 (upon request)
A bank Both
A mortgage on real estate
Real estate Not specified Mass. Gen. Laws Ann. ch. 167F, §
2A(b)(4)(iii)
No
Initial Disclosure MA Insurance Disclosure (Credit
Unions)
Cx18935 (upon request)
Either: (1) a credit union; or (2) a federal
credit union Both
Not specified Not specified Not specified Mass. Gen. Laws Ann. ch. 171, §
75B(b)(6); Mass. Regs. Code tit.
209, § 49.06A(7)
No
Property of Docutech, LLC Page 140 Version 19.01
Massachusetts (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Requirement
Initial Disclosure CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Before the execution of a
contract or other form of
agreement between a buyer
and a CSO or before the CSO
receives any consideration,
whichever occurs first
Mass. Gen. Laws Ann. ch. 93, § 68C
No
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified Mass. Gen. Laws Ann. ch. 93, §
68D
Statutory
Initial Disclosure & Closing
Notice of Required Flood Insurance and
MA Flood Insurance Notice
Cx10 and Cx18930
A creditor or a creditor’s
representative Both
A mortgage in connection with
which flood insurance is
required
Residential property
At the time the purchaser or owner of the residential property is
notified of the need to purchase or pay for flood
insurance
Mass. Gen. Laws Ann. ch. 183, § 69
Statutory
Property of Docutech, LLC Page 141 Version 19.01
Massachusetts (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Requirement
Initial Disclosure, TILA Redisclosure, & Closing
State Truth-in-Lending Act Disclosures
Complied with by Federal Truth-in-
Lending Act Disclosures
Cx18, Cx1591, Cx8204,
Cx15444, and other TILA
Disclosures (all Federal)
Various, but primarily creditors
Both
Various, but primarily a
consumer credit transaction
Various, but primarily a
dwelling, which is a residential structure or
mobile home containing 1-to-4
family housing units, or
individual units of condos or co-
ops
Various Mass. Gen. Laws Ann. ch. 140D, §§
1 through 35; Mass. Regs. Code tit 209, §§ 32.01 through 32.58
12 CFR Pt. 1026, App. G & H
Initial Disclosure & Closing
MA Certification and
Indemnification Agreement
Cx1024 Not specified Both
Not specified, but practically a purchase loan
1-to-5 family dwellings
occupied in whole or in part for residential
purposes
Not specified, but practically
upon the sale or transfer of the
building and/or structure
Mass. Gen. Laws Ann. ch. 148, §§
26E & 26F; Mass. Regs. Code tit.
946, § 7.14
No
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Massachusetts (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Requirement
Initial Disclosure & TILA Redisclosure
Initial Truth-in-Lending
Disclosure and Good Faith
Estimate 01-01-10
Cx1591 (Federal) and
Cx14221 (Federal)
A mortgage lender or a mortgage broker
Both
A mortgage loan, excluding reverse mortgages and open-end home equity lines of
credit
Residential property,
consisting of a dwelling house
with accommodations
for 1-to-4 separate
households and occupied (or to be occupied) by the obligor (in
whole or in part)
Not specified Mass. Regs. Code tit. 940, § 8.05
12 CFR Pt. 1024, App. A & Pt. 1026,
App. H
Initial Disclosure, Processing,
Underwriting, & Closing
MA High Cost Loan Application Disclosure, HCL Notice on 1003
Uniform Residential Loan Application, and
Section 32 Mortgage Loan
Disclosure
Cx3742, on Cx4193
(FNMA/FHLMC), Cx17901
(Federal), and Cx17902 (Federal)
Either: (1) a creditor, excluding a broker; or
(2) a lender, including a financial institution, but
excluding a broker Both
A high cost home loan
A consumer’s principal dwelling,
including a 1-to-4-unit dwelling,
regardless of whether it is
attached to real property.
On the application
(4193) or within 24 hours after
determining that the loan is a high cost home loan
(3742).
Mass. Regs. Code tit. 209, §§
32.32(3)(f)(1) & 40.04(6)(a)
Administrative
FNMA 1003 Form - Uniform Residential
Loan Application
12 CFR Pt. 1026, App. H, Form H-16
Initial Disclosure & Adverse Action
MA Mortgage Review Board
Notice
Cx3852 A mortgagee Lenders
A residential mortgage loan
Residential property of 1-to-
4 units and occupied by the mortgagor (in
whole or in part)
At the time of denial
Mass. Gen. Laws Ann. ch. 167, §
14A
No
Property of Docutech, LLC Page 143 Version 19.01
Massachusetts (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Requirement
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan, including a licensed mortgage loan originator under Mass.
Gen. Laws Ann. ch. 255F and Mass. Regs. Code tit. 209, § 41.00
Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
On the application
Mass. Gen. Laws Ann ch. 255F, § 18; Mass. Regs. Code tit. 209, §
41.12(2)
FNMA 1003 Form - Uniform Residential
Loan Application
Initial Disclosure & Closing
MA Insurance Disclosure
Cx16146 (upon request)
A bank that sells insurance products
Both
An extension of credit
Not specified Not specified, but practically
before an applicant
becomes an insurance customer
Mass. Gen. Laws. Ann. ch. 167F, § 2A(b)(6); Mass. Regs. Code tit. 209, § 49.06(7)
No
Property of Docutech, LLC Page 144 Version 19.01
Massachusetts (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Requirement
Closing Mortgage originator
information on MA Mortgages
and the MA Assignment of
Mortgage
On Cx328 (FNMA/FHLMC),
Cx381 (FHA), Cx486, Cx1322,
& Cx1531
A mortgagee
A mortgage loan
Either: (1) real property having
thereon a dwelling with
accommodations for 1-to-4
households and occupied (or to be occupied) by the obligor (in
whole or in part); or (2) a 1-to-4
family dwelling, including condos,
co-ops, and manufactured homes, that is the principal
residence of the owner
On the mortgage Mass. Gen. Laws Ann. ch. 183, §§ 6D & 21 and ch.
188, § 7
No
FNMA Form 3022 - Massachusetts
Closing MA Lead Paint Indemnification Agreement and
MA Property Transfer Lead
Paint Notification
Cx1283; Cx15777 (upon
request)
The seller Both
Not specified, but practically a
purchase
Premises, meaning
dwellings built before 1978
Prior to seller signing a
purchase and sale agreement.
Mass. Gen. Laws Ann. ch. 111, §
197A; Mass. Regs. Code tit. 105, § 460.720
Property Transfer Lead Paint
Notification, Property Transfer Certification Form
Property of Docutech, LLC Page 145 Version 19.01
Massachusetts (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Requirement
Closing HUD-1 01-01-10 Cx14222 (Federal)
A mortgagee, a mortgage lender, or a
mortgage broker Both
A mortgage transaction
Residential property
consisting of 1-to-4 units and
occupied by the mortgagor (in
whole or in part)
Before charging a loan fee, finder’s
fee, or points
Mass. Gen. Laws Ann. ch. 183, § 63
12 CFR Pt. 1024, App. A
Closing MA Certification of Carbon Monoxide Detector
Cx15578 (upon request)
Not specified Both
Not specified, but practically a purchase loan
A dwelling, building, or
structure used in whole or in part for residential
purposes
Upon sale or transfer of the
property
Mass. Gen. Laws Ann. ch. 148, § 26F½; Mass.
Regs. Code tit. 527, § 31.06
No
Closing MA Condo Notice
Cx15381 A mortgagee Lenders
A mortgage A condominium unit
After recording Mass. Gen. Laws Ann. ch. 183A, §
4(5)
No
Click here for Table of Contents
Property of Docutech, LLC Page 146 Version 19.01
Click here for Table of Contents
Michigan (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance
Cx3750 Either: (1) a credit granting institution; (2) a licensee or registrant under The Secondary
Mortgage Loan Act; or (3) a lender
Both
Either: (1) a mortgage loan; (2) a secondary mortgage loan;
or (3) a loan
Either: (1) Real property
designed for occupancy by 1-
to-4 families, including single unit condos or
coops, and residential
dwellings; or (2) real property that
is used as a dwelling
When the applicant
inquiries about required
insurance or when the lender advises that such
insurance is available through
the lender.
Mich. Comp. Laws Ann. §§ 445.1602a, 493.72(4) &
500.1243(9), (16) & (17)
The Secondary Mortgage Loan
Act and The Insurance Code
of 1956
No
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit
Not specified Not specified Mich. Comp. Laws Ann. § 445.1823(k)
Credit Services Protection Act
No
Initial Disclosure MI Lock-In Agreement
Cx17192 (upon request)
A licensee or registrant Both
A mortgage loan Not specified Not specified Mich. Comp. Laws Ann. § 445.1673(2)
No
Initial Disclosure MI Commitment Agreement
Cx17163 (upon request)
Financial Institution Both
A mortgage loan Not specified Not specified Mich. Comp. Laws Ann. §§
445.1672(k) & 566.132(2)
No
Property of Docutech, LLC Page 147 Version 19.01
Michigan (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure MI Notice to Borrower
Cx22088 (upon request)
A credit granting institution
Both
A mortgage loan or a home
improvement loan
Real estate After a person makes a loan inquiry relating
to the prospects of obtaining a loan
Mich. Comp. Laws Ann. §
445.1602(9) & (10)
Notice to Borrower
Adverse Action Statement of Credit Denial, Termination,
or Change
15858 (Federal) A credit granting institution
Both
A mortgage loan or a home
improvement loan, but excluding
construction financing
Real property designed for
occupancy by 1-to-4 families,
including single unit condos or
coops, and residential dwellings
After a loan is denied or the
terms are varied, but not accepted by the applicant.
Mich. Comp. Laws Ann. § 445.1602(6)
12 CFR Pt. 1002, App. C; Form C-1
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier Disclosed on 1003 Uniform Residential Loan
Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate on which a
person has (or intends to) construct a
dwelling
On the application
Mich. Comp. Laws Ann. §
493.171 Mortgage Loan
Originator Licensing Act
FNMA 1003 Form - Uniform Residential
Loan Application
Closing Marital Status Disclosed on MI
Mortgage1
On Cx331 (FNMA/FHLMC),
Cx384 (FHA), Cx489, and
Cx1393
Not specified, but practically the
mortgagee Both
A mortgage Real estate At recording Mich. Comp. Laws Ann. §
565.221
FNMA Form 3023 - Michigan
Property of Docutech, LLC Page 148 Version 19.01
Michigan (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing MI Principal Residence
Exemption (PRE) Affidavit
Cx995 Not specified Both
Not specified A principal residence
Not specified Mich. Comp. Laws Ann. §
211.7cc The General
Property Tax Act
Tax Form 2368
Closing MI Property Transfer Affidavit
Cx996 The buyer, grantee, or other transferee of the
property Both
Not specified, but practically a
purchase or a renewal in which the beneficiaries
of the loan change
Property Within 45 days of the transfer of
ownership
Mich. Comp. Laws Ann. § 211.27a(10) The General
Property Tax Act
Tax Form 2766
Closing MI Request to Rescind Principal
Residence Exemption (PRE)
Cx997 The owner of the property, which in the
context of this requirement, is the
seller Both
Not specified, but practically a
purchase transaction
The seller’s principal residence
Not more than 90 days after exempted
property is no longer used as a
principal residence by the
seller
Mich. Comp. Laws Ann. § 211.7cc(5)
The General Property Tax Act
Tax Form 2602
Closing MI Addendum to Mortgage-
Homestead and Dower Waiver
Cx7786 (upon request)
Not specified Both
A mortgage to secure the payment of
purchase money
Either: (1) land; or (2) a homestead
Not specified, but practically at or
by closing
Mich. Comp. Laws Ann. §§
558.4 & 600.6023 Revised
Judicature Act of 1961
No
Property of Docutech, LLC Page 149 Version 19.01
Michigan (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing HUD 01-01-10 Cx14222 (Federal)
A state or national bank, an insurance
company, or a lender approved as a
mortgagee under the National Housing Act
or regulated by a federal agency
Both
A loan Not specified Upon closing of the loan
Mich. Comp. Laws Ann. §
438.31b
12 CFR Pt. 1024, App. A
Property of Docutech, LLC Page 150 Version 19.01
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Minnesota (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure MN Prepayment Disclosure at Application
Cx1892 A residential mortgage originator, including a lender and a broker
Both
A residential mortgage loan that contains a
prepayment penalty
Residential real property,
improved (or intended to be improved) by a
structure of 1-to-4 family units
Within 5 days after borrower
requests the loan
Minn. Stat. Ann. § 58.137(2)(b) Minnesota Residential Mortgage
Originator and Servicer Licensing
Act
Statutory
Initial Disclosure MN Originator Non-agency Disclosure
Cx1901 A residential mortgage originator or an exempt person,
excluding mortgage brokers, who does not accept an advance fee
Both
A residential mortgage loan
Residential real property,
improved (or intended to be improved) by a
structure of 1-to-4 family units
Within 3 business days of accepting
an application.
Minn. Stat. Ann. § 58.15
Minnesota Residential Mortgage
Originator and Servicer Licensing
Act
Statutory
Initial Disclosure MN Residential Mortgage Originator Contract
Cx1907 A residential mortgage originator who either: (a) solicits or receives an advance fee; or (b)
offers to act as an agent of the borrower
Brokers
A lien on residential real
estate
Residential real property,
improved (or intended to be improved) by a
structure of 1-to-4 family units
When soliciting or receiving an
advance fee for assisting in
finding a loan, or offers to act as an
agent of the borrower.
Minn. Stat. Ann. § 58.16
Minnesota Residential Mortgage
Originator and Servicer Licensing
Act
No
Property of Docutech, LLC Page 151 Version 19.01
Minnesota (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx3750 Either: (1) a company; or (2) a person, firm, or
corporation or an agent or broker of a
purchaser Both
A loan of money secured by real
property
Property, including real
property
Not specified Minn. Stat. Ann. §§ 65A.09, 65A.10,
& 72A.31
No
Initial Disclosure Tangible Net Benefit Worksheet
Cx12531 A residential mortgage originator or servicer (including a licensee under the Minnesota Residential Mortgage
Originator and Servicer Act), or an exempt
person Both
A residential mortgage loan
which refinances a residential
mortgage loan
Residential real property,
improved (or intended to be improved) by a
structure of 1-to-4 family units
Not specified Minn. Stat. Ann. § 58.13(1)(a)(25)
Minnesota Residential Mortgage
Originator and Servicer Licensing
Act
No
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified Minn. Stat. Ann. § 517.01
No
Initial Disclosure MN Lower Investment Grade
Disclosure
Cx18227 (upon request)
Residential mortgage originators, servicers, and otherwise exempt
persons Both
A residential mortgage loan
which has a lower investment grade than what
the borrower qualifies for
Residential real property,
containing a 1-to-4 family structure
Before making, providing, or
arranging for the loan
Minn. Stat. Ann. § 58.13(1)(a)(18)
Minnesota Residential Mortgage
Originator and Servicer
Licensing Act
No
Property of Docutech, LLC Page 152 Version 19.01
Minnesota (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure MN Lock-in Agreement
Cx18228 A lender Both
A “conventional loan” or a
cooperative loan of less than $200,000
Not specified directly, but real properties not
containing more than one
residential unit are included
At the time of offering such an agreement is
made
Minn. Stat. Ann. §§ 47.20(2):(7) & 47.206(2) & (3)
No
Initial Disclosure MN Commitment Agreement
Cx18229 A lender Both
A “conventional loan” or a
cooperative loan of less than $200,000
Not specified directly, but real properties not
containing more than one
residential unit are included
At the time of offering such an agreement is
made
Minn. Stat. Ann. §§ 47.20(2):(8) &
47.206
No
Initial Disclosure CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Before the execution of a contract or
agreement between the buyer and the CSO
or before the CSO receives any
consideration, whichever occurs first
Minn. Stat. Ann. § 332.57
Statutory
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified Minn. Stat. Ann. § 332.58
Statutory
Property of Docutech, LLC Page 153 Version 19.01
Minnesota (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure & Closing
MN Private Mortgage Insurance Disclosure
Cx2530 A servicer Both
A residential mortgage loan
Residential real property, include
co-operatives
Annually. Must be given with respect
to each future residential
mortgage loan
Minn. Stat. Ann. § 47.207(3)(a)
Statutory
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan Both
A residential mortgage loan
A dwelling (as defined in 15
USCA § 1602[v]) or residential real estate upon which a dwelling is (or is intended to be)
constructed
On the application
Minn. Stat. Ann. § 58A.20
Minnesota S.A.F.E. Mortgage
Licensing Act of 2010
FNMA 1003 Form - Uniform Residential
Loan Application
Initial Disclosure & TILA Redisclosure
MN Disclaimer of Loan Terms
Cx18230 A lender Both
A “conventional loan” or a
cooperative loan of less than $200,000
Not specified directly, but real properties not
containing more than one
residential unit are included
With an oral or written statement
of current loan terms
Minn. Stat. Ann. § 47.206(5)
No
Closing Truth-in-Lending Disclosure
Cx18 (Federal) A licensee under the Minnesota Regulated
Loan Act Both
A loan Not specified At the time any loan is made
Minn. Stat. Ann. § 56.14(1)
Minnesota Regulated Loan
Act
12 CFR Pt. 1026, App. H; Form H-2
Closing Purchase Money Caption on MN Mortgage and MN Mortgage
FHA
Cx332 (FNMA/FHLMC) & Cx385 (FHA)
A mortgagee Both
A purchase-money mortgage
Either: (1) a homestead; or (2)
real property
On the mortgage Minn. Stat. Ann. §§ 507.02 &
507.03
FNMA Form 3024
Property of Docutech, LLC Page 154 Version 19.01
Minnesota (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing Copy of Note, Mortgage, and Notice of Sale
Clause in all MN Mortgages
Cx332 (FNMA/FHLMC)
& Cx490
A lender Both
A conventional loan, with an
original principal amount of less than $100,000 and excluding
FHA, VA, and RD loans
Real property containing 1 or more residential
units
On the mortgage Minn. Stat. Ann. § 47.20(8)
FNMA Form 3024 - Minnesota
Closing MN Notice of Right to
Discontinue Escrow
Cx1004 A lender or a mortgage broker Both
A mortgage loan, which includes a
conventional loan, but excludes conventional
loans with an LTV exceeding 80%
and FHA, VA, and RD loans
A 1-to-4 family, owner occupied
residence
At or prior to closing
Minn. Stat. Ann. § 47.20(9)(b)
Statutory
Closing MN Abstract of Title Notice
Cx1600 A person who transfers or offers to transfer an
abstract title Both
Not specified, but practically a mortgage
Real estate When transferring or offering to
transfer an abstract of title.
Minn. Stat. Ann. § 386.375(3)
Available from the Department of
Commerce
Closing MN Prepayment Disclosure at
Closing
Cx1893 A residential mortgage originator, including a
lender or a broker Both
A residential mortgage loan that contains a
prepayment penalty
Residential real property,
improved (or intended to be improved) by a
structure of 1-to-4 family units
Within 3 days before the
borrower signs the note
Minn. Stat. Ann. § 58.137(2)(b) Minnesota Residential Mortgage
Originator and Servicer Licensing
Act
Statutory
Property of Docutech, LLC Page 155 Version 19.01
Minnesota (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing MN Homestead Disclosure
Cx4303 A licensee under the Minnesota Regulated
Loan Act Both
An open-end loan A homestead At the time of the execution of the
contract surrendering the
homestead exemption.
Minn. Stat. Ann. § 56.125(4)
Minnesota Regulated Loan
Act
Statutory
Closing MN Disclosure of Lenders
Cx5083 (upon request)
A residential mortgage originator (practically
applies only to brokers) Brokers
A residential mortgage loan
Residential real property,
improved (or intended to be improved) by a
structure of 1-to-4 family units
At the expiration of the originator
contract
Minn. Stat. Ann. § 58.16(7)
Minnesota Residential Mortgage
Originator and Servicer Licensing
Act
No
Closing Addendum to the Mortgage – Request for
Notice
Cx7787 A person having a redeemable interest in
the real property Lenders
A mortgage Real property Not specified Minn. Stat. Ann. § 580.032
No
Closing MN Well Disclosure Statement
Cx14301 (upon request)
A seller or the buyer Both
Not specified, but practically a
purchase loan
Real property, excluding individual
condominium units
At the time of closing
Minn. Stat. Ann. § 103I.235
Well Disclosure Certificate Form
Closing Notice of Servicing Transfer
Cx17905 (Federal)
A lender Both
A mortgage loan A 1-to-4 family, owner-occupied
residence
No more than 10 days after the actual date of
transfer
Minn. Stat. Ann. § 47.205
12 CFR Pt. 1024, App. MS-2
Property of Docutech, LLC Page 156 Version 19.01
Minnesota (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing MN Request for Notice of
Foreclosure
Cx18225 A person having a redeemable interest in
real property Both
A mortgage Real property Not specified Minn. Stat. Ann. §§ 580.032,
582.032, & 582.32
No
Closing MN Non-Finance Charge Disclosure
Cx18226 A financial institution Both
An open-end credit account
Not specified At the time the account is established
Minn. Stat. Ann. § 47.59(12)(a)
Statutory
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Property of Docutech, LLC Page 157 Version 19.01
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Mississippi (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A vendor or lender Both
A loan of money Real property Not specified Miss. Code Ann. § 83-5-35(h)
No
Initial Disclosure MS Mortgage Origination
Agreement/Fee Disclosure Agreement
Cx3315 A licensee under the Mississippi S.A.F.E.
Mortgage Act (Miss. Code Ann. §§ 81-18-1
through 81-18-63) Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon which is (or is intended
to be) constructed a dwelling
Not specified, but practically before performing any
origination services
Miss. Code Ann. § 81-18-33(1)(a)
Mississippi S.A.F.E. Mortgage Act
Partial Statutory
MS Mortgage Origination
Agreement (in Quick Links)
Initial Disclosure Good Faith Estimate 01-01-10
Cx14221 (Federal)
A licensee under the Mississippi S.A.F.E.
Mortgage Act (Miss. Code Ann. §§ 81-18-1
through 81-18-63) Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon which is (or is intended
to be) constructed a dwelling
Not specified, but practically no later
than 3 business days after receipt of an application
Miss. Code Ann. § 81-18-33(1)(d)
Mississippi S.A.F.E. Mortgage Act
12 CFR Pt. 1024, App. C
Initial Disclosure MS Lock-in Agreement
Cx16587 A licensee under the Mississippi S.A.F.E.
Mortgage Act (Miss. Code Ann. §§ 81-18-1
through 81-18-63) Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon which is (or is intended
to be) constructed a dwelling
Before collecting a lock-in fee
Miss. Code Ann. §§ 81-18-28(2) &
81-18-33(1)(f); Miss. Admin. Code 5-2:1.11
Mississippi S.A.F.E. Mortgage Act
No
Property of Docutech, LLC Page 158 Version 19.01
Mississippi (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure MS Insurance Disclosure
Cx20580 (Upon Request)
A financial institution offering,
recommending, sponsoring, or selling
insurance Both
A loan Not specified Prior to or at the time of the
execution of any application for
insurance
Miss. Admin. Code 19-
1:23.11(A) & (B)
No
Initial Disclosure MS Insurance Disclosure
Acknowledgment of Receipt
Cx20581 (Upon Request)
A financial institution offering,
recommending, sponsoring, or selling
insurance Both
A loan Not specified Prior to or at the time of the
execution of any application for
insurance
Miss. Admin. Code 19-1:23.11
No
Initial Disclosure, TILA Redisclosure,
& Closing
TILA Disclosures Cx18, Cx1591, and other TILA Disclosures (all
Federal)
A licensee under the Mississippi S.A.F.E.
Mortgage Act (Miss. Code Ann. §§ 81-18-1
through 81-18-63) Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon which is (or is intended
to be) constructed a dwelling
Various times Miss. Code Ann. § 81-18-33(1)(g)
Mississippi S.A.F.E. Mortgage Act
12 CFR Pt. 1026, App. H
Initial Disclosure, Processing,
Underwriting, & Closing
1003 Uniform Residential Loan
Application, including NMLS Unique Identifier disclosed thereon
On Cx4193 (FNMA/FHLMC)
Either: (1) any person originating a residential mortgage loan; or (2) a
licensee under the Mississippi S.A.F.E.
Mortgage Act (Miss. Code Ann. §§ 81-18-1
through 81-18-63) Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon which is (or is intended
to be) constructed a dwelling
On the application
Miss. Code Ann. §§ 81-18-31(f) and 81-18-33(1)(b) &
(h) Mississippi S.A.F.E.
Mortgage Act
FNMA 1003 Form - Uniform Residential
Loan Application
Property of Docutech, LLC Page 159 Version 19.01
Mississippi (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing HUD-1 01-01-10 Cx14222 (Federal)
A licensee under the Mississippi S.A.F.E.
Mortgage Act (Miss. Code Ann. §§ 81-18-1
through 81-18-63) Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon which is (or is intended
to be) constructed a dwelling
Not specified, but practically at
closing
Miss. Code Ann. § 81-18-33(1)(c)
Mississippi S.A.F.E. Mortgage Act
12 CFR Pt. 1024, App. A
Click here for Table of Contents
Property of Docutech, LLC Page 160 Version 19.01
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Missouri (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A person who lends money or extends
credit and who solicits insurance
Both
A credit extension, including a residential mortgage
Real property, including residential property
Not specified, but practically before
closing
Mo. Ann. Stat. § 375.937(3)
Unfair Trade Practice Act
No
Initial Disclosure Advanced Fee/Application
Disclosure
Cx2783 A state financial institution
Both
A loan, presumably a residential real
estate loan, which generally excludes
refinances
Residential real estate, consisting of 1-to-4 family
units
Upon receipt of a written
application
Mo. Ann. Stat. § 408.580(2)
No
Initial Disclosure MO Loan Brokerage Disclosure
Statement and Agreement
Cx3328 A residential mortgage loan broker
Both
A residential mortgage loan
A dwelling or residential real
estate upon is (or is intended to be)
constructed a dwelling, as
defined by TILA
Not specified Mo. Ann. Stat. § 443.867
Missouri Secure and Fair
Enforcement for Mortgage
Licensing Act
No
Initial Disclosure MO Lock-in Agreement
Cx16677 A lender Lenders
A residential mortgage loan
A dwelling or residential real
estate upon is (or is intended to be)
constructed a dwelling, as
defined by TILA
Not specified, but practically before a rate-lock fee is
collected
Mo. Code Regs. Ann. tit. 20, § 1140-30.280
Missouri Secure and Fair
Enforcement for Mortgage
Licensing Act
No
Property of Docutech, LLC Page 161 Version 19.01
Missouri (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Before executing a contract or agreement
with a buyer or receiving
consideration
Mo. Ann. Stat. § 407.641
Statutory
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified Mo. Ann. Stat. § 407.642
Statutory
Adverse Action Statement of Credit Denial,
Termination, or Change
Cx15858 (Federal)
A state financial institution
Both
A loan, presumably a residential real
estate loan, which generally excludes
refinances
Residential real estate, consisting of 1-to-4 family
units
After rejection of a loan application
Mo. Ann. Stat. § 408.580(3)
12 CFR Pt. 1002, App. C; Form C-1
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan Both
A residential mortgage loan
A dwelling or residential real
estate upon is (or is intended to be)
constructed a dwelling, as
defined by TILA
On the application Mo. Ann. Stat. § 443.745
Missouri Secure and Fair
Enforcement for Mortgage
Licensing Act
FNMA 1003 Form - Uniform Residential
Loan Application
Property of Docutech, LLC Page 162 Version 19.01
Missouri (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing 3200 Note Fixed, MO Deed of
Trust, MO Deed of Trust Second,
and MO Addendum to the
Note-Oral Agreement
Cx19383 (FNMA/FHLMC),
Cx333 (FNMA/FHLMC), Cx491, Cx1056,
and Cx7789 (upon request)
A creditor Both
A credit agreement, which
is a lending or forbearance of
the repayment of money, extension of credit, or other
financial accommodation
Not specified Not specified, but practically at
closing
Mo. Ann. Stat. § 432.045
Statutory
FNMA Form 3200 – Multistate Fixed-
Rate Note
FNMA Form 3026 - Missouri
Closing MO Deed of Trust
or MO Deed of Trust Second
Cx333 (FNMA/FHLMC)
or Cx491
A creditor Both
A credit transaction in
which collateral insurance is
obtained
Not specified Not specified, but practically at
closing
Mo. Ann. Stat. § 427.120(2) Collateral
Protection Act
FNMA Form 3026 - Missouri
Closing MO Collateral Protection Insurance Disclosure
Cx1005 A creditor Both
A credit transaction in
which collateral insurance is
obtained
Not specified At the time the credit agreement
is entered
Mo. Ann. Stat. § 427.120(3) Collateral
Protection Act
Statutory
Closing Married Wife Notice in
Acknowledgment
Cx7790 (upon request)
Not specified Both
An instrument Not specified Not specified, but practically at
closing
Mo. Ann. Stat. § 442.210(4)
No
Closing Notice of Servicing Transfer
Cx17905 (Federal)
A residential mortgage loan broker, who is licensed under the
Missouri Secure and Fair Enforcement for Mortgage Licensing
Act Both
A residential mortgage (aka a
residential mortgage loan)
A dwelling or residential real
estate upon is (or is intended to be)
constructed a dwelling, as
defined by TILA
When the servicing of a
residential mortgage is
transferred or sold
Mo. Ann. Stat. § 443.861
Missouri Secure and Fair
Enforcement for Mortgage
Licensing Act
12 CFR Pt. 1024, App. MS-2
Property of Docutech, LLC Page 163 Version 19.01
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Montana (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure MT Mortgage Loan Origination
Disclosure
Cx2776 A mortgage loan originator working for a mortgage broker, who is licensed under the
Montana Mortgage Act Brokers
A mortgage loan (aka a residential mortgage loan)
A dwelling or residential real
estate upon which is either
constructed a dwelling or is
intended to be constructed a
dwelling within 2 years (subject to
24 CFR § 3500.5[b][4])
Within 3 business days of taking an
application
Mont. Code Ann. § 32-9-124(2);
Mont. Admin. R. 2.59.1737 Montana
Mortgage Act
Mortgage Loan Origination Disclosure
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A person who lends money or extends
credit and who solicits insurance on real
property Both
A first-mortgage credit extension
Real property Not specified, but practically before
closing
Mont. Code Ann. § 33-18-501(3)
No
Property of Docutech, LLC Page 164 Version 19.01
Montana (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure MT Mortgage Loan Rate Lock Commitment
Cx14844 A licensed mortgage lender under the
Montana Mortgage Act Both
A mortgage loan (aka a residential mortgage loan)
A dwelling or residential real
estate upon which is either
constructed a dwelling or is
intended to be constructed a
dwelling within 2 years (subject to
24 CFR § 3500.5[b][4])
Not specified, but practically before an interest rate lock-in fee is
charged
Mont. Code Ann. § 32-9-148(3)(c)
Montana Mortgage Act
No
Initial Disclosure MT Loan Commitment
Cx15517 A licensed mortgage lender under the
Montana Mortgage Act Both
A mortgage loan (aka a residential mortgage loan)
A dwelling or residential real
estate upon which is either
constructed a dwelling or is
intended to be constructed a
dwelling within 2 years (subject to
24 CFR § 3500.5[b][4])
After approval of the loan
application, but before a
commitment fee is charged
Mont. Code Ann. § 32-9-148(3)(d)
& (5) Montana
Mortgage Act
No
Closing MT Ack Real Prop is not exempt
Cx1412 Not specified Both
Not specified A homestead, consisting of a
dwelling house or mobile home
At closing Mont. Code Ann. §§ 70-32-105, 70-
32-106, 70-32-107, & 70-32-202
Homestead Declaration
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Property of Docutech, LLC Page 165 Version 19.01
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Nebraska (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A person who lends money or extends
credit Lenders
A loan of money, extension of
credit, or renewal of an extension
of credit
Not specified Not specified Neb. Rev. Stat. § 44-1526(1)
Unfair Insurance Trade Practices
Act
No
Initial Disclosure NE Loan Broker Disclosure Statement
Cx3444 A loan broker Brokers
A loan of money Not specified At least 48 hours before a borrower signs a brokerage
agreement.
Neb. Rev. Stat. § 45-191.01
No
Initial Disclosure NE Construction Loan Notice
Cx4669 Any person, firm, or corporation lending
money Both
A financing of the construction of improvements on real property
Real property Before the disbursement of any proceeds under the
loan.
Neb. Rev. Stat. § 76-239.01
No
Initial Disclosure Dual Capacity Disclosure
Cx12999 A licensee under the Residential Mortgage
Licensing Act, who also acts as a real estate
broker or agent Both
A residential mortgage loan,
that is connected to the sale of real
estate
A 1-to-4 unit dwelling or
residential real estate upon
which is (or will be constructed) a
dwelling
Before receiving compensation as a
mortgage banker or mortgage loan
originator
Neb. Rev. Stat. § 45-740(1)(g) Residential Mortgage
Licensing Act
No
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
A licensee under the Residential Mortgage
Licensing Act Both
A residential mortgage loan
A 1-to-4 unit dwelling or
residential real estate upon
which is (or will be constructed) a
dwelling
On the application Neb. Rev. Stat. § 45-736
Residential Mortgage
Licensing Act
FNMA 1003 Form - Uniform
Residential Loan Application
Property of Docutech, LLC Page 166 Version 19.01
Nebraska (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Closing Notice to Cosigner on Fixed
Rate Note Nebraska Second
On Cx1061 A licensee under the Nebraska Installment
Loan Act Both
A loan, the interest rate of which exceeds
16%
Not specified On a writing evidencing a loan
Neb. Rev. Stat. § 45-1055(1) Nebraska
Installment Loan Act
Statutory
Closing NE Notice to Cosigner
Cx13029 Not specified, but presumably a licensee under the Nebraska Installment Loan Act
Both
A loan, the interest rate of which exceeds
16%
Not specified Before or contemporaneously
with signing any agreement of loan.
Neb. Rev. Stat. § 45-1053 Nebraska
Installment Loan Act
Notice to Cosigner or Guarantor
Closing Request for Notice - NE
Cx15163 (upon request)
Any person desiring a copy of any notice of
default and any notice of sale Both
Not specified, but one in
connection with which a trust deed, which conveys real property to a
trustee, is made
Real property Any time subsequent to recording, but prior to filing for record of a
notice of default.
Neb. Rev. Stat. Ann. § 76-1008 Nebraska Trust
Deeds Act
Statutory
Closing Notice of Servicing Transfer
Cx17905 (Federal)
A licensee under the Residential Mortgage
Licensing Act Both
A residential mortgage loan
A 1-to-4 unit dwelling or
residential real estate upon
which is (or will be constructed) a
dwelling
Not less than 15 days prior to the effective
date of the transfer of servicing rights
Neb. Rev. Stat. Ann. § 45-739
Residential Mortgage
Licensing Act
12 CFR Pt. 1024, App. MS-2
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Property of Docutech, LLC Page 167 Version 19.01
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Nevada (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NV Notice and Waiver
Cx2772 A title insurer or title agent, who are licensed under Chapter 692A of
Nevada’s Revised Statutes
Both
A loan which is made
simultaneously with the purchase
of all or part of the real property
Real property Before the disbursement of loan proceeds or the issuance of the borrower’s
title policy.
Nev. Rev. Stat. § 692A.210
Statutory
Initial Disclosure Advanced Fee/Application
Disclosure
Cx2783 Either: (1) a mortgage broker and his or her agents (both licensed under Chapter 645B of
Nevada’s Revised Statutes), or any other
person; or (2) a mortgage banker, who
is licensed under Chapter 645E, or any
other person Both
A loan secured by a lien on real
property
Real property Before accepting any advance fees
Nev. Rev. Stat. §§ 645B.165(3) &
645E.420(3)
No
Property of Docutech, LLC Page 168 Version 19.01
Nevada (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2788 Either: (1) a lender; or (2) a person
Both
Either: (1) a home loan, including a consumer credit
transaction subject to HOEPA
(15 USCA § 1602[aa]) and regulations
adopted pursuant thereto (12 CFR § 226.32);
(2) any loan or extension thereof or credit; or (3) a loan secured by
real property
Either: (1) home property; or (2) real property
Not specified Nev. Rev. Stat. §§ 598D.100(1)(a),
686A.200 & 691A.030
Nevada Insurance Code
No
Initial Disclosure NV Employee Disclosure
Cx3839 A licensee under Chapter 645B of Nevada’s Revised
Statues Brokers
A lien on real property
Real property Before the date that the loan is consummated.
Nev. Rev. Stat. § 645B.186
No
Property of Docutech, LLC Page 169 Version 19.01
Nevada (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NV Acknowledgement of Dual Capacity
Cx13030 Either: (1) a mortgage broker mortgage agent
(licensed under Chapter 645B of Nevada’s Revised
Statues) who is also licensed and acting as a real estate broker or salesperson; or (2) a
mortgage banker (licensed under
Chapter 645E) or loan officer who is also
licensed and acts as a real estate broker or
salesperson Both
A loan secured by a lien on real
property
Real property At the time of application
Nev. Admin. Code §§ 645B.235 & 645E.290; NV
Reg. LCB File No. R087-04
Borrower's Acknowledgment and Agreement Concerning Dual Capacity as Real
Estate Sales Agent and Mortgage Loan
Agent
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified, but practically at application
Nev. Rev. Stat. Ann. § 122A.200
No
Initial Disclosure NV Mortgage Broker Compensation
Disclosure
Cx14279 A mortgage broker, who is licensed under
Chapter 645B of Nevada’s Revised
Statutes Brokers
A loan secured by a lien on real
property
Real property At any time prior to consummation
Nev. Rev. Stat. Ann. § 645B.305; AB 513 Guidance
Letter, Exhibit NV12
Disclosure of Fees Earned by
Mortgage Broker
Property of Docutech, LLC Page 170 Version 19.01
Nevada (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NV Commitment Agreement
Cx17103 (upon request)
A person engaged in the business of lending
money or extending credit Both
A loan of money or extension of
credit
Not specified Not specified Nev. Rev. Stat. Ann. § 111.220(4)
No
Initial Disclosure CSO Information Statement
Upon Request An organization (CSO) Brokers
An extension of credit
Not specified Before the execution of a contract between
the buyer and the organization or before
receipt by the organization of any
consideration, whichever occurs first
Nev. Rev. Stat. Ann. § 598.757
Statutory
Initial Disclosure CSO Contract Upon Request An organization (CSO) Brokers
An extension of credit
Not specified Not specified Nev. Rev. Stat. Ann. § 598.762
No
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier or License Number Disclosed on 1003 Uniform Residential Loan
Application
On Cx4193 (FNMA/FHLMC)
A mortgage broker, licensed under Chapter
645B of Nevada’s Revised Statutes
Both
A lien on real property
Real property On the application
Nev. Rev. Stat. § 645B.307
FNMA 1003 Form - Uniform Residential
Loan Application
Property of Docutech, LLC Page 171 Version 19.01
Nevada (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure & Closing
NV Reasonable Means Disclosure
Cx12913 A lender Both
A home loan, including a low-document, no-document, or
stated-document home loan, and a consumer credit
transaction subject to HOEPA
(15 USCA § 1602[aa]) and regulations
adopted pursuant thereto (12 CFR § 226.32)
Real property Not specified Nev. Rev. Stat. § 598D.100(1)(b);
Mortgage Lending Division
Letter 2007-2, Exhibit A
Exhibit "A" - "Commercially
Reasonable Means or Mechanism"
Worksheet
Closing HOEPA Loan Legend on NV Deed of Trust or NV Deed of Trust
Second
Cx342 (FNMA/FHLMC)
or Cx500
Not specified, but most likely the mortgagee
Both
A home loan subject to
provisions of § 152 of the Home Ownership and
Equity Protection Act of 1994 (15
USCA § 1602[aa]) and regulations made pursuant
thereto (12 CFR § 226.32)
Real property On the security instrument
Nev. Rev. Stat. Ann. §
598D.130(2)
FNMA Form 3029 - Nevada
Property of Docutech, LLC Page 172 Version 19.01
Nevada (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing NV Affirmation Regarding SSN
Cx11545 A person who records, files, or otherwise
submits any document to a governmental
agency Both
Not specified Not specified Not specified Nev. Rev. Stat. Ann. §
239B.030(6)
No
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Property of Docutech, LLC Page 173 Version 19.01
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New Hampshire (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Advanced Fee/Application Disclosure and
Good Faith Estimate 01-01-10
Cx2783 & Cx14221 (Federal)
A mortgage banker or a mortgage broker,
who is licensed under Chapter 397 of New Hampshire’s Revised
Statutes Both
A mortgage loan A dwelling, real property, or
residential real estate, of or upon any of which is a
1-to-4 family housing unit
Within 3 days of receipt of the loan
application
N.H. Rev. Stat. Ann. § 397-A:16(I)
12 CFR Pt. 1024, App. C
Initial Disclosure Anti-Coercion Insurance
Cx3750 A creditor or a lender Both
A purchase of real or personal
property or a lending of money on the security of real or personal
property
Real or personal property
Not specified N.H. Rev. Stat. Ann. § 417:4(XVI)
No
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified N.H. Rev. Stat. Ann. § 457:1-a
No
Initial Disclosure NH Disclosure of Payment
Application
Cx15935 (upon request)
A licensee under Chapter 397 of New Hampshire’s Revised
Statutes Both
A mortgage loan A dwelling, real property, or
residential real estate, of or upon any of which is a
1-to-4 family housing unit
At the time the loan application is
taken
N.H. Rev. Stat. Ann. § 397-
A:14(III)
No
Property of Docutech, LLC Page 174 Version 19.01
New Hampshire (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Prior to the execution of a
contract or agreement
between the buyer and the
CSO or prior to the CSO receiving any consideration, whichever occurs
first
N.H. Rev. Stat. Ann. §§ 359-D:4 &
359-D:5 Credit Services Regulation Act
No
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified N.H. Rev. Stat. Ann. § 359-D:6 Credit Services Regulation Act
Statutory
Adverse Action Statement of Credit, Denial, Termination or
Change
Cx15858 (Federal)
A user of a consumer report Both
Credit for personal, family,
or household purposes
Not specified When credit or insurance is
denied or the charge for credit or insurance is
increased
N.H. Rev. Stat. Ann. § 359-B:15
Fair Credit Reporting Act
12 CFR Pt. 1002, App. C
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
A licensee under Chapter 397 of New Hampshire’s Revised
Statutes Both
A residential mortgage loan
A dwelling, real property, or
residential real estate, of or upon any of which is a
1-to-4 family housing unit
On the application
N.H. Rev. Stat. Ann. § 397-A:6(I)
FNMA 1003 Form - Uniform Residential
Loan Application
Property of Docutech, LLC Page 175 Version 19.01
New Hampshire (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing Finance Change Statement in
Truth-in-Lending Disclosure
On Cx18 (Federal)
Any person engaged in the business of extending credit
Both
Credit, including a residential
mortgage and a consumer credit
transaction
Not specified Concurrently with consummation
N.H. Rev. Stat. Ann. §§ 399-B:2 &
399-B:2-a
12 CFR Pt. 1026, App. H; Form H-2
Closing NH Water Supply Disclosure
Cx18792 (upon request)
A seller Both
Not specified, but practically a
purchase transaction
Real property Prior to the execution of any
purchase contract
N.H. Rev. Stat. Ann. § 477:4-c
No
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New Jersey (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NJ Authorization of Overnight
Delivery Services
Cx1030 A lender Both
A mortgage loan, secured by a first mortgage on real
property and which has a closed-end
Real property on which there are 1-
to-4 dwelling units
Before delivery fees are charged.
N.J. Admin. Code § 3:1-16.2(a)(7)(i)
New Jersey Residential Mortgage
Lending Act
No
Initial Disclosure NJ Application Disclosure Form
Cx21702 A lender or a broker Both
A mortgage loan, secured by a first mortgage on real
property and which has a closed-end
Real property on which there are 1-
to-4 dwelling units
Before accepting application and third party fees.
N.J. Admin. Code § 3:1-16.3(a) New Jersey Residential Mortgage
Lending Act
Yes
Initial Disclosure NJ Choice of Insurer Notice
Cx3850 A licensee under the New Jersey Residential Mortgage Lending Act
Both
A mortgage loan Property securing a mortgage loan
Not specified N.J. Stat. Ann. § 17:11C-73(d) New Jersey Residential Mortgage
Lending Act
Statutory
Initial Disclosure NJ Notice to Borrower
Cx4440 A creditor Both
A high-cost home loan
A 1-to-6 family dwelling which is
(or will be) occupied by a borrower as a
principal dwelling
At least 3 business days
prior to consummation.
N.J. Stat. Ann. § 46:10B-26(f)
New Jersey Home Ownership
Security Act of 2002
Statutory
Property of Docutech, LLC Page 177 Version 19.01
New Jersey (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NJ Commitment Letter
Cx4479 A lender Both
Either: (1) a loan; or (2) a mortgage loan, secured by a first mortgage on real property and
which has a closed-end
Either: (1) real property; or (2) real property on
which there are 1-to-4 dwelling
units
Not specified N.J. Stat. Ann. § 46:10A-6(c);
N.J. Admin. Code §§ 3:1-16.5(a)(1)
through (9) & 3:1-16.6
New Jersey Residential Mortgage
Lending Act
Partial Administrative
N.J. Dept. of Bank.
and Ins., Bulletin 07-12
Initial Disclosure NJ Rate Lock – In Agreement
Cx4480 A lender Both
A mortgage loan, secured by a first mortgage on real
property and which has a closed-end
Real property on which there are 1-
to-4 dwelling units
Not specified, but practically more
than 3 days before closing
N.J. Admin. Code §§ 3:1-16.4 & 3:1-
16.6 New Jersey Residential Mortgage
Lending Act
No
Initial Disclosure NJ Right to Choose Own
Attorney
Cx5097 Either: (1) a lender; or (2) a mortgage lender
Both
Either: (1) a loan; or (2) a secondary
mortgage loan
Either: (1) real property; or (2) residential real estate, upon which is (or is
intended to be) constructed a 1-
to-4 family dwelling (as
defined in Section 103[w] of TILA)
Before borrower accepts a written
offer by the lender to make a
loan
N.J. Stat. Ann. § 46:10A-6; N.J. Admin. Code § 3:15-9.2(c)(4) New Jersey Residential Mortgage
Lending Act
No
Property of Docutech, LLC Page 178 Version 19.01
New Jersey (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified Garden State Equal v. Dow, 434
N.J. Super. 163 (Law. Div. 2013)
No
Initial Disclosure Good Faith Estimate 01-01-10 and NJ Disclosure
Form
Cx14221 (Federal)
A lender Both
A mortgage loan, secured by a first mortgage on real
property and which has a closed-end
Real property on which there are 1-
to-4 dwelling units
Within 3 business days after
receiving the borrower’s
application or before closing,
whichever is earlier
N.J. Admin. Code §§ 3:1-16.2 & 3:1-
16.3(d) New Jersey Residential Mortgage
Lending Act
12 CFR Pt. 1024, App. C
N.J. Dept. of Bank. And Ins., Bulletin
10-17
Initial Disclosure NJ Broker Agreement
Cx17071 (upon request)
A broker (aka residential mortgage
broker) licensed under the New Jersey
Residential Mortgage Lending Act (N.J. Stat.
Ann. §§ 17:11C-51 through 17:11C-89)
Brokers
A mortgage loan, secured by a first mortgage on real
property and which has a closed-end
Real property on which there are 1-
to-4 dwelling units
Before accepting any loan
application
N.J. Admin. Code § 3:1-16.10 New Jersey Residential Mortgage
Lending Act
No
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
A residential mortgage lender, a residential
mortgage broker, or a mortgage loan
originator, who are licensed under the New
Jersey Residential Mortgage Lending Act
Both
A residential mortgage loan
A dwelling (as defined in section 103[w] of TILA) or
residential real estate upon which is (or is intended
to be) constructed a
dwelling
On the application
N.J. Stat. Ann. § 17:11C-72 New
Jersey Residential Mortgage
Lending Act
FNMA 1003 Form - Uniform Residential
Loan Application
Property of Docutech, LLC Page 179 Version 19.01
New Jersey (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing NJ Initial Tax Authorization
Notice
Cx1507 Either: (1) a selling servicing organization;
(2) a servicing organization; (3) an person holding a
mortgage on the land; or (4) mortgagees,
servicing organizations, or property tax
processing organizations
Both
A mortgage loan Either: (1) real property on which
there is (or will be) erected a 1-
to-6 dwelling structure; or (2) land, including real property
When a mortgage escrow account is sold, assigned, or transferred to a
purchasing servicing
organization
N.J. Stat. Ann. §§ 17:16F-17, 54:4-
64(c), & 54:5-104.48; N.J.
Admin. Code §§ 5:33-4.3 & 5:33-
4.4 In Rem Tax
Foreclosure Act (1948)
ME1 - Initial Tax Authorization
Notice
Closing NJ Private Well Water Test Results
Cx4441 Not specified Both
Every contract of sale of real
property (i.e. a purchase loan)
Real property At closing N.J. Stat. Ann. § 58:12A-27
Private Well Testing Act
No
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New Mexico (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Mortgage Loan Company
Compensation on Initial Truth-in-
Lending Disclosure and
Good Faith Estimate 01-01-10
Cx1591 (Federal) &
Cx14221 (Federal)
Either: (1) a mortgage loan company, licensed
under the Mortgage Loan Company Act; or (2) a mortgage loan originator, licensed
under the New Mexico Mortgage Loan
Originator Licensing Act
Both
Either: (1) a mortgage loan; or
(2) a residential mortgage loan
A 1-to-4 unit dwelling or
residential real estate upon which is (or is intended
to be) construction a
dwelling
At least 2 days prior to closing.
N.M. Stat. Ann. §§ 58-21-31(D) and
58-21B-20(A)(7) & (B)(1); N.M.
Admin. Code 12.19.2.13 & 12.19.8.12(B)
Mortgage Loan Company Act and
New Mexico Mortgage Loan
Originator Licensing Act
12 CFR Pt. 1024, App. C & Pt. 1026, App. H; Form H-2
Initial Disclosure NM High-Cost Home Loan Notice
to Borrower
Cx2747 A creditor or a mortgage loan
originator Both
A high-cost home loan
Real estate upon which there is (or will be) located a
1-to-4 family, borrower-occupied structure
At least 3 business days
prior to consummation
N.M. Stat. Ann. § 58-21A-5(e) Home Loan
Protection Act
Statutory
Initial Disclosure Advanced Fee/Application
Disclosure
Cx2783 A licensee under the Mortgage Loan
Company Act (N.M. Stat. Ann. §§ 58-21-1 through 58-21-32)
Both
A mortgage loan A 1-to-4 unit dwelling or
residential real estate upon which
is (or will be) a dwelling
Not specified N.M. Admin. Code 12.19.8.8(D)(2) Mortgage Loan Company Act
No
Property of Docutech, LLC Page 181 Version 19.01
New Mexico (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NM Freedom to Choose Insurance
Company
Cx2794 A lender Both
A loan of money secured by real or personal property
Real or personal property
Not specified. N.M. Stat. Ann. § 59A-16-14(A);
N.M. Admin. Code 13.7.2.8
New Mexico Insurance Code
Administrative
Initial Disclosure NM Authorization for Lender to
Obtain Insurance
Cx2795 A lender Both
A loan Real or personal property
After signing Cx2794
N.M. Admin. Code 13.7.2.9
New Mexico Insurance Code
Administrative
Initial Disclosure NM Attorney Preference
Cx8809 Not specified Both
A home loan Real estate upon which there is (or will be) a 1-to-4
family, borrower-occupied structure
Not specified N.M. Stat. Ann. § 58-21A-
3(M)(1)(d)(8) Home Loan
Protection Act
No
Initial Disclosure Tangible Net Benefit Worksheet
Cx12531 A creditor Both
A home loan which refinances another home
loan
Real estate upon which there is (or will be) a 1-to-4
family, borrower-occupied structure
Not specified N.M. Stat. Ann. § 58-21A-4(b) Home Loan
Protection Act
No
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified, but practically at application
N.M. Stat. Ann. § 40-1-4; N.M. Attn’y Gen.
Opinion No. 11-01
No
Property of Docutech, LLC Page 182 Version 19.01
New Mexico (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NM Rate Lock Disclosure
Cx14305 or Cx14725 (upon
request)
A mortgage loan company, licensed
under the Mortgage Loan Company Act
Both
A mortgage loan A 1-to-4 unit dwelling or
residential real estate upon which is (or is intended
to be) construction a
dwelling
Not specified N.M. Stat. Ann. § 58-21-31(B) & (F); N.M. Admin. Code
12.19.8.12(A) Mortgage Loan Company Act
New Mexico Rate Lock/Float Disclosure
Initial Disclosure & TILA Redisclosure
Mortgage Loan Summary on Good Faith
Estimate 01-01-10 and Initial Truth-
In-Lending Disclosure
Cx1591 (Federal) and
Cx14221 (Federal)
Either: (1) a mortgage loan company, licensed
under the Mortgage Loan Company Act; or (2) a mortgage loan originator, licensed
under the New Mexico Loan Originator
Licensing Act Both
Either: (1) a mortgage loan; or
(2) a residential mortgage loan
A 1-to-4 unit dwelling or
residential real estate upon which is (or is intended
to be) constructed a
dwelling
At least 2 days prior to closing.
N.M. Stat. Ann. §§ 58-21-31(E), 58-21B-20(A)(6) &
(A)(7), & 58-21B-20(B)(2); N.M. Admin. Code 12.19.2.13 & 12.19.8.12(B)
Mortgage Loan Company Act and
New Mexico Mortgage Loan
Originator Licensing Act
12 CFR Pt. 1024, App. C & Pt. 1026,
App. H
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan Both
A residential mortgage loan
A 1-ot-4 unit dwelling or
residential real estate upon which
is (or will be) a dwelling
On the application
N.M. Stat. Ann. § 58-21B-24
New Mexico Mortgage Loan
Originator Licensing Act
FNMA 1003 Form - Uniform Residential
Loan Application
Property of Docutech, LLC Page 183 Version 19.01
New Mexico (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure & Closing
NM Favorable Terms Disclosure
Cx18456 A mortgage loan originator
Both
A residential mortgage loan
A 1-ot-4 unit dwelling or
residential real estate upon which
is (or will be) a dwelling
Not specified N.M. Stat. Ann. § 58-21B-20(A)(7)
New Mexico Mortgage Loan
Originator Licensing Act
No
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Property of Docutech, LLC Page 184 Version 19.01
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New York (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NY Lock-in Expiration Notice
Cx1569 A mortgage banker licensed under Article 12-D of the Banking Law or an exempt
organization Lenders
A mortgage loan Residential real property,
improved by a 1-to-4 family,
owner-occupied dwelling
Not less than 12 business days or
more than 20 business days prior to the
commitment expiration.
N.Y. Banking Law § 595-a(3)(c); N.Y. Comp. Codes R. &
Regs. tit. 3, § 38.4(d)
Banking Law
No
Initial Disclosure NY Insurance Disclosure
Cx1572 A mortgage banker licensed under Article 12-D of the Banking Law or an exempt
organization Lenders
A mortgage loan Residential real property,
improved by a 1-to-4 family,
owner-occupied dwelling
At the time of commitment, or if no commitment,
at the time of application.
N.Y. Comp. Codes R. & Regs. tit. 3, §
38.9 Banking Law
No
Initial Disclosure NY Interest Rate Disclosure
Cx3572 Either: (1) a mortgage lending institution or a
mortgage banker licensed under Article 12-D of the Banking
Law; or (2) an exempt organization
Both
Either: (1) a loan secured by real
property used for residential
purposes; or (2) a mortgage loan
Either: (1) real property used for
residential purposes; or (2) Residential real
property, improved by a 1-
to-4 family, owner-occupied
dwelling
At application N.Y. Banking Law § 9-o(2); N.Y.
Comp. Codes R. & Regs. tit. 3, §
38.3(d) Banking Law
No
Property of Docutech, LLC Page 185 Version 19.01
New York (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NY Pre-Application
Disclosure and Fee Agreement
for Licensed Brokers
Cx3587 A mortgage broker, who is registered under
Article 12-D of the Banking Law
Brokers
A mortgage loan Residential real property,
improved by a 1-to-4 family,
owner-occupied dwelling
Prior to taking an application or collecting an
application, credit report, or
property appraisal fee
N.Y. Comp. Codes R. & Regs. tit. 3, §
38.3(a)(1) Banking Law
Pre-Application Disclosure and Fee
Agreement (brokers)
Initial Disclosure NY Interest Rate Lock Commitment
Cx3588 A mortgage banker licensed under Article 12-D of the Banking Law or an exempt
organization Both
A mortgage loan, used to purchase a dwelling or in
which a commitment fee or paints are paid
to the lender
Residential real property,
improved by a 1-to-4 family,
owner-occupied dwelling
At the time of commitment and
prior to the acceptance of a commitment fee
or points.
N.Y. Comp. Codes R. & Regs. tit. 3, §
38.4(a) Banking Law
New York Interest Rate Lock
Commitment
Initial Disclosure NY High Cost Loan Disclosure
Cx3650 A mortgage broker or a lender, who is either
licensed under Article 12-D of the Banking
Law or who is an exempt organization
Both
A high cost home loan
Real estate upon which there is (or will be) located a
1-to-4 family, borrower-occupied structure
At or prior to taking an
application
N.Y. Comp. Codes R. & Regs. tit. 3, §
41.4(a) Banking Law
Administrative
Initial Disclosure NY High Cost Loan Insurance
Disclosure
Cx3673 A broker or a lender, who is either licensed under Article 12-D of the Banking Law or who is an exempt
organization Both
A high cost home loan
Real estate upon which there is (or will be) located a
1-to-4 family, borrower-occupied structure
At least 10 business days
before the loan is closed.
N.Y. Comp. Codes R. & Regs. tit. 3, §
41.5(b)(5) Banking Law
No
Property of Docutech, LLC Page 186 Version 19.01
New York (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NY High Cost Loan Counseling
Disclosure
Cx3674 A lender or mortgage broker, who are either licensed or registered under Article 12-D of the Banking Law or who are an exempt
organization Both
A high cost home loan
Real estate improved by a 1-
to-4 family, borrower-occupied structure
At the time of application
N.Y. Banking Law § 6-l(2)(l)(i); N.Y.
Comp. Codes R. & Regs. tit. 3, §
41.3(a)(1) Banking Law
Statutory & Administrative
Initial Disclosure NY Prevailing Interest Rate Commitment
Cx3710 A licensee under Article 12-D of the Banking Law (aka a mortgage banker) or an exempt
organization Both
A mortgage loan Residential real property,
consisting of real property
improved by a 1-to-4 family,
owner-occupied dwelling
Prior to acceptance of a
commitment fee, points, or other
discounts
N.Y. Comp. Codes R. & Regs. tit. 3, §
38.5 Banking Law
New York Prevailing Interest Rate Commitment
Property of Docutech, LLC Page 187 Version 19.01
New York (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NY Balloon Payment
Disclosure
Cx4168 A lender Both
Either: (1) a balloon-payment mortgage loan, consisting of a
term of 3 years or more, which is a junior mortgage
with an outstanding balance of
$250,000 or less (including all lien balances); or (2) a balloon-payment mortgage loan,
which is a primary lien, which has a principal amount
of less than $250,000, and which has an
adjustable interest rate
Real property improved by a 1-
to-4 family, owner-occupied
residence
Prior to accepting an application
N.Y. Comp. Codes R. & Regs. tit. 3, §§ 80.4(a) & (b)
and 82.6(a) & (b) Banking Law
Administrative
Property of Docutech, LLC Page 188 Version 19.01
New York (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NY Lock In Agreement
Cx5099 A mortgage banker, who is licensed under
Article 12-D of the Banking Law or an
exempt organization Lenders
A mortgage loan Residential real property,
consisting of real property
improved by a 1-to-4 family,
owner-occupied dwelling
Prior to taking any points or a
lock-in fee
N.Y. Comp. Codes R. & Regs. tit. 3, §
38.6 Banking Law
New York Lock-In Agreement
Initial Disclosure NY Pre-Application
Disclosure for Licensed Bankers
Cx5100 A mortgage banker, who is licensed under
Article 12-D of the Banking Law or an
exempt organization, either of whom are
acting in a brokerage capacity Lenders
A mortgage loan Residential real property,
consisting of real property
improved by a 1-to-4 family,
owner-occupied dwelling
Prior to taking an application or collecting an
application, credit report, or
appraisal fee
N.Y. Comp. Codes R. & Regs. tit. 3, §
38.3(c)(1) Banking Law
Pre-Application Disclosure and Fee
Agreement (brokers)
Initial Disclosure Junior Lien Disclosure
Cx5283 A lender Both
A junior mortgage loan of $250,000 or less (combined with all outstanding
balances), including a
revolving credit line, in an amount of $2,500 or more
Real property improved by a 1-
to-4 family owner-occupied
residence
Prior to accepting an application.
N.Y. Comp. Codes R. & Regs. tit. 3,
§§ 80.4(c) & 80.10(b)
Banking Law
Administrative
Property of Docutech, LLC Page 189 Version 19.01
New York (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NY Application Disclosure
Cx9710 A mortgage banker, who is licensed under
Article 12-D of the Banking Law or an
exempt organization Lenders
A mortgage loan, used to finance
the purchase of a dwelling, or in
connection therewith
commitment fees or points are paid
prior to closing
Residential real property,
consisting of real property
improved by a 1-to-4 family,
owner-occupied dwelling
Prior to the taking of an application, application fee,
credit report fee, or property
appraisal fee
N.Y. Comp. Codes R. & Regs. tit 3, §
38.3(b)(1) Banking Law
Partial Administrative
Initial Disclosure
NY Title Insurance Disclosure
Cx21860 (upon request)
A person who acts as an agent,
representative, attorney, or employee of the owner, lessee, or mortgagee of the real
property
Not specified Real Property At the time of making a referral
NY Insurance Law §2113(d)
Statutory
Initial Disclosure Tangible Net Benefit Worksheet
Cx12531 (upon request)
A lender, who is either a licensed mortgage banker under Article 12-D of the Banking Law or an exempt
organization Both
A subprime loan which refinances
a home loan
Real estate improved by
either a 1-to-4 family dwelling, a condo unit, or a coop unit, which is (or will be) the
borrower’s principal dwelling
Not specified N.Y. Banking Law § 6-m(2)(h)
Bonking Law
No
Property of Docutech, LLC Page 190 Version 19.01
New York (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NY Consumer Caution Notice
Cx12865 A lender or mortgage broker, who are either licensed or registered under Article 12-D of the Banking Law or who are an exempt
organization Both
A high cost home loan
Real estate improved by a 1-
to-4 family, borrower-occupied structure
Within 3 days after determining the loan is a high-cost home loan, but no less than 10 days before
closing.
N.Y. Banking Law § 6-l(2)(l)(ii); N.Y.
Comp. Codes R. & Regs. tit. 3, §
41.3(a)(2) Banking Law
Statutory & Administrative
Initial Disclosure NY Notice to Borrower
Cx12870 A lender or a broker, who is either licensed or registered under Article 12-D of the
Banking Law or who are an exempt organization
Both
A high cost home loan
Real estate upon which is (or will
be) a 1-to-4 family, borrower-
occupied structure
At application or, if application is
made by telephone, within
3 days after determining the loan is a high-
cost home loan, but no less than 10 days before
closing.
N.Y. Comp. Codes R. & Regs. tit. 3, §
41.4(d) Banking Law
Administrative
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified, but practically at application
N.Y. Dom. Rel. Law § 10-a Domestic
Relations Law
No
Initial Disclosure Good Faith Estimate 01-01-10
Cx14221 (Federal)
A mortgage broker, who is licensed under
Article 12-D of the Banking Law
Brokers
A home loan Not specified Within 3 days after receipt of
application.
N.Y. Banking Law § 590-b(1)(e) Banking Law
12 CFR Pt. 1024, App. A
Property of Docutech, LLC Page 191 Version 19.01
New York (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NY Subprime Loan Counseling Disclosure
Cx14482 A lender or mortgage broker, who are
licensed or registered under Article 12-D of the Banking Law or who are an exempt
organization Both
A subprime home loan
Real estate improved by a 1-
to-4 family, owner-occupied
dwelling
At the time of application.
N.Y. Banking Law § 6-m(2)(j)
Banking Law
Statutory
Initial Disclosure NY FHA Mortgage Loan
Correspondent Disclosure
Cx14650 (upon request)
A FHA mortgage loan correspondent
Both
A mortgage loan Residential real property,
improved by a 1-to-4 family,
owner-occupied dwelling
Prior to accepting an application, application fee,
credit report fee, or property
appraisal fee
N.Y. Comp. Codes R. Regs. tit. 3, §
38.13(d) Banking Law
Administrative
Initial Disclosure NY Notice of Right to Select
Attorney
Cx15665 (upon request)
A mortgage broker or mortgage banker
licensed or registered under Article 12-D of
the Banking Law, or an exempt organization
Both
A mortgage loan Residential real property,
improved by a 1-to-4 family,
owner-occupied dwelling
Not specified N.Y. Comp. Codes R. & Regs. tit. 3, §
38.7(a)(11) Banking Law
No
Initial Disclosure High Cost Tangible Net
Benefit Worksheet
Cx15773 A lender, who is either a licensed mortgage banker under Article 12-D of the Banking Law or an exempt
organization Both
A high cost home loan
Real estate upon which there is (or will be) a 1-to-4 family, owner-
occupied structure
Not specified N.Y. Comp. Codes R. & Regs. tit. 3, §
41.5(b)(4) Banking Law
No
Property of Docutech, LLC Page 192 Version 19.01
New York (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NY Dual Capacity Disclosure
Cx16585 A mortgage broker, mortgage banker, or
exempt entity acting as a mortgage broker, any of which is also acting as a real estate broker
Brokers
A mortgage loan Residential real property,
improved by a 1-to-4 family,
owner-occupied dwelling
At the first substantive
contact between the broker and the borrower.
N.Y. Comp. R. & Regs. tit. 3, §
38.12 Banking Law
Administrative
Initial Disclosure NY Non-Purchase Residential
Mortgage Loan Disclosure
Cx17012 (upon request)
A mortgage banker licensed under Article 12-D of the Banking Law or an exempt
organization Lenders
A mortgage loan, the proceeds of
which are not for purchasing or construction
purposes and in connection
therewith no commitment fees or points are paid
to the lender prior to closing
Residential real property,
improved by a 1-to-4 family,
owner-occupied dwelling
At loan approval N.Y. Comp. Codes R. & Regs. tit. 3, §
38.4(b) Banking Law
No
Adverse Action Statement of Credit Denial,
Termination or Charge
Cx15858 (Federal)
Either: (1) a banking organization or
licensed mortgage banker under Article 12-D of the Banking Law which originates
mortgage loans; or (2) a creditor
Both
Either: (1) a mortgage loan; or
(2) credit
Real property Not specified N.Y. Banking Law § 6-d; N.Y. Exec. Law § 296-a(4)
Banking Law and Executive Law
12 CFR Pt. 1002, App. C; Form C-1
Property of Docutech, LLC Page 193 Version 19.01
New York (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure & Closing
Various TILA Disclosures
Cx18, Cx1591, and other TILA Disclosures (all
Federal)
A bank, trust company, savings bank, savings and loan association,
credit union, mortgage banker and branch or agency of a foreign banking corporation
licensed under Article 2 of the Banking Law
Both
A mortgage loan, which is a primary lien, which has a principal amount
of less than $250,000, and which has an
adjustable interest rate
Real property, consisting of 1-
to-4 family residences
occupied by the owner
Prior to accepting an application for
a loan
N.Y. Comp. Codes R & Regs. tit. 3, §§
82.6 & 82.9 Banking Law
12 CFR Pt. 1026, App. H
Initial Disclosure & Closing
NY Fair Credit Reporting Act
Disclosure
Cx3576 A person who intends to use a consumer
credit report in connection with a credit transaction
involving the consumer Both
An extension of credit
Not specified Before a person requests a
consumer report.
N.Y. Gen. Bus. Law § 380-b
Fair Credit Reporting Act
No
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan Both
A residential mortgage loan
A dwelling (as defined in Section 1203[v] of TILA), or residential real property, which is improved by a 1-
to-4 family residence
On the application
N.Y. Banking Law § 599-P
Banking Law
FNMA 1003 Form - Uniform Residential
Loan Application
Property of Docutech, LLC Page 194 Version 19.01
New York (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure & Closing
Credit Score Disclosure – B-
3/H-3
Cx15312 (Federal)
A banking organization and licensed mortgage
banker under Article 12-D of the Banking Law which originates
mortgage loans Both
A mortgage loan Real property Not specified, but practically after
approving a loan with materially less favorable
terms than normal
N.Y. Banking Law § 6-d
Banking Law
12 CFR Pt. 1022, App. H; 16 CFR Pt. 698, App. B; Form
B-3/H-3
Initial Disclosure & TILA Redisclosure
Notice of Right to Receive Copy of Appraisal Report
Cx17903 & 17904 (Federal)
A lender Both
A loan or forbearance
secured primarily by an interest in
real property
Real property Not specified N.Y. Real Prop. Law § 254-C(1)
Real Property Law
12 CFR Pt. 1002, App. C; Form C-9
12 CFR §
1026.35(c)(5)(i) (West 2013)
Closing Subprime or High-Cost Home Loan Legend on NY Mortgages
On Cx343 (FNMA/FHLMC),
Cx396 (FHA), Cx501, Cx16198,
& Cx16245
Not specified Both
A high-cost home loan or a
subprime home loan
Real estate improved by a 1-to-4 unit family dwelling used as the borrower’s
principal dwelling
On the mortgage N.Y. Banking Law §§ 6-l(2-a)(a) & 6-m(5); N.Y. Comp. R. & Regs. tit. 3, §
41.7 Banking Law
Statutory
Instructions to FNMA Form 3033 -
New York
Closing Fixed Rate Note New York Second
On Cx1066 A licensee (aka mortgage banker) under Article 12-D,
Chapter 2 of the Banking Law
Both
A junior mortgage loan
Residential real property,
consisting of real property
improved by a 1-to-4 family
On the note N.Y. Banking Law § 590-A(2)
Banking Law
No
Property of Docutech, LLC Page 195 Version 19.01
New York (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing NY Smoke Alarm Affidavit
Cx1419 The seller Both
A conveyance (i.e. a purchase loan)
Real property containing a 1-to-2 family dwelling
or condo unit used as a residence
Grantor provides at the time of conveyance
N.Y. Exec. Law § 378(5-b)(d)
New York State Uniform Fire
Prevention and Building Code Act
No
Closing NY Consolidation, Extension and Modification Agreement
Cx1583 Not specified Both
A refinance mortgage
(sometimes a purchase money
mortgage)
Real property At closing N.Y. Tax Law §§ 250 through 267;
FNMA 2013 Selling Guide, B8-
2-02
New York Consolidation, Extension, and Modification Agreement
Closing New York Notice of Change in Status of Tax
Escrow Accounts
Cx9443 (upon request)
A mortgage investing institution
Both
A loan with a real property tax
escrow account
A 1-to-6 family, owner-occupied
residence
No later than the 25th day of each
month
N.Y. Real Prop. Tax Law § 953(9)
RP-953 Notice of Change in Status of Tax Escrow Account
Closing NY Tax Escrow Account
Designation
Cx2657 Not specified, but practically a mortgage
investing institution Both
A loan with a real property tax
escrow account
A 1-to-6 family, owner-occupied
residence
Not specified N.Y. Real Prop. Tax § 954(1)
RP-954 Tax Escrow Account
Designation of Mortgage Investing
Institution to Receive Tax Bills
Closing NY Notice to Cosigner
Cx12871 A creditor Both
A consumer credit transaction
Not specified At closing N.Y. Gen. Oblig. Law § 15-702(3)
Statutory
Closing NY Property Insurance Escrow
Account Disclosure
Cx15034 A mortgage investing institution
Both
A loan with a real property
insurance escrow account
A 1-to-4 family, owner-occupied
residence
At the time of the establishment of the real property insurance escrow
account.
N.Y. Banking Law § 6-k(2)(f)
Banking Law
Statutory
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North Carolina
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NC Notice of Information
Cx1271 A lender Both
A home loan, which is a first lien loan with a
principal amount of less than $300,000
Real estate upon which there is located 1-to-4
family dwellings or dwelling units
Not later than closing or 3
business days after receiving an
application, whichever is
earlier.
N.C. Gen. Stat. § 24-1.1A(a1)(1)
Notice of Amortization Information &
Examples
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 Either: (1) a person, firm, or corporation engaged in lending
money; or (2) a creditor Both
A loan for the purchase of
property or a loan of money on the security
of a security instrument on the property
Real or personal property
Not specified N.C. Gen. Stat. §§ 75-17, 75-18, &
58-57-65
No
Initial Disclosure Right to Choose Attorney
Cx3846 Not specified Both
A high-cost home loan
A manufactured home or real
estate with 1-to-4 dwelling units occupied as the
borrower’s principal dwelling
Not specified N.C. Gen. Stat. Ann. § 24-
1.1E(a)(5)(b)(ii)
No
Property of Docutech, LLC Page 197 Version 19.01
North Carolina
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure NC Acknowledgement of
Fixed Rate Loan Terms and Costs
Cx13327 Any person in the course of any
residential loan transaction
Both
A residential mortgage loan, which is also a
rate spread adjustable rate
loan
A dwelling, consisting of 1-
to-4 units, or residential real
estate upon which is (or is
intended to be) a dwelling
Not specified, bet practically before brokering a rate
spread adjustable rate loan.
N.C. Gen. Stat. Ann. § 53-
244.111(13) North Carolina Secure and Fair
Enforcement (S.A.F.E.)
Mortgage Licensing Act
No
Initial Disclosure NC Loan Brokerage Agreement and Loan
Origination Disclosure Statement
Cx20008 (upon request)
A broker A loan Not specified At the time the borrower signs
the contract
N.C. Gen. Stat. Ann. § 66-110
No
Initial Disclosure NC Broker Disclosure Cx20017 (upon request)
A broker A loan Not specified At least 7 days prior to the time any person signs a broker contract
N.C. Gen. Stat. Ann. § 66-107
Yes
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier Disclosed on 1003 Uniform Residential Loan
Application
On Cx4193 (FNMA/FHLMC)
A mortgage loan originator or other
person engaged in the mortgage business
Both
A residential mortgage loan
A dwelling, consisting of 1-
to-4 units, or residential real
estate upon which is (or is
intended to be) a dwelling
On the application
N.C. Gen. Stat. Ann. § 53-244.107
North Carolina Secure and Fair
Enforcement (S.A.F.E.)
Mortgage Licensing Act
FNMA 1003 Form - Uniform Residential
Loan Application
Property of Docutech, LLC Page 198 Version 19.01
North Carolina
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure & Processing
NC Fee Information From Your Mortgage
Broker
Cx15944 A mortgage broker Brokers
A residential mortgage loan
A dwelling, consisting of 1-
to-4 units, or residential real
estate upon which is (or is
intended to be) a dwelling
In a timely manner
N.C. Gen. Stat. Ann. § 53-244.109(5)
North Carolina Secure and Fair
Enforcement (S.A.F.E.)
Mortgage Licensing Act
Model Mortgage Broker Disclosure
Form
Initial Disclosure & TILA Redisclosure
Notice of Right to Receive Copy of Appraisal Report
Cx17903 & 17904 (Federal)
A bank, savings and loan association,
savings bank, or credit union Both
A loan secured by real property
Real property Not specified N.C. Gen. Stat. Ann. § 24-10(h)
12 CFR Pt. 1002, App. C; Form C-9
12 CFR §
1026.35(c)(5)(i) (West 2013)
Closing NC Tangible Net Benefit Worksheet
Cx2031 A lender Both
A consumer home loan which
refinances another
consumer home loan
Real estate with 1-to-4 units which is the borrower’s principal dwelling
Not specified N.C. Gen. Stat. § 24-10.2(c)
No
Closing NC Renewal and Extension Agreement
Cx20015 (upon request)
A lender Both
A loan Not specified At or before registration of the deed of trust or
mortgage
N.G. Gen. Stat. Ann. § 45-80
No
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North Dakota
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure ND VA Loan Applicants Disclosure
Cx1602 A lender Lenders
A mortgage loan insured or
guaranteed by the United States
Veteran’s Administration
Real property At application N.D. Cent. Code Ann. § 35-03-01.3
Statutory
Initial Disclosure ND Money Broker Contract
Cx1904 A money broker Both
A loan Not specified Before the money broker performs any services for a
potential borrower
N.D. Admin. Code §§ 13-05-01-02, 13-05-01-05, &
13-05-01-09
Partial Administrative
Initial Disclosure ND Money Broker Loan Disclosure
Statement
Cx1905 A money broker Both
A loan Not specified When a loan is arranged
N.D. Admin. Code 13-05-01-03 & 13-05-01-04
Partial Statutory
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A person Both
A purchase loan or a lending of money on the
security of property
Property Not specified N.D. Cent. Code Ann. § 26.1-04-04
No
Initial Disclosure Privacy Policy Notice
Cx15182 (Federal)
A financial institution Both
Not specified Not specified Generally, before disclosure of
customer information to
any person
N.D. Cent. Code Ann. §§ 6-08.1-03 & 6-08.1-04; N.D.
Admin. Code § 13-02-21-01
12 CFR Pt. 1016, App. A
Property of Docutech, LLC Page 200 Version 19.01
North Dakota
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan Both
A residential mortgage loan
A dwelling (as defined as Section 103[w] of TILA) or
residential real estate upon which is (or is intended to be) a dwelling
On the application
N.D. Cent. Code Ann. § 13-10-21
FNMA 1003 Form - Uniform Residential
Loan Application
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Ohio (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A person Both
A lending of money, extension of credit, renewal of an extension of credit, or a
residential mortgage
Residential and real property, including a mobile or
manufactured home
Not specified Ohio Rev. Code Ann. §§ 3901.211 &
3933.04
No
Initial Disclosure OH Affiliated Agreement Disclosure
Cx3843 A lending institution, service corporation, or any person engaged in providing real estate brokerage services
Both
A real estate loan Real estate Not specified Ohio Rev. Code Ann. § 1349.11
No
Initial Disclosure OH Addendum to Uniform Residential
Loan Application
Cx4689 A creditor Both
Credit Not specified At application Ohio Rev. Code Ann. § 4112.021(B)(1)(g)
Statutory
Initial Disclosure OH Escrow Account Disclosure
Cx11197 (upon
request)
A licensee or registrant under Chapter 1321,
Title 13 of Ohio’s Revised Code (aka the Mortgage Loan Act)
Lenders
A non-brokered loan secured by a
lien on real property
Real property Not earlier than 3 business days nor
late than 24 hours before
closing
Ohio Rev. Code Ann. § 1321.592(A) &
§1322.063(A) Mortgage Loan Act
Ohio Mortgage Broker Act (OMBA)
Notice of Escrow Taxes/Insurance
and Regular Monthly Payment
Property of Docutech, LLC Page 202 Version 19.01
Ohio (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Good Faith Estimate 01-01-10
Cx14221 (Federal)
A licensee or a registrant under
Chapter 1322, Title 13 of Ohio’s Revised Code
(aka the Mortgage Broker Act)
Both
A residential mortgage loan
A dwelling (as defined in
Section 103 of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Within 3 business days after taking
an application
Ohio Rev. Code Ann. § 1322.062(D); Ohio
Admin. Code 1301:8-7-15(D)
Mortgage Broker Act
Mortgage Loan Origination Disclosure Statement [MLODS]
Addendum
12 CFR Pt. 1024, App. C
Initial Disclosure OH Escrow Account
Disclosure Cx11205
(upon request)
A licensee or a registrant under
Chapter 1322, Title 13 of Ohio’s Revised Code
(aka the Mortgage Broker Act)
Brokers
A residential mortgage loan
A dwelling (as defined in
Section 103 of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Not earlier than 3 business days nor
later than 24 hours before
closing
Ohio Rev. Code Ann. § 1322.063
Mortgage Broker Act
Ohio Mortgage
Broker Act (OMBA)
Escrow of Taxes & Regular Monthly
Payment
Initial Disclosure OH Business Relationship
Disclosure Notice
Cx12271 A licensee or a registrant under
Chapter 1322, Title 13 of Ohio’s Revised Code
(aka the Mortgage Broker Act), including
people who are required to be
registered or licensed Both
A residential mortgage loan
A dwelling (as defined in
Section 103 of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Before referring the buyer to any
settlement service provider.
Ohio Code Ann. § 1322.075; Ohio
Admin. Code 1301:8-7-25
Mortgage Broker Act
Business Relationships
Disclosure Notice
Property of Docutech, LLC Page 203 Version 19.01
Ohio (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure OH Notice of Change in Mortgage Terms
Cx12463 (upon
request)
Either: (1) a licensee or registrant under Sections 1321.51
through 1321.60 of Ohio’s Revised Code (aka the Mortgage Loan Act); or (2) A
licensee or a registrant under Chapter 1322,
Title 13 of Ohio’s Revised Code (aka the Mortgage Broker Act)
Both
Either: (1) a non-brokered residential
mortgage, which is not secured by a first lien on real
estate; or (2) a residential
mortgage loan
A dwelling (as defined in
Section 103 of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Either: (1) under the same timing
requirements as a TIL; or (2) Not later than 24
hours after the information in
Cx3472 changes, or 24 hours
before the loan is closed, whichever
is earlier
Ohio Rev. Code Ann. §§ 1321.594,
1322.062(B), & 1322.064
Mortgage Broker Act and Mortgage Broker
Act
Notice of Change in Mortgage Terms
Initial Disclosure Tangible Net Benefit Worksheet
Cx12531 (upon
request)
A creditor Both
A covered loan which refinances another covered
loan within 1 year, excluding a
residential mortgage transaction
Property used as the consumer’s
principal dwelling
Not specified Ohio Code Ann. § 1349.27(G)
No
Initial Disclosure OH Verification of Pre-purchase
Counseling and Acknowledgment of
Risk Disclosure
Cx13488 A creditor Both
A covered loan, excluding a residential mortgage transaction
Property used as the consumer’s
principal dwelling
Before consummation
Ohio Rev. Code Ann. § 1349.27(K)
Pre-purchase Counseling Verification
Property of Docutech, LLC Page 204 Version 19.01
Ohio (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure OH Conflict of Interest Disclosure
Cx13605 (upon
request)
A registrant under the Second Mortgage Loan
Act (Ohio Rev. Code Ann. §§ 1321.51
through 1321.60) Both
A residential mortgage loan
A dwelling (as defined in
Section 103 of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Prior to furnishing or
placing insurance
Ohio Admin. Code 1301:8-3-17(D)
Second Mortgage Loan Act
No
Initial Disclosure OH Conflict of Interest Disclosure
Upon Request
A registrant under the Small Loan Act
Both
A residential mortgage loan
for $5,000 or less
A dwelling (as defined in
Section 103 of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Prior to Furnishing or
Placing Insurance
Ohio Admin. Code 1301:8-2-16(D) Small Loan Act
No
Initial Disclosure OH Insurance Notice to Applicant
Cx13606 (upon
request)
A registrant under the Second Mortgage Loan
Act (Ohio Rev. Code Ann. §§ 1321.51
through 1321.60) Both
A residential mortgage loan
A dwelling (as defined in
Section 103 of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
At the time the loan is made
Ohio Admin. Code 1301:8-3-17(B)
Second Mortgage Loan Act
No
Property of Docutech, LLC Page 205 Version 19.01
Ohio (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure OH Insurance Notice to Applicant
Upon Request
A registrant under the Small Loan Act
Both
A residential mortgage loan
for $5,000 or less
A dwelling (as defined in
Section 103 of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
At the time the loan is made
Ohio Admin. Code 1301:8-2-16(B) Small Loan Act
No
Initial Disclosure Section 32 Mortgage Loan Disclosure
Cx17901 & 17902
(Federal)
A creditor Both
A covered loan A consumer’s principal dwelling
No less than 3 business days
prior to consummation
Ohio Rev. Code Ann. § 1349.26
12 CFR Pt. 1026, App. H; Form H-16
Initial Disclosure OH Intent to Build Attestation
Upon Request
Not specified A residential mortgage
Residential real estate
Not specified Ohio Rev. Code Ann. § 1322.01(HH)
No
Initial Disclosure & TILA Redisclosure
OH Notice of Change in Mortgage Terms
Cx12463 (upon
request)
A registrant under the Second Mortgage Loan
Act (Ohio Rev. Code Ann. §§ 1321.51
through 1321.60) Both
A residential mortgage loan
A consumer’s principal dwelling
No later than 24 hours before the change occurs, or 24 hours before
closing
Ohio Rev. Code Ann. §§ 1321.594,
1322.062(B) & 1322.064
Statutory
Initial Disclosure & Closing
OH Homebuyers’ Protection Act
Cx11195 A supplier (i.e. a loan officer, mortgage
broker, or nonbank mortgage lender)
Both
A residential mortgage
Real property containing (or
which shall contain) 1-to-2 residential units
At application, or within 5 days if
application is not submitted in
person.
Ohio Rev. Code Ann. § 1345.05(A)(4) & (G);
Ohio Admin. Code 109:4-3-29
Ohio Homebuyers' Protection Act - Informational
Document
Property of Docutech, LLC Page 206 Version 19.01
Ohio (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure & Closing
OH Acknowledgement of
Receipt of Home Mortgage Loan Informational
Document
Cx12447 A supplier (i.e. a loan officer, mortgage
broker, or nonbank mortgage lender)
Both
A residential mortgage
Real property containing (or
which shall contain) 1-to-2 residential units
At application, or within 5 business
days if application is not
submitted in person.
Ohio Rev. Code Ann. § 1345.05(G); Ohio
Admin. Code 109:4-3-29 & 109:4-3-29
Appendix
Acknowledgment
of Receipt of Home Mortgage
Loan Informational Document
Initial Disclosures & Closing
OH Promise to Refinance Loan
Cx16235 (upon
request)
A registrant or a licensee under Chapter 1322, Title 13 of Ohio’s Revised Code (aka the Mortgage Broker Act),
including people required to be a
registrant or licensee, and a sole proprietor
Both
A residential mortgage loan
A dwelling (as defined in
Section 103 of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
At the time the indebtedness is
incurred
Ohio Rev. Code Ann. § 1322.07(H)
Mortgage Broker Act
No
Closing OH Closing Disclosure
Cx11267 A supplier (i.e. a loan officer, mortgage
broker, or nonbank mortgage lender)
Both
A consumer transaction
connected with a residential mortgage
Real property containing (or
which shall contain) 1-to-2 residential units
At closing Ohio Rev. Code Ann. § 1345.031(B)(8);
Ohio Admin. Code 109:4-3-23 & 109:4-
3-23 Appendix
Closing Disclosure Form
Property of Docutech, LLC Page 207 Version 19.01
Ohio (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing OH Statutory Authority Disclosure
Cx13536 A registrant under the Second Mortgage Loan
Act (Ohio Rev. Code Ann. §§ 1321.51
through 1321.60) Both
A residential mortgage loan
A dwelling (as defined in
Section 103 of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
With the loan documents
Ohio Admin. Code 1301:8-3-07(H)
Second Mortgage Loan Act
No
Closing OH Statutory Authority Disclosure
Upon Request
A registrant under the Small Loan Act
Both
A residential mortgage loan
for $5,000 or less
A dwelling (as defined in
Section 103 of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
With the loan documents
Ohio Admin. Code 1301:8-2-07(G) Small Loan Act
No
Closing OH ARM Disclosure Cx13537 A registrant under the Second Mortgage Loan
Act (Ohio Rev. Code Ann. §§ 1321.51
through 1321.60) Both
A residential mortgage loan
A dwelling (as defined in
Section 103 of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
At least 6 months, but not more
than 7 months, in advance of the
initial scheduled interest reset
date
Ohio Admin. Code 1301:8-3-07(G)(3) Second Mortgage
Loan Act
No
Property of Docutech, LLC Page 208 Version 19.01
Ohio (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing OH Optional Credit Insurance
Cx16236 Not specified A loan or credit transaction,
which is generally secured
by a junior lien
Not specified At the time the indebtedness is
incurred
Ohio Rev. Code Ann. § 3918.06(D); Ohio
Admin. Code 3901-1-14(B)(4) & 3901-1-14,
App. I
Administrative
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Property of Docutech, LLC Page 209 Version 19.01
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Oklahoma (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2788 Either: (1) any person who is engaged in the business of insurance;
or (2) a lender Both
Either: (1) a loan of money upon the security of
real or personal property; or (2)
a residential mortgage
Real or personal property, including residential property
Not specified Okla. Stat. Ann. tit. 36, §§ 1204(9)
& 3639.3 Oklahoma
Insurance Code
No
Initial Disclosure OK Insurance Notice to Obligor
Cx3324 A creditor Both
A Subsection 10 mortgage
A consumer’s principal dwelling
No later than the time of closing
Okla. Stat. Ann. tit. 14A, § 4-113
Uniform Consumer Credit
Code - Loans
Statutory
Initial Disclosure OK Subsection 10 Mortgage Loan
Disclosure
Cx3325 A creditor Both
A Subsection 10 mortgage
A consumer’s principal dwelling
Not less than 3 business days
prior to consummation.
Okla. Stat. Ann. tit. 14A, § 3-
309.4(1) Uniform
Consumer Credit Code - Loans
Statutory
Initial Disclosure OK Title Protection Notice
Cx3851 A mortgagee Both
A financing for the purchase of property (i.e. a
purchase money mortgage)
Real property which is either
improved property or unimproved
property which is purchased with a construction loan
At the time of application
Okla. Stat. Ann. tit. 46, § 20
No
Property of Docutech, LLC Page 210 Version 19.01
Oklahoma (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Good Faith Estimate 01-01-10 and other Initial
RESPA Disclosures
Cx14221 and other RESPA
Disclosures (all Federal)
A mortgage broker or mortgage loan
originator Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon which is (or is intended
to be) constructed such
a dwelling
Upon receipt of a loan application
and before receipt of any money from a
borrower
Okla. Stat. Ann. tit. 59, §
2095.15(B) Oklahoma Secure
and Fair Enforcement for
Mortgage Licensing Act
12 CFR Pt. 1024, App.
Initial Disclosure Tangible Net Benefit Worksheet
Cx15773 (upon request)
A creditor Both
A “Subsection 10” mortgage, which
refinances a consumer loan in which the value of
the collateral is substantial in relation to the
loan amount and the finance
charge exceeds 13% per year.
A consumer’s principal dwelling
Not specified Okla. Stat. Ann. tit. 14A, § 3-411
Uniform Consumer Credit
Code - Loans
No
Initial Disclosure Cost of Insurance Disclosure
Cx16488 A lender Both
A consumer loan, in which the value of the collateral is
substantial in relation to the
loan amount and the finance
charge exceeds 13% per year.
An interest in land Not specified, but practically before assessing charges
for additional insurances
Okla. Stat. Ann. tit. 14A, § 3-
202(3)(a) & (3)(b) Uniform
Consumer Credit Code - Loans
No
Property of Docutech, LLC Page 211 Version 19.01
Oklahoma (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, TILA Redisclosure,
& Closing
All TILA Disclosures
Cx18, Cx1591, and other TILA Disclosures (all
Federal)
A lender Both
A consumer loan, in which the value of the collateral is
substantial in relation to the loan amount
An interest in land, including the borrower’s
principal dwelling
Various Okla. Stat. Ann. tit. 14A, §§ 3-301
through 313 Uniform
Consumer Credit Code - Loans
12 CFR Pt. 1026, App. G & H
Initial Disclosure & Closing
Important Terms of HELOC and
What You Should Know About
Home Equity Lines of Credit Brochure
Cx1472 (Federal)
A creditor Both
A revolving loan account plan
A consumer’s principal dwelling, including second
or vacation homes
At application Okla. Stat. Ann. tit. 14A, § 3-309.2
Uniform Consumer Credit
Code – Loans
12 CFR Pt. 1026, App. G; Form G-15
What You Should
Know About Home Equity Lines of
Credit Initial Disclosure,
Processing, Underwriting, &
Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
A licensed mortgage broker or mortgage
loan originator under the Oklahoma Secure and Fair Enforcement
for Mortgage Licensing Act
Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon which is (or is intended
to be) constructed such
a dwelling
On the application
Okla. Stat. Ann. tit. 59, § 2095.4
Oklahoma Secure and Fair
Enforcement for Mortgage
Licensing Act
FNMA 1003 Form - Uniform Residential
Loan Application
Closing HELOC Agreement – OK and HELOC
Plan – Billing Rights
Cx1326 & Cx1478
(Federal)
A creditor Both
A revolving loan account plan
Not specified, but can include a consumer’s
principal dwelling
Before opening the account
Okla. Stat. Ann. tit. 14A, § 3-309
Uniform Consumer Credit
Code - Loans
12 CFR Pt. 1026, App. G; Form G-3
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Property of Docutech, LLC Page 212 Version 19.01
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Oregon (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Servicing Disclosure Statement
Cx20 (Federal) A person in connection with a mortgage loan
Both
A mortgage loan Real estate Not specified Or. Admin. R. 441-870-0070(1)
Oregon Mortgage Lender Law
12 CFR Pt. 1024, App. MS-1
Initial Disclosure OR Escrow Account
Statement
Cx2761 A mortgage servicing company
Both
A real estate loan Residential property, including
multifamily property,
occupied by borrower
Prior to entering into a real estate loan agreement
Or. Rev. Stat. Ann. § 86.270
No
Initial Disclosure OR Escrow Account Option
Notice
Cx2775 A lender Both
A real estate loan Residential property, including
multifamily property,
occupied by borrower
Before arranging for prepayments
of taxes, insurance, and similar charges.
Or. Rev. Stat. Ann. § 86.255
No
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A depository institution Both
A loan of money or extension of
credit
Property Not specified Or. Rev. Stat. Ann. § 746.215
No
Initial Disclosure Advanced Fee/Application
Disclosure
Cx2783 A mortgage banker or mortgage broker
Both
Not specified Not specified Prior to or at the time of receipt of
advance fees.
Or. Admin. R. 441-875-0030(8)
No
Property of Docutech, LLC Page 213 Version 19.01
Oregon (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure OR Float or Lock Agreement
Cx4297 A mortgage banker, mortgage broker, or
mortgage loan originator
Both
Residential or single family
loans
Not specified Not specified Or. Admin. R. 441-850-
0005(21), 441-865-0060(1)(c), & 441-870-0030(2)
Interest Rate Lock/Float
Agreement 440-4828
Initial Disclosure OR Late Charge Notice
Cx4679 A lender, except for a mortgage banking or mortgage servicing
company Both
A loan secured by residential real
property
Residential real property
Prior to execution of the mortgage
Or. Rev. Stat. Ann. §§ 86.165 &
86.180
No
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified, but practically with the application
Or. Rev. Stat. Ann. § 106.340
Oregon Family Fairness Act
No
Initial Disclosure OR Conflict of Interest Disclosure
Cx13604 (upon request)
A person, mortgage banker or mortgage broker, or mortgage
loan originator Both
A mortgage loan Not specified Before negotiating loan
terms.
Or. Admin. R. 441-870-0030(4)
No
Initial Disclosure OR Spanish Good Faith Estimate,
Spanish General Disclosure, &
Spanish Truth-in-Lending
Disclosure
Cx15656, Cx15657, & Cx15658 (all
Spanish)
A mortgage banker, mortgage broker, or
mortgage loan originator
Both
A residential mortgage transaction
Property upon which is a 1-to-4
residential dwelling units
When soliciting or negotiating
business with a borrower in
Spanish
Or. Rev. Stat. Ann. § 86A.198
Oregon Mortgage Lender Law
Model Forms
Property of Docutech, LLC Page 214 Version 19.01
Oregon (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
A licensed mortgage loan originator under Chapter 86A, Title 9 of
Oregon’s Revised Statutes
Both
A residential mortgage loan
Property upon which is a 1-to-4
residential dwelling units
On the application
Or. Rev. Stat. Ann. § 86A.239
FNMA 1003 Form - Uniform Residential
Loan Application
Initial Disclosure, TILA Redisclosure,
& Closing
Itemization of Amount Financed
01-01-10
Cx14644 (Federal)
A licensee under the Oregon Consumer
Finance Act (Or. Rev. Stat. Ann. §§
725.010 through 725.990)
Both
A loan, which is subject to the
Oregon Consumer
Finance Act (a consumer finance
loan)
Real property At the time each loan is made
Or. Admin. R. 441-730-0240
Oregon Consumer
Finance Act
12 CFR Pt. 1026, App. H; Form H-3
Closing Prepayment Note Addendum
Cx31 Any person making a loan, including a lender
Both
Loans, including mortgage loans
and loans of more than 3 years secured by a
mortgage
Real property With the loan agreement
Or. Rev. Stat. Ann. §§ 82.160, 82.170,
& 86.150; Or. Admin. R. 441-
870-0040
Partial Statutory
Partial Administrative
Closing All Oregon Deeds of Trust
Cx346 (FNMA/FHLMC), 399 (FHA), 504,
& 1370
Not specified Both
Not specified Real estate An instrument is presented to a county clerk for
recording
Or. Rev. Stat. Ann. § 205.234
No
FNMA Form 3038 - Oregon
Closing OR Collateral Protection Insurance Disclosure
Cx1007 The secured party Both
A loan Real property With the contract or loan
agreement
Or. Rev. Stat. Ann. § 746.201
Statutory
Property of Docutech, LLC Page 215 Version 19.01
Oregon (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing HUD-1 01-01-10 Cx14222 (Federal)
A licensee under the Oregon Consumer
Finance Act Both
A loan, presumably a
consumer finance loan
Real property At the time any loan is made
Or. Rev. Stat. Ann. § 725.360(1)
Oregon Consumer
Finance Act
12 CFR Pt. 1024, App. A
Closing OR Statute of Frauds Disclosure
Cx14718 A financial institution, a consumer finance
company, a mortgage banker Both
A loan or extension of
credit for a non-consumer purpose
Not specified, but generally does not apply to
residential real property
consisting of 1-to-4 dwelling units, one of which is the borrower’s residence
Not later that the time the loan is initially made.
Or. Rev. Stat. Ann. § 41.580(3)
Statutory
Click here for Table of Contents
Property of Docutech, LLC Page 216 Version 19.01
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Pennsylvania (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 Any person, especially a licensed insurance producer under the
Insurance Department who is an employee of a financial institution
Both
A loan Real or personal property
Before or at application
18 Pa. Cons. Stat. Ann. § 7309; 40 Pa. Stat. Ann. § 310.76(a) & (b) The Insurance
Department Act of 1921
No
Initial Disclosure PA High Cost Loan Disclosure
Cx3590 A lender or a mortgage broker Both
A covered loan, which is a non-
purchase consumer credit
mortgage loan of less than $100,000
A consumer’s principal dwelling
At least 3 business days
prior to consummation.
63 Pa. Stat. Ann. § 456.512(a)
Statutory
Initial Disclosure PA Application Disclosure
Cx3738 A licensee under the Mortgage Licensing
Act Both
A mortgage loan A dwelling (as defined in Section 103[w] of TILA) or
residential real estate
At the time of application
7 Pa. Cons. Stat. Ann. § 6121(10)
Mortgage Licensing Act
No
Initial Disclosure PA Consumer Mortgage
Disclosure Form
Cx14079 (upon request)
A licensee under the Mortgage Licensing Act (7 Pa. Cons. Stat. Ann. §§ 6101 through
6153) or the Consumer Discount Company Act
(7 Pa. Stat. Ann. §§ 6201 through 6219)
Both
A loan (a mortgage loan or a loan involving a
mortgage)
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate
Within 3 business days after
application is received or prepared.
10 Pa. Code § 46.2(b) & (c) Mortgage
Licensing Act and Consumer Discount
Company Act
Consumer Mortgage
Disclosure Form - click on the Forms & Applications tab on the bottom of
the screen
Property of Docutech, LLC Page 217 Version 19.01
Pennsylvania (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure PA Lock-In Agreement
Cx15748 (upon request)
A licensee under the Mortgage Licensing
Act Lenders
A mortgage loan A dwelling (as defined in Section 103[w] of TILA) or
residential real estate
Not specified 7 Pa. Cons. Stat. Ann. §§ 6102, 6121(11) &
6123(7) Mortgage
Licensing Act
No
Initial Disclosure Cost of Insurance Disclosure
Cx16488 A mortgage lender Lenders
A mortgage loan A dwelling (as defined in Section 103[w] of TILA) or
residential real estate
When the consumer elects to obtain certain
insurances
7 Pa. Cons. Stat. Ann. § 6122(a)(3)
Mortgage Licensing Act
No
Initial Disclosure CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Prior to the execution of a
contract or agreement
between the buyer and the
CSO or prior to the CSO receiving any consideration, whichever occurs
first
73 Pa. Stat. Ann. §§ 2184 & 2185 Credit Services
Act
No
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified 73 Pa. Stat. Ann. § 2186
Credit Services Act
Statutory
Initial Disclosure PA Commitment Agreement
Cx19064 (upon request)
A mortgage lender Lenders
A residential mortgage loan
Not specified When the residential
mortgage is entered into
41 Pa. Stat. Ann § 303§ 30
10 Pa. Code §§7.5& 46.2(k)(3)
No
Property of Docutech, LLC Page 218 Version 19.01
Pennsylvania (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure & Closing
All RESPA and TILA Disclosures
Cx18, Cx1591, Cx14221,
Cx14222, and many others (all Federal)
An institution (i.e. a bank or a bank and
trust company) Both
A loan or extension of
credit
Not specified At various times 7 Pa. Stat. Ann. § 303(c)
Banking Code of 1965
12 CFR Pt. 1024 App. & 12 CFR Pt. 1026, App. G & H
Initial Disclosure & Closing
PA Optional Insurance Notice
Cx1027 A lender Both
A covered loan, which is a non-
purchase consumer credit
mortgage loan of less than $100,000
A consumer’s principal dwelling
Not later than the time of closing.
63 Pa. Stat. Ann. § 456.512(f)(2)
Statutory
Initial Disclosure & TILA Redisclosure
Property Insurance
Consent on Truth-in-Lending Disclosure
On Cx1591, Cx18565 (Federal)
Mortgage lenders Both
A mortgage loan A dwelling (as defined in Section 103[w] of TILA) or
residential real estate
Not specified 7 Pa. Cons. Stat. Ann. § 6122(a)(4)
Mortgage Licensing Act
12 CFR Pt. 1026, App. H
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
A mortgage originator Both
A mortgage loan A dwelling (as defined in Section 103[w] of TILA) or
residential real estate
On the application
7 Pa. Cons. Stat. Ann. § 6121(14)
Mortgage Licensing Act
FNMA 1003 Form - Uniform Residential
Loan Application
Closing HELOC Agreement – PA
Cx1349 An institution (i.e. a bank or a bank and
trust company) Both
A loan or extension of
credit
Not specified Not specified, but practically before making the loan
or extending credit
7 Pa. Stat. Ann. § 303(d)
Banking Code of 1965
No
Property of Docutech, LLC Page 219 Version 19.01
Pennsylvania (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing UDAP Disclosure UR A seller Both
Goods or services, which involve a note or other evidence of
indebtedness
Not specified At the time of the sale or contract
73 Pa. Stat. Ann. § 201-7(b) Unfair Trade Practices and Consumer Protection Law
Statutory
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Property of Docutech, LLC Page 220 Version 19.01
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Puerto Rico (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lenders/Brokers/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure PR Anti-Coercion Insurance Disclosure
Cx18546 A person Both
A loan Not specified Not specified P.R. Laws Ann. tit. 26, § 2713
Insurance Code of Puerto Rico
No
Initial Disclosure PR Conflict of Interest Disclosure
Cx18547 A grantee, member of the Board of Directors,
of the Committee, executive officer,
official, employee or agent of the grantee,
who is acting on behalf of more than one party
to the transaction Both
A mortgage loan or loans
Real property Before acting on behalf of more
than one parties to the transaction
P.R. Laws Ann. tit. 7, § 1057a(4)
Mortgage Institutions Act
No
Initial Disclosure, TILA Redisclosure,
& Closing
RESPA and TILA Disclosures
Cx18, 14221, and others (all
Federal)
Any person granting loans under the
regulation Both
Not specified, but practically
mortgage loans
Real property Various times P.R. Regs. CIF Reg. 5722(10)(B) & (11)
12 CFR Pt. 1024, App.
12 CFR Pt. 1026,
App. G & H Initial Disclosure, TILA Redisclosure,
& Closing
Itemization of Amount Financed 01-01-10 or PR
HELOC Breakdown of Costs
Disclosure
Cx14644 (Federal) or
Cx18548
A grantee, member of the Board of Director,
of the Committee, executive officer,
official, employee or agent of the grantee.
Both
A mortgage loan or loans
Real property Before granting the loan or loans
P.R. Laws Ann. tit. 7, § 1057a(14)
Mortgage Institutions Act
12 CFR Pt. 1026, App. H, Form H-3
Property of Docutech, LLC Page 221 Version 19.01
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Rhode Island
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure RI Notice of Nonrefundability
of Loan Fees
Cx3575 A loan originator, broker, or lender
Both
A secured mortgage loan
Real estate with dwelling houses of not more than
4
Not later than 3 business days
after the application
R.I. Gen. Laws § 34-23-6
Statutory
Initial Disclosure Anti-Coercion Insurance
Cx3750 Any person who lends money or extends credit, including
lending institutions and bank holding companies
Both
Either: (a) a mortgage; or (b)
a loan or extension of
credit
Real or personal property
Not specified R.I. Gen. Laws § 27-5-3.2 & 27-
29-4(9)(iv) & (10)
No
Initial Disclosure RI Right to Choose Title
Agent/Attorney
Cx3847 A lending institution Both
A mortgage loan, residential
mortgage loan, or commercial
mortgage loan
Real estate Not specified R.I. Gen. Laws §§ 19-9-5 & 19-9-6
No
Initial Disclosure RI Addendum to Uniform
Residential Loan Application
Cx5103 A financial institution Both
A loan secured by an interest in real
estate
Real estate At application R.I. Gen. Laws § 19-9-32
No
Property of Docutech, LLC Page 222 Version 19.01
Rhode Island
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure RI Prohibited Acts of Lenders and Loan Brokers
Cx11241 Lenders and loan brokers
Both
A home loan Real estate with a 1-to-4 family
dwelling used as the borrower’s
principal residence
No later than 3 business days of
application.
R.I. Gen. Laws §§ 34-25.2-1
through 34-25.2-15; R.I. Code R. 11-2-3 App. 5,
Form 1 Rhode Island Home Loan
Protection Act
Administrative Form 1 – Prohibited Acts and Practices
Disclosure Regarding All Home
Loans
Initial Disclosure RI Tangible Net Benefit
Cx11242 A creditor Both
A home loan which refinances
a previous (home) loan which was consummated within the prior
60 months
Real estate with a 1-to-4 family
dwelling used as the borrower’s
principal residence
Prior to or upon consummation of
the loan
R.I. Gen. Laws §§ 34-25.2-1
through 34-25.2-15; R.I. Code R.
11-2-3:5(A)(v) & App. 5, Form 3 Rhode Island Home Loan
Protection Act
Administrative Form 3 – Tangible
Net Benefit Disclosure
Initial Disclosure RI High Cost Related Prohibited
Acts of Lenders and Loan Brokers
Cx11408 A creditor Both
A home loan Real estate with a 1-to-4 family
dwelling used as the borrower’s
principal residence
No later than 3 business days of
application.
R.I. Gen. Laws §§ 34-25.2-1
through 34-25.2-15; R.I. Code R.
11-2-3:5(A)(iv) & App. 5, Form 2 Rhode Island Home Loan
Protection Act
Administrative Form 2 – Prohibited Acts and Practices
Disclosure Regarding High-Cost Home Loans
Property of Docutech, LLC Page 223 Version 19.01
Rhode Island
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure RI Home Loan Protection Act
Disclosure
Cx12089 A creditor Both
A high-cost home loan
Real estate with a 1-to-4 family
dwelling used as the borrower’s
principal residence
Upon determination
that a high-cost home loan is
being obtained.
R.I. Gen. Laws Ann. §§ 34-25.2-1 through 34-25.2-15; R.I. Code R.
11-2-3:5(D)(iii) & App. 5, Form 5 Rhode Island Home Loan
Protection Act
Administrative Form 5 – Consumer Caution and Home
Ownership Counseling Notice and Certification
Initial Disclosure RI Form 4 HLPA Cx12090 A creditor Both
A high-cost home loan
Real estate with a 1-to-4 family
dwelling used as the borrower’s
principal residence
Upon determination
that a high-cost home loan is
being obtained
R.I. Gen. Laws Ann. §§ 34-25.2-1 through 34-25.2-15; R.I. Code R.
11-2-3:5(D)(iii) & App. 5, Form 4 Rhode Island Home Loan
Protection Act
Administrative Form 4 – Rhode Island High-Cost
Home Loan Protection Act
Disclosure
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified, but practically with the application
R.I. Gen. Laws Ann. § 15-3.1-6; R.I. Gov. Exec. Order 12-02
No
Property of Docutech, LLC Page 224 Version 19.01
Rhode Island
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure RI Financial Institution
Insurance Sales Privacy Notices
Cx17887, 17888, & 17889 (all
upon request)
Licensees under the Banking and Insurance Consumer Protection
Act (R.I. Gen. Laws Ann. §§ 27-58-1 through 27-
58-13) Both
Not specified, but one in which an
insurance product offered by the
licensee is sought
Not specified Before disclosing any nonpublic,
personal financial information to a
nonaffiliated third party
R.I. Admin. Code § 11-5-99:5, 7, &
8 Banking and
Insurance Consumer
Protection Act
R.I. Admin. Code § 11-5-99:A
Initial Disclosure RI Commitment Agreement
Cx19062 (upon request)
A person who lends money or extends
credit, and who solicits insurance Lenders
A first mortgage credit extension
Real property Before soliciting insurance for the protection of real
property
R.I. Gen. Laws Ann. § 27-29-
4(9)(iii)(A)
No
Initial Disclosure RI Unemployment Insurance Disclosure
UR Either: (1) not specified; or (2) a lender or loan
broker Both
Either: (1) an extension of
credit; or (2) a loan
Not specified Not specified R.I. Gen. Laws Ann. §§ 6-26-
2(c)(1)(iii) & 19-14.1-3
No
Initial Disclosure RI Privacy Notice UR A licensee under the Financial Institution
Insurance Sales Act (R.I. Gen. Laws Ann. §§ 27-58-1 through 27-58-
13) Both
Not specified Not specified Before the licensee discloses
any nonpublic personal financial
information about the
consumer to any nonaffiliated third
party
R.I. Code R. 11-5-99
Financial Institution
Insurance Sales Act
Administrative
Property of Docutech, LLC Page 225 Version 19.01
Rhode Island
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure RI Depository Institution Insurance Disclosure
UR A person, particularly a financial institution
Both
Either: (1) a banking product or service, or a
loan of money or extension of
credit; (2) any loan for which
insurance is required; or (3) a banking product
or service
Not specified Prior to the signing of a loan
or mortgage application
R.I. Gen. Laws Ann. §§ 27-58-6 & 27-58-7; R.I.
Code R. 11-5-90:4 & 11-5-90:5
Financial Institution
Insurance Sales Act
No
Initial Disclsoure RI Unemployment Insurance Disclosure
Cx20859 (upon request)
A lender or loan broker Both
A mortgage loan Not specified Not specified R.I. Gen Laws §§ 6-26-2(c)(1)(iii) &
19-14.1-3
No
Adverse Action Statement of Credit Denial,
Termination, or Change
Cx15858 (Federal)
A user of a credit report Both
Credit for personal, family,
or household purposes
Not specified Not specified R.I. Gen. Laws Ann. § 6-13.1-
21(b) Unfair Trade Practice and Consumer
Protection Act
12 CFR Pt. 1002, App. C; Form C-1
Property of Docutech, LLC Page 226 Version 19.01
Rhode Island
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier Disclosed on 1003 Uniform Residential Loan
Application
On Cx4193 (FNMA/FHLMC)
A person originating a residential mortgage
loan Both
A residential mortgage loan
A dwelling (as defined in Section
103[w] of TILA) or residential real
estate upon which is (or Is
intended to be) a dwelling
On the application
R.I. Gen. Laws § 19-14.10-21
Secure and Fair Enforcement
Mortgage Licensing Act of
2009
FNMA 1003 Form - Uniform Residential
Loan Application
Initial Disclosure & Adverse Action
RI Appraisal Fee Disclosure and Addendum to Statement of Credit Denial,
Termination, or Change
Cx5102 & Cx15905
A lending institution Both
A mortgage loan Real estate Prior to receiving an appraisal fee.
R.I. Gen. Laws § 19-9-3
No
Closing All RI Promissory Notes and Security
Instruments
Cx5 (FNMA/FHLMC),
Cx348 (FHA), Cx401, Cx506, Cx3064, and
others
A lender or loan broker Both
A loan Not specified On the note or security
instrument (closings)
R.I. Gen. Laws Ann. § 19-14.1-1
FNMA Notes
FNMA Form 3040
FHA Model Mortgage
Property of Docutech, LLC Page 227 Version 19.01
Rhode Island
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Penalty Disclosure, Rider, and Addendum
Cx12387, & Cx12388
A bank, trust company, loan company, building-loan
association, credit union, finance
company and other person(s)
Both
A loan secured by a mortgage
Real estate containing
dwelling houses of not more than 4 dwelling units
In the mortgage note
R.I. Gen. Laws § 34-23-5
No
Closing Homestead Waiver on all RI
Mortgages and RI Waiver of
Homestead
On Cx348 (FNMA/FHLMC),
Cx401 (FHA), Cx506, & Cx3064
Not specified Both
Not specified, but practically a
purchase loan
A homestead to the extent of
$500,000
Not specified R.I. Gen. Laws Ann. § 9-26-4.1;
R.I. Code R. 11-2-3:5(F)
FNMA Form 3040
FHA Single Family Handbook 4155.2
12.A.1 Closing RI Notification to
Buyers of Withholding Tax
Requirement
Cx1028 Not specified, but practically a lending
institution Both
A purchase loan Real property Not specified R.I. Gen. Laws Ann. § 44-30-
71.3(d); R.I. Code R. 60-1-140:1
No
Closing Rhode Island Prepayment
Penalty Disclosure
Cx12387, Cx12388, &
12389
Every bank, trust company, loan
company, building-loan association, credit
union, finance company, and other
persons making a loan. Both
A nonpurchase money loan or a
loan secured by a mortgage
Dwelling houses of not more than
four dwelling units
Not specified R.I. Gen. Laws Ann. § 34-23-5
No
Property of Docutech, LLC Page 228 Version 19.01
Rhode Island
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing RI Nonresident Tax Forms
Cx16920 (upon request)
The buyer Both
Not specified, but practically a
purchase loan
Real property being sold by a
nonresident
Within 3 banking days after
recording of the instrument of
transfer or within 30 days after
closing, whichever is
earlier
R.I. Gen. Laws Ann. § 44-30-71.3; R.I. Code R. 60-1-
140:(VI)(3), (VIII)(4), & (VIII)(5)
RI 71.3
Closing RI Open-End Consumer Credit Plan Disclosure
Cx19063 (upon request)
Not specified An open-end consumer credit
plan
A consumer’s principal dwelling
On or before the closing date
R.I. Gen. Laws Ann. § 6-27-11
The Rhode Island Truth in Lending and Retail Selling
Act
No
Click here for Table of Contents
Property of Docutech, LLC Page 229 Version 19.01
Click here for Table of Contents
South Carolina
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A lender, vender, or person Both
A financing of the purchase of real property, a
lending of money on the security of the
real property, or a renewal and extension of a
loan or mortgage
Real property Not specified S.C. Code Ann. § 38-57-110
The Insurance Law
No
Initial Disclosure SC Tangible Benefit
Worksheet
Cx2889 (upon request)
Not specified Both
A consumer home loan that
refinances within 42 months an
existing consumer home
loan
Real estate with a 1-to-4 family structure that is the borrower’s
principal dwelling
Not specified S.C. Code §§ 37-23-20(8) & 37-
23-70(A) South Carolina High-Cost and
Consumer Home Loan Act
No
Property of Docutech, LLC Page 230 Version 19.01
South Carolina
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure SC Mortgage Broker Fee
Agreement for Financial Services
Cx3525 A broker, mortgage broker, or loan
originator Brokers
Either: (1) a high-cost home
loan; (2) a consumer home
loan; or (2) a mortgage loan
Either: (1) an owner-occupied, residential real
estate containing a 1-
to-4 family, owner-occupied structure; or (2) residential real
property, consisting of one or more single-family,
owner occupied dwellings
Within 3 business days of receipt of an
application
S.C. Code Ann. § 37-23-45, 37-23-75, 40-58-75, &
40-58-78(A); South Carolina High-Cost and
Consumer Home Loans Act and Licensing of Mortgage
Brokers Act
Fee Agreement Sample
Initial Disclosure SC Attorney and Insurance Preference Disclosure
Cx3848 A creditor Both
A loan secured by a lien on real
estate for a personal, family,
or household purpose,
excluding a consumer loan
Real estate No later than 3 business days after
application
S.C. Code Ann. § 37-10-102(a)
South Carolina Consumer
Protection Code
Attorney/Insurance Preference
Property of Docutech, LLC Page 231 Version 19.01
South Carolina
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Initial Disclosure SC Borrower Complaints
Cx4694 A mortgage broker or originator
Both
A mortgage loan, including a consumer home
loan
Real estate with a 1-to-4 family structure that is the borrower’s
principal dwelling
At the time of application
S.C. Code Ann. § 37-23-70(D)
South Carolina High-Cost and
Consumer Home Loans Act
Fee Agreement Sample
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application; All S.C. documents
On Cx4193 (FNMA/FHLMC) and all other S.C.
documents
A licensee under Chapter 22, Title 37 of South Carolina’s Code
Both
A mortgage loan Residential real property,
consisting of one or more single-family,
owner occupied dwellings
Various S.C. Code Ann. §§ 37-22-210(F),
37-22-270(D) & 40-58-130(D); S.C. Code Ann.
Reg. 15-64 South Carolina
Consumer Protection Code
FNMA 1003 Form - Uniform Residential
Loan Application
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application; All S.C. documents
Cx21511 (upon request)
A licensee under Chapter 22, Title 37 of South Carolina’s Code
Both
A mortgage loan Residential real property,
consisting of one or more single-family,
owner occupied dwellings
Various S.C. Code Ann. §§ 37-22-210(F) & 37-22-270(F); S.C. Code Ann.
Reg. 15-64 South Carolina
Consumer Protection Code
FNMA 1003 Form - Uniform Residential
Loan Application
Property of Docutech, LLC Page 232 Version 19.01
South Carolina
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement Legal Reference Specific Language Required
Closing SC Notice to Cosigners
Cx1017 Not specified Both
A consumer loan, which
generally is a junior lien loan
An interest in land
Before or contemporaneously
with signing any agreement of
obligation.
S.C. Code § 37-3-303
South Carolina Consumer
Protection Code - Loans
Statutory
Closing Notice of Servicing Transfer
Cx17905 (Federal)
A lender Both
A consumer loan, which
generally is a junior lien loan
An interest in land
Not specified S.C. Code Ann. § 37-3-406
South Carolina Consumer
Protection Code - Loans
12 CFR Pt. 1024, App. MS-2
Property of Docutech, LLC Page 233 Version 19.01
Click here for Table of Contents
South Dakota
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 Any person Both
A loan of money upon the security of any property or
the renewal or extension of any loan or mortgage
Real property Not specified S.D. Codified Laws § 58-33-31
The Insurance Code
No
Property of Docutech, LLC Page 234 Version 19.01
Click here for Table of Contents
Tennessee (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Advanced Fee/Application
Disclosure
Cx2783 A licensee under the Tennessee Residential
Lending, Brokerage and Servicing Act
Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon which is (or
intended to be) constructed such
a dwelling
Not specified, but practically at application
Tenn. Code Ann. § 45-13-206(c) Tennessee Residential Lending,
Brokerage and Servicing Act
No
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2788 Either: (1) a person or a depository institution (including affiliates of such); (2) a lender; or
(3) a creditor Both
Either: (1) a loan of money or extension of
credit; (2) a loan; or (3) a credit transaction
Real estate Not specified Tenn. Code Ann. § 56-8-106(a)
through (d); Tenn. Comp. R. & Regs. 0780-01-07.02 & 0780-01-07-.13(a) Tennessee Unfair Trade Practices
and Unfair Claims Settlement Act of
2009
No
Initial Disclosure TN Title Insurance Disclosure
Cx4167 A person conducting or handling the settlement
Both
A transaction involving the
purchase or sale of a fee simple
possessory interest
Real property At or before the closing of
settlement and disbursement of
any funds
Tenn. Code Ann. § 56-35-133
Title Insurance Law
Statutory
Property of Docutech, LLC Page 235 Version 19.01
Tennessee (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure TN High Cost Notice to Borrower
Cx13071 A lender, including a mortgage loan broker
Both
A high-cost home loan
Real estate upon which is (or will be) located a 1-
to-4, owner-occupied structure
At least 3 business days
prior to consummation
Tenn. Code Ann. § 45-20-103(16)
Tennessee Home Loan Protection
Act
Statutory
Initial Disclosure TN High Cost Home Loan
Counseling Notice
Cx13072 A lender, including a mortgage loan broker
Both
A high-cost home loan
Real estate upon which is (or will be) located a 1-
to-4, owner-occupied structure
No later than 3 business days after a lender receives an application
Tenn. Code Ann. § 45-20-103(21)
Tennessee Home Loan Protection
Act
No
Initial Disclosure TN Lock-In Agreement
Cx14675 A licensed mortgage lender under the
Tennessee Residential Lending, Brokerage and Servicing Act
(Tenn. Code Ann. §§ 45-13-101 through 45-
13-506) Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Not specified Tenn. Comp. R. & Regs. 0180-17-
.01, 0180-17-.04, 0180-17-.05 Tennessee Residential Lending,
Brokerage, and Servicing Act
No
Initial Disclosure High Cost Tangible Net
Benefit Worksheet
Cx15773 (upon request)
A lender, including a mortgage loan broker
Both
A high-cost home loan which
refinances, within 30 months, an existing home
loan or high-cost home loan
Real estate upon which is (or will be) located a 1-
to-4, owner-occupied structure
Not specified Tenn. Code Ann. § 45-20-103(4)
Tennessee Home Loan Protection
Act
No
Property of Docutech, LLC Page 236 Version 19.01
Tennessee (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure TN Commitment Letter
Cx15810 A lender or creditor, including a licensed
mortgage lender under the Tennessee
Residential Lending, Brokerage and Servicing Act
Both
A loan of money or extension of
credit, including a residential
mortgage loan
Either: (1) not specified; or (2) a
dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be)
constructed such a dwelling
Not specified Tenn. Code Ann. §§ 29-2-101(b) &
47-14-113(b); Tenn. Comp. R. & Regs. 0180-17-.01
& 0180-17-.06 Tennessee Residential Lending,
Brokerage and Servicing Act
No
Initial Disclosure TN Consent to Disclose Insurance
Information Notice
Cx18480 (upon request)
A lender, mortgagee, assignee, or creditor
Both
A loan Real estate Before disclosing to other persons
or parties information with
respect to the insurance policy
Tenn. Code Ann. § 47-23-101(a)
No
Initial Disclosure & Closing
Certification and Authorization
Cx13 A financial institution Both
Not specified Not specified Not specified, but practically before
sharing the financial records
of a customer with another
person.
Tenn. Code Ann. §§ 45-10-104 &
45-10-105 Financial Records
Privacy Act
No
Property of Docutech, LLC Page 237 Version 19.01
Tennessee (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
A licensed mortgage lender or mortgage
broker under the Tennessee Residential Lending, Brokerage,
and Servicing Act Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon which is (or
intended to be) constructed a
dwelling
On the application
Tenn. Code Ann. § 45-13-303(d)
Tennessee Residential Lending,
Brokerage and Servicing Act
FNMA 1003 Form - Uniform Residential
Loan Application
Closing High-Cost Home Loan Legend on
Conventional Tennessee
Promissory Notes and Security Instruments
Cx5 (FNMA/FHLMC),
Cx351 (FNMA/FHLMC),
& Cx508
Not specified, but practically a lender
Both
A high-cost home loan
Real estate upon which is (or will be) located a 1-
to-4, owner-occupied structure
Not specified, but practically at
closing
Tenn. Code Ann. § 45-20-103(19)
Tennessee Home Loan Protection
Act
Statutory
FNMA Form 3200 – Multistate Fixed-
Rate Note
FNMA Form 3043 - Tennessee
Closing Various Disclosures on All
Tennessee Security
Instruments
Cx351 (FNMA/FHLMC),
Cx404 (FHA), Cx509, & Cx1389
Not specified, but practically lenders
Both
Either: (1) real estate; (2) not
specified; or (3) real property
Either: (1) A deed of trust or
mortgage; (2) not specified; or (3) indebtedness
Not specified, but practically at
closing
Tenn. Code Ann. §§ 66-8-101, 66-
8-103, 66-24-110, 66-24-115(a), &
67-4-409(b)
Partial Statutory
FNMA Form 3043 - Tennessee
FHA Single Family Handbook 4155.2,
ch. 12.A.2 Closing HELOC Deed of
Trust – TN and HELOC
Agreement – TN
Cx1389 & Cx1392
A creditor Both
An open-end mortgage
Real property Not specified, but practically at
closing
Tenn. Code Ann. § 47-28-104
No
Property of Docutech, LLC Page 238 Version 19.01
Tennessee (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing HUD-1 01-01-10 Cx14222 (Federal)
A licensee under the Tennessee Residential Lending, Brokerage,
and Servicing Act Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be)
constructed such a dwelling
Not specified, but practically at
closing
Tenn. Comp. R. & Regs. 0180-17-.02
Tennessee Residential Lending,
Brokerage and Servicing Act
12 CFR Pt. 1024, App. A
Closing HUD-1 01-01-10, Tennessee
Promissory Note, and Tennessee
Security Instrument
Cx14222 (Federal) and
others
A party to the loan Both
A loan not otherwise subject
to Tenn. Code Ann. § 47-14-
113(a)
Not specified Not specified, but practically at
closing
Tenn. Code Ann. § 47-14-113(d)
12 CFR Pt. 1024, App. A
Closing Notice of Servicing Transfer
Cx17905 (Federal)
A transferor of servicing rights
Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
At least 10 calendar days before the first
payment affected by the notice is
due
Tenn. Comp. R. & Regs. 0180-17-.03
Tennessee Residential Lending,
Brokerage, and Servicing Act
12 CFR Pt. 1024, App. MS-2
Click here for Table of Contents
Property of Docutech, LLC Page 239 Version 19.01
Click here for Table of Contents
Texas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A depository institution Lenders
A loan or extension of
credit
Property Not specified Tex. Ins. Code Ann. § 556.051
No
Initial Disclosure Advanced Fee/Application
Disclosure
Cx2783 A residential mortgage loan
originator sponsored by a licensed or
registered residential mortgage loan
company under the Residential Mortgage
Loan Company Licensing and
Registration Act Both
A residential mortgage loan
A dwelling (as defined by
Section 103[w] of TILA) or
residential real estate on which
a dwelling is constructed or intended to be
constructed
Not specified Tex. Fin. Code § 156.304(a) Residential
Mortgage Loan Company
Licensing and Registration Act
No
Initial Disclosure TX Mortgage Banker
Disclosure
Cx2999 Either: (1) a mortgage banker
that is a residential loan originator; or (2)
an originator sponsored under the
Mortgage Banker Registration and
Residential Mortgage Loan Originator
License Act Lenders
A residential mortgage loan
A dwelling (as defined by
Section 103[w] of TILA) or
residential real estate on which
a dwelling is constructed or intended to be
constructed
At application Tex. Fin. Code Ann. §
157.0021(a); 7 Tex. Admin.
Code § 81.200(a) Mortgage
Banker Registration and
Residential Mortgage Loan
Originator License Act
Statutory/Administrative/Mortgage Banker - Required Disclosure Form
Property of Docutech, LLC Page 240 Version 19.01
Texas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Disclosure of Multiple Roles in a Consumer Real
Estate Transaction
Cx3581 A licensed or registered residential
mortgage loan company under the
Residential Mortgage Loan Company Licensing and
Registration Act, who also acts as either a real estate broker,
salesperson, or attorney
Both
A residential mortgage loan
A dwelling (as defined by
Section 103[w] of TILA) or
residential real estate on which
a dwelling is constructed or intended to be
constructed
Before acting in a dual capacity
Tex. Fin. Code § 156.303(a)(13) Mortgage Loan
Company Licensing and
Registration Act
Disclosure of Multiple Roles
Initial Disclosure TX Important Notice to Home Loan Borrowers
Cx3591 A lender Both
A home loan with an interest rate of 12% or more a year
A manufactured home or real
property improved by a 1-to-4 family
dwelling which is used as the
borrower’s principal residence
At the time the GFE is given or, if RESPA does not apply to the loan, 3
business days after
application.
Tex. Fin. Code Ann. § 343.102
Model Form
Initial Disclosure TX Notice Concerning
Extensions of Credit - Spanish
Cx3640 (Spanish)
A lender Both
A 50(a)(6) equity loan
A homestead 12 days before the loan is
closed
Tex. Const. Art. 16, § 50(g); 7 Tex. Admin.
Code § 153.51
Aviso Sobre El Credito Que Se Concede
Property of Docutech, LLC Page 241 Version 19.01
Texas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure TX Insurance Notice to Applicant
Cx3715 A lender offering credit life, disability, or unemployment
insurance on a prepaid single premium basis
Both
A home loan A manufactured home or real
property improved by a 1-to-4 family
dwelling which is used as the
borrower’s principal residence
Not later than 3 business days after receipt of
application.
Tex. Fin. Code Ann. § 343.104 Texas Credit
Title
Statutory
Initial Disclosure TX Residential Mortgage Loan
Originator Disclosure
Cx3883 A residential mortgage loan
originator sponsored by a licensed or
registered residential mortgage loan
company under the Mortgage Loan
Company Licensing and Registration Act
Both
A residential mortgage loan
A dwelling (as defined by
Section 103[w] of TILA) or
residential real estate on which
a dwelling is constructed or intended to be
constructed
With an initial application
Tex. Fin. Code Ann. § 156.004; 7 Tex. Admin.
Code §§ 80.200(a) &
80.204(b)(1)(C) Mortgage Loan
Company Licensing and
Registration Act
Mortgage Company - Required Disclosure Form
Initial Disclosure TX Disclosure Statement
Required for Residential
Construction
Cx4262 A lender Both
Third-party financing
pursuant to a residential
construction contract
A 1-to-4 unit residence that
is used or intended to be
used as a dwelling by one of the
owners
Before the date of closing
Tex. Prop. Code Ann. §§
53.255(b) & 53.257(b)
Statutory
Property of Docutech, LLC Page 242 Version 19.01
Texas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure TX Notice Concerning
Extensions of Credit
Cx4549 A lender Both
A 50(a)(6) equity loan and
a 50(f)(2) conversion
A homestead 12 days before the loan is
closed
Tex. Const. Art. 16, § 50(g); 7 Tex. Admin.
Code § 153.51; Tex. Const. art. 16, § 50(f)(2)(D)
Constitutionally
Initial Disclosure TX Complaint Notice
Cx10735 (upon request)
A licensee under Chapter 342, Title 4 of Texas’ Finance Code, a bank, or a savings association
Lenders
Not specified A loan under Chapter 342,
Title 4 of Texas’ Finance Code (a consumer
loan)
Not specified A 1-to-4 family
dwelling
With each contract of a
licensee
Tex. Fin. Code Ann. § 14.104; 7
Tex. Admin. Code §
90.105(b)(5)
Administrative
Initial Disclosure Privacy Policy Notice
Cx15182 (Federal)
Either: (1) an entity regulated by the
Texas Department of Banking or the Department of
Savings and Mortgage Lending;
or (2) a licensee under Chapter 342,
Title 4 of Texas’ Finance Code
Both
Not specified. A loan under Chapter 342,
Title 4 of Texas’ Finance Code (a consumer
loan)
Not specified. A 1-to-4 family
dwelling
With any privacy notice required to be provided by Federal or Texas law
Tex. Fin. Code Ann. § 11.307; 7
Tex. Admin. Code §§ 11.37 & 90.105(b)(1) – (4)
12 CFR Pt. 1016, App. A
Property of Docutech, LLC Page 243 Version 19.01
Texas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure TX Mortgage Banker
Conditional Approval Letter
(Form B)
Cx16682 (upon request)
A residential mortgage loan originator or a
mortgage banker licensed or registered under the Mortgage
Loan Company Licensing and
Registration Act and the Texas Secure and Fair Enforcement for Mortgage Licensing Act of 2009 (Tex. Fin.
Code §§ 180.001 through 180.252)
Both
A residential mortgage loan
A dwelling (as defined by
Section 103[w] of TILA) or
residential real estate on which
a dwelling is constructed or intended to be
constructed
Not specified, but practically
when an application is approved on the basis of
credit worthiness but
not on collateral
Tex. Fin. Code Ann. § 156.105; 7 Tex. Admin.
Code § 81.201(b) Mortgage Loan
Company Licensing and
Registration Act and Mortgage
Bank Registration and
Residential Mortgage Loan
Originator License Act
Mortgage Banker - Conditional Approval Letter [Form B]
Initial Disclosure TX Mortgage Company
Conditional Approval Letter
(Form B)
Cx16683 (upon request)
A residential mortgage loan
originator sponsored by a licensed or
registered residential mortgage loan
company under the Mortgage Loan
Company Licensing and Registration Act
Both
A residential mortgage loan
A dwelling (as defined by
Section 103[w] of TILA) or
residential real estate on which
a dwelling is constructed or intended to be
constructed
Not specified, but practically
when an application is approved on the basis of
credit worthiness but
not on collateral
Tex. Fin. Code Ann. § 156.105; 7 Tex. Admin.
Code § 80.201(b) Mortgage Loan
Company Licensing and
Registration Act
Mortgage Company - Conditional Approval Letter [Form B]
Property of Docutech, LLC Page 244 Version 19.01
Texas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure TX Mortgage Banker
Conditional Qualification
Letter (Form A)
Cx16684 (upon request)
A residential mortgage loan originator or a
mortgage banker licensed or registered under the Mortgage
Loan Company Licensing and
Registration Act and the Texas Secure and Fair Enforcement for Mortgage Licensing Act of 2009 (Tex. Fin.
Code §§ 180.001 through 180.252)
Both
A residential mortgage loan
A dwelling (as defined by
Section 103[w] of TILA) or
residential real estate on which
a dwelling is constructed or intended to be
constructed
Not specified, but practically
when a conditional
qualification is established
Tex. Fin. Code Ann. § 156.105; 7 Tex. Admin.
Code § 81.201(a) Mortgage Loan
Company Licensing and
Registration Act and Mortgage
Bank Registration and
Residential Mortgage Loan
Originator License Act
Mortgage Banker - Conditional Qualification Letter [Form A]
Initial Disclosure TX Mortgage Company
Conditional Qualification
Letter (Form A)
Cx16685 (upon request)
A residential mortgage loan
originator sponsored by a licensed or
registered residential mortgage loan
company under the Mortgage Loan
Company Licensing and Registration Act
Both
A residential mortgage loan
A dwelling (as defined by
Section 103[w] of TILA) or
residential real estate on which
a dwelling is constructed or intended to be
constructed
Not specified, but practically
when a conditional
qualification is established
Tex. Fin. Code Ann. § 156.105; 7 Tex. Admin.
Code § 80.201(a) Mortgage Loan
Company Licensing and
Registration Act
Mortgage Company - Conditional Qualification Letter [Form A]
Property of Docutech, LLC Page 245 Version 19.01
Texas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
A residential mortgage loan
originator sponsored by a licensed or
registered residential mortgage loan
company under the Mortgage Loan
Company Licensing and Registration Act
Both
A residential mortgage loan
A dwelling (as defined in
Section 103[w] of TILA) or
residential real estate upon which is (or
intended to be) constructed a
dwelling
On the application
7 Tex. Admin. Code §
153.45(4)(b) Mortgage Loan
Company Licensing and
Registration Act and Mortgage
Bank Registration and
Residential Mortgage Loan
Originator License Act
FNMA 1003 Form - Uniform Residential Loan Application
Closing Truth-in-Lending Disclosure and
Truth-in-Lending Total Payments
Itemization
Cx18 & Cx15444 (both
Federal)
A lender Both
A loan under Chapter 342,
Title 4 of Texas’ Finance Code (a consumer
loan)
A 1-to-4 family dwelling
Before taking a loan obligation
Tex. Fin. Code § 342.505
12 CFR Pt. 1026, App. H
Closing Notice of Confidentiality Rights on TX Deed of Trust
On Cx352 (FNMA/FHLMC),
Cx405 (FHA), Cx510, & Cx6178
(FNMA/FHLMC)
Not specified Both
Not specified Real property Not specified, but practically
at closing
Tex. Prop. Code Ann. § 11.008(c)
Statutory
FNMA Form 3044 - Texas
FNMA Form 3044.1 - Texas Home Equity Security Instrument First
Lien
Property of Docutech, LLC Page 246 Version 19.01
Texas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing TX Collateral Protection Act
Notice
Cx1015 A creditor or a person who is a lender of money
Both
A credit transaction for which a credit
agreement exists
Real property At the time the credit
agreement is executed
Tex. Fin. Code § 307.052(a)
Texas Credit Title
No
Closing TX Home Equity Affidavit of Fair Market Value of
Homestead Property
Cx3653 A lender Both
A 50(a)(6) equity loan
A homestead On the date the extension
of credit is made
Tex. Const. Art. 16, §
50(a)(6)(Q)(ix); Tex. Const. art. 16, § 50(f)(2)(c)
No
Closing TX Notice of No Oral Agreements
Cx3682 A financial institution Both
A loan agreement in
which the amount of the loan exceeds
$50,000
Not specified In or with the loan
agreement
Tex. Bus. & Com. Ann. § 26.02(e) –
(f)
Statutory
Certain Loan Agreements Must Be in Writing
Closing TX Affidavit of Reasonable
Costs on Homestead
Property Refinance
Cx3684 (upon request)
Not specified Both
A loan which refinances any
loans described in Tex. Const.
art. 16, § 50(a)(1)
through (a)(5), which includes an advance of
additional funds
A homestead Not specified Tex. Const. art. 16, § 50(e)(2); 7
Tex. Admin. Code § 153.41
No
Property of Docutech, LLC Page 247 Version 19.01
Texas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing TX Home Equity Owner’s Affidavit of Compliance, TX Home Equity Owner’s Affidavit Acknowledging
Lender’s Compliance and HUD-1 01-01-10
Cx5008, Cx5010 and Cx14222
(Federal)
A lender Both
A 50(a)(6) equity loan and
a 50(f)(2) conversion
A homestead One business day before
closing
Tex. Const. art. 16, §
50(a)(6)(M)(ii), 50(g); 7 Tex.
Admin. Code § 153.13; Tex.
Const. art. 16, § 50(f-1)
12 CFR Pt. 1024, App. A
Closing TX Home Equity Discount Point
Acknowledgment
Cx5029 A lender Both
A 50(a)(6) equity loan
A homestead Not specified Tex. Const. art. 16, § 50(a)(6)(E); 7 Tex. Admin. Code § 153.5
No
Closing Texas Veterans Land Board
Take-Out Loan Affidavit
Cx7768 Not specified Both
A take-out loan A single dwelling home
At closing Texas Veterans’ Land Board
Take-Out Loans Affidavit Post-Interim Financing
Closing TX Home Equity Election Not to
Rescind
Cx9522 A lender Both
A 50(a)(6) equity loan
A homestead At closing Tex. Const. Art. 16, §
50(a)(6)(Q)(viii); 7 Tex. Admin. Code § 153.25
No
Property of Docutech, LLC Page 248 Version 19.01
Texas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing TX Notice of Penalties for
Making False or Misleading Statements
Cx12309 Either: (1) a lender, mortgage banker, or licensed mortgage
broker; (2) a licensee under the Residential
Mortgage Loan Company Licensing and Registration Act
(Tex. Fin. Code §§ 156.001 through 156.508); or (3) a
licensee under the Mortgage Banker Registration and
Residential Mortgage Loan Originator Act (Tex. Fin. Code §§ 157.001 through
157.031) Both
Either: (1) a home loan; or
(2) a residential mortgage loan
Either: (1) a manufactured home or real
property improved by a 1-to-4 family
dwelling which is used as the
borrower’s principal
residence; or (2) a dwelling (defined by
Section 103[w] of TILA) or
residential real estate which has or shall
have a dwelling
At closing Tex. Fin. Code § 343.105; 7 Tex. Admin. Code §§
80.204(b)(1)(E) & 81.204(b)(1)(E)
Residential Mortgage Loan
Company Licensing and
Registration Act and Mortgage
Banker Registration and
Residential Mortgage Loan Originator Act
Notice of Penalties for Making or Misleading Statements and Notice
of Penalties for Making False or Misleading Statement
Property of Docutech, LLC Page 249 Version 19.01
Texas (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing Spanish Truth-in-Lending
Disclosure
Cx14389 (Spanish)
A licensee under Chapter 342, Title 4 of Texas’ Finance
Code Both
A loan under Chapter 342,
Title 4 of Texas’ Finance Code (a consumer
loan) or a home equity
loan regulated by the Texas
Office of Consumer
Credit Commissioner
A 1-to-4 family dwelling
No later than consummation
of the loan contract
Tex. Fin. Code Ann. § 341.502; 7 Tex. Admin. Code § 90.701 Texas Credit
Title
Administrative
Closing TX Disclosure of Servicing
Complaints
16006 (upon request)
Either: (1) a mortgage banker
registered under the Mortgage Banker Registration and
Residential Mortgage Loan Originator
License Act, who is a loan originator; or (2)
a registrant under the Residential Mortgage Loan
Servicer Registration Act
Both
A residential mortgage loan
A dwelling or residential real estate, which
has either: (1) a dwelling, as
defined under Section 103(v) of TILA; or (2) a 1-to-4 family
dwelling
Not later than the 30th day
after the registrant
commences servicing the
loan.
Tex. Fin. Code §§ 157.0021(b) &
158.101 Mortgage
Banker Registration and
Residential Mortgage Loan
Originator License Act
and Residential
Mortgage Loan Servicer
Registration Act
Statutory
Required Disclosure Statement
Click here for Table of Contents
Property of Docutech, LLC Page 250 Version 19.01
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Utah (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A person, including one both authorized
to engage in insurance activities and who
extends credit Both
An extension of credit
Not specified At the time of written
application or, if there is no written
application, before closing
Utah Code Ann. §§ 31A-23a-402(5)
& 31A-23a-416
Partial Statutory
Initial Disclosure Advanced Fee/Application
Disclosure
Cx2783 Either: (1) a person transacting the
business of residential mortgage loans; or (2)
a lender or broker Both
Either: (1) a closed-end, first lien residential
mortgage loan; or (2) a mortgage
loan of more than two years
Either: (1) a 1-to-4 unit dwelling
(including condos, coops,
and manufactured
homes or residential real property; or (2) not specified
Before accepting a fee or deposit
Utah Code Ann. §§ 61-2C-
301(1)(b) & 70D-2-305
Utah Residential Mortgage
Practices and Licensing Act and
Mortgage Lending and Servicing Act
No
Initial Disclosure UT Loan Notice Cx15693 A lender or broker Both
A mortgage loan of more than two
years
Not specified At the time of receipt or
preparation of the written
application
Utah Code Ann. § 70D-2-302 Mortgage
Lending and Servicing Act
No
Property of Docutech, LLC Page 251 Version 19.01
Utah (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure and Closing
UT High Cost Home Loan Disclosures
Cx3774 A lender who is licensed under the Utah Residential
Mortgage Practices and Licensing Act (Utah
Code Ann. §§ 61-2c-101 through 61-2c-
510) Both
A high-cost mortgage, in which points, fees, or other
changes payable to the lender or
any third party in an amount in
excess of 8% of the total loan amount are
financed into the loan
A borrower’s principal dwelling
No less than 3 business days
prior to consummation
Utah Code Ann. § 61-2d-105(1) &
(2) Utah High Cost Home Loan Act
Statutory
Initial Disclosure and TILA
Redisclosure
Notice of Right to Receive Copy of Appraisal Report
Cx17903 A person transacting the business of
residential mortgage loans Both
A closed-end, first lien residential mortgage loan
A 1-to-4 unit dwelling
(including condos, coops,
and manufactured
homes) or residential real
property
Not specified Utah Code Ann. § 61-2c-301(1)(n)
12 CFR Pt. 1002, App. C, Form C-9
Closing Various Disclosures on UT
Deeds of Trust
On Cx353 (FNMA/FHLMC),
Cx406 (FHA), Cx511, & Cx1398
Not specified Both
Either: (1) a loan subject to RESPA (aka a federally-
related mortgage loan); or (2) not
specified
Either: (1) residential property
constructed for 1-to-4 families; or (2) not specified
Not specified, but practically at
closing
Utah Code Ann. §§ 17-21-
18.5(4)(b) & 17-21-25
Statutory
FNMA Form 3045 - Utah
Property of Docutech, LLC Page 252 Version 19.01
Utah (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing UT Disclosure of Servicer
Cx1001 A lender Both
A mortgage loan of more than two
years
Not specified At the time of closing
Utah Code Ann. § 70D-2-303(1)
Mortgage Lending and Servicing Act
No
Closing UT Re-Disclosure Certification
Cx17008 (upon request)
A lender licensed under the Utah Residential Mortgage Practices
and Licensing Act (Utah Code Ann. §§ 61-2c-101 through 61-2c-
510) Both
A high-cost mortgage, in which points, fees, or other
charges payable to other parties in
an amount in excess of 8% of the total loan amount are
financed into the loan.
A borrower’s principal dwelling
At consummation Utah Code Ann. § 61-2d-105(4)
Utah High Cost Home Loan Act
No
Closing Notice of Servicing Transfer
Cx17905 A lender Both
A mortgage loan, of more than two
years
Not specified At least 10 days before the due date of the first
mortgage payment due
after the assignment
Utah Code Ann. § 70D-2-303(2)
Mortgage Lending and Servicing Act
12 CFR Pt. 1024, App. MS-2
Property of Docutech, LLC Page 253 Version 19.01
Utah (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing UT Consumer Credit Code
Subordination Agreement
Cx18666 Parties to the transaction (i.e. a
creditor) Both
A credit transaction that is otherwise exempt
from the provisions of the Utah Consumer
Credit Code (generally first
lien loans)
Not specified Not specified Utah Code Ann. § 70C-1-202(1)
No
Click here for Table of Contents
Property of Docutech, LLC Page 254 Version 19.01
Click here for Table of Contents
Vermont (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A person Both
A loan of money or extension of
credit
Not specified Not specified Vt. Stat. Ann. tit. 8, § 4725
No
Initial Disclosure VT Broker/Prospective
Borrower Agreement
Cx3594 A mortgage broker Brokers
A mortgage loan Real property or real estate
Before taking any fee or at the time
a signed application is
submitted
Vt. Stat. Ann. tit. 8, § 2219; Vt.
Admin Code 4-2-3:4 & 4-2-3:Appendix
Administrative
Initial Disclosure VT High Rate/High Point Notices
Cx3708 A lender Both
A high rate, high point loan, which is secured by a
first lien on residential real
estate and consists of fees
and points over a certain threshold.
Residential real estate
Given in conjunction with the GFE, or when the borrower is notified that the lender will only
offer this type of loan
Vt. Stat. Ann. tit. 9, § 104; Vt.
Admin. Code 4-2-6
Partial Administrative
Initial Disclosure VT Mortgage Loan Commitment Agreement
Cx4671 A lender Lenders
Either: (1) a loan secured by a lien
against real estate; or (2) a
loan secured by a first lien on
owner occupied residential real
estate
Real estate used as the borrower’s
residence and owner occupied residential real
estate
No less than 24 hours prior to closing (some
exceptions apply)
Vt. Stat. Ann. tit. 9, § 103 Vt.
Admin. Code 4-2-5:3 & 4-2-5:4
No
Property of Docutech, LLC Page 255 Version 19.01
Vermont (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure VT Application Capacity Notice
Cx4816 A lender Lenders
A mortgage loan Real estate In advance of taking any fee or
at the time an application is
submitted
Vt. Stat. Ann. tit. 8, § 2220
No
Initial Disclosure VT Addendum to Uniform Residential
Loan Application
Cx5107 Not specified Both
Not specified Not specified Not specified, but practically at
application
Vt. Stat. Ann. tit. 15, § 1204; Dept.
of Banking, Insurance,
Securities, and Health Care
Administration Bulletin No. 23
BUL-B-23
Initial Disclosure & Closing
Certification and Authorization
Cx13 (Federal) A person obtaining a credit report
Both
Credit Not specified Before obtaining a credit report
Vt. Stat. Ann. tit. 9, § 2480e; Vt.
Admin. Code 3-2-110:CF 112.03
No
Initial Disclosure, TILA ReDisclosure,
& Closing
Itemization of Amount Financed 01-
01-10
Cx14644 (Federal)
A licensed lender under Chapter 73, Part 2, Title 8 of Vermont’s
Statutes Both
A loan Not specified In advance of any loan closing
Vt. Stat. Ann. tit. 8, § 2232a(b)
12 CFR Pt. 1026, App. H
Closing Co-signer Notice on 3200 Note Fixed, FHA Note Fixed, and VA
3200 Note Fixed
On Cx5 (FNMA/FHLMC), Cx36 (FHA), and
Cx58
A lender Both
An obligation Not specified With the instrument
evidencing the obligation
Vt. Stat. Ann. tit. 9, § 102
Statutory
FNMA Form 3200 – Multistate Fixed-
Rate Note
Property of Docutech, LLC Page 256 Version 19.01
Vermont (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing HUD-1 01-01-10 Cx14222 (Federal)
A licensed lender under Chapter 73, Part 2, Title 8 of Vermont’s
Statutes Both
A loan Not specified At the time the loan is made
Vt. Stat. Ann. tit. 8, § 2232a(a)
12 CFR Pt. 1024, App. A
Click here for Table of Contents
Property of Docutech, LLC Page 257 Version 19.01
Click here for Table of Contents
Virginia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure VA Insurance Disclosure
Cx3577 Either a depository institution or any
person who sells or solicits any insurance
under Article 2, Chapter 1, Title 38.2
(Va. Code Ann. §§ 38.2-101 through 38.2-134)
Both
A loan or extension of
credit
Not specified When an offer for insurance is
made, when an application for a loan or extension
of credit is pending
Va. Code Ann. § 38.2-513.1(A)(9)
& (D)
No
Initial Disclosure VA Notice Cx3592 A broker licensed under Chapter 16,
Subtitle III, Title 6.2 of Virginia’s Code (aka
the Mortgage Lender and Broker Act) who
has also acted as a real estate broker, agent, or salesman in connection
with the transaction. Includes state banks
under certain circumstances.
Brokers
A mortgage loan 1-to-4 family residential property
At the time broker services are first offered
Va. Code Ann. § 6.2-1616(B)(5)
“Mortgage Lender and Broker Act”
Statutory
Property of Docutech, LLC Page 258 Version 19.01
Virginia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Loan Brokerage Agreement
Cx3841 A broker licensed under Chapter 16,
Subtitle III, Title 6.2 of Virginia’s Code (aka
the Mortgage Lender and Broker Act)
Brokers
A mortgage loan 1-to-4 family residential property
Not specified Va. Code Ann. § 6.2-1616(B)(4); VA
Admin. Ruling 1607
No
Initial Disclosure VA Choice of Settlement Agent
Notice
Cx5101 Not specified Both
Transactions involving the
purchase of the security of real
estate
Real estate containing 1-to-4
residential dwelling units
With the contract for the purchase of the real estate
Va. Code Ann. § 55-525.23
Statutory
Initial Disclosure VA Notification to Mortgage Loan
Applicants
Cx5111 A lender or a broker Both
A loan secured by a primary
mortgage or deed of trust
Owner-occupied residential real
estate consisting of 1-to-4 family dwelling units
At the time an application for such a loan is
submitted by a loan applicant
Va. Code Ann. § 6.2-406
No
Initial Disclosure Affiliated Business Disclosure
Cx11413 (Federal)
Either: (1) a person selling real property, or performing services as
a real estate agent, attorney, lay
settlement agent, or lender; or (2) any person making a
referral to an affiliated settlement service
provider Both
A loan transaction, secured by a
primary deed of trust or mortgage
Real estate containing 1-to-4
residential dwelling units
Various timing requirements, but generally no later than the time of
the referral
Va. Code Ann. §§ 55-525.13 & 55-
525.13
12 CFR Pt. 1024, App. D
Property of Docutech, LLC Page 259 Version 19.01
Virginia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Tangible Net Benefit Worksheet
Cx12531 (upon request)
A mortgage lender or mortgage broker
licensed under Chapter 16, Subtitle III, Title 6.2 of Virginia’s Code (aka the Mortgage Lender
and Broker Act) Both
A refinance of a mortgage loan
within 12 months of its origination
date
1-to-4 family residential property
Not specified Va. Code Ann. § 6.2-1614(7) “Mortgage Lender and Broker Act”
No
Initial Disclosure VA Lock-In Agreement
Cx14674 A mortgage lender or mortgage broker
licensed under Chapter 16, Subtitle III, Title 6.2
(aka the Mortgage Lender and Broker Act)
Both
A mortgage loan 1-to-4 family residential property
Not specified 10 Va. Admin. Code §§ 5-160-10
& 5-160-30(B)
No
Initial Disclosure VA Mortgage Loan
Commitment Agreement
Cx14686 A mortgage broker or mortgage lender
licensed under Chapter 16, Subtitle III, Title 6.2
(aka the Mortgage Lender and Broker Act)
Both
A mortgage loan 1-to-4 family residential property
Before a broker receives any
compensation
10 Va. Admin. Code §§ 5-160-10
& 5-160-30(A)
No
Initial Disclosure VA Addendum to Loan Application
Cx17208 A lender Both
Not specified, but practically a loan for the purchase of residential real
property
Residential real property
consisting of 1-to-4 dwelling
units
With the application
Va. Code Ann. § 55-520(B) Virginia
Residential Property
Disclosure Act
No
Property of Docutech, LLC Page 260 Version 19.01
Virginia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Notice of Right to Receive Copy of Appraisal Report
Cx17903 or Cx17904 (both
Federal)
A lender Both
A loan Residential real estate
Not specified Va. Code Ann. § 6.2-407
12 CFR Pt. 1002,
App. C Form C-9
12 CFR §
1026.35(c)(5)(i)
Initial Disclosure VA Credit Insurance
Disclosures
Cx18552 A creditor, including one who offers a plan of credit life insurance
Both
Either: (1) a transaction
involving an offer of either credit
property insurance or
elective credit involuntary
unemployment insurance; or (2) loans or other
credit transactions.
Not specified When the applicable
insurances are offered
Va. Code Ann. §§ 38.2-233(B) & (D) and 38.2-3735(B)
& (D)
No
Initial Disclosure VA Depository Institution Insurance Disclosure
Cx18553 (upon request)
A depository institution which solicits the sale of
insurances Both
Not specified Not specified Prior to the sale of an insurance
policy
Va. Code Ann. § 38.2-513.1(a)(10)
No
Property of Docutech, LLC Page 261 Version 19.01
Virginia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure CSO Information Statement
UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Before the execution of a
contract or agreement between a
consumer and a CSO or the CSO
receives consideration,
whichever occurs first
Va. Code Ann. §§ 59.1-335.6 & 59.1-335.7
Virginia Credit Services
Businesses Act
Statutory
Initial Disclosure CSO Contract UR A credit services organization (CSO)
Brokers
An extension of credit for consumer purposes
Not specified Not specified Va. Code Ann. § 59.1-335.8
Virginia Credit Services
Businesses Act
Statutory
Adverse Action Statement of Credit Denial,
Termination or Change
Cx15858 (Federal)
A creditor Both
Credit Not specified No later than 30 days after receipt of a completed
application
Va. Code Ann. §§ 6.2-502, 6.2-503,
& 6.2-508
12 CFR Pt. 202, App. C
Form C-1
Property of Docutech, LLC Page 262 Version 19.01
Virginia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, TILA Redisclosure,
and Closing
All TILA Disclosures and HUD-1 01-01-10
Cx18, Cx1591, and all other
TILA Disclosures, and Cx14222 (all
Federal)
Either: (1) every person subject to the Federal Truth-in-Lending Act;
or (2) a mortgage lender licensed under Chapter 16, Subtitle III, Title 6.2 of Virginia’s
Code (aka the Mortgage Lender and
Broker Act) Both
Either: (1) consumer credit; or (2) a mortgage
loan
1-to-4 family residential property
Various times Va. Code Ann. §§ 6.2-436 & 6.2-
1615 “Mortgage Lender and Broker Act”
12 CFR Pt. 1026, App. G & H
12 CFR Pt. 1024,
App. A
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
A licensee under Chapter 16, Subtitle III, Title 6.2 of Virginia’s
Code (aka the Mortgage Lender and
Broker Act) Both
A residential mortgage loan
A 1-to-4 family unit dwelling or residential real
estate upon which is (or is
intended to be) constructed such
a dwelling, including
individual condo or coop units
On the application
10 Va. Admin. Code § 5-160-
20(8)
FNMA 1003 Form - Uniform Residential
Loan Application
Quality Assurance &
Closing
Closing Instructions or
Closing Worksheet
Cx14225 or Cx14226
Either: (1) a provider, which in most cases
would be a lender; or (2) not specified
Either: (1) a loan transaction; or (2)
transactions involving the
purchase of the security of real
estate
Real estate containing 1-to-4
residential dwelling units
Not specified, but practically prior
to the recordation of any instrument
Va. Code Ann. §§ 55-525.11(iii) & 55-525.24(A)(2)
No
Property of Docutech, LLC Page 263 Version 19.01
Virginia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing Virginia Homestead
Exemption on All Promissory Notes
and HELOC Agreement – VA
Cx5 (FNMA/FHLMC), Cx58, Cx1077, Cx4031, and
others
A creditor Both
Debt Property or an estate which may be exempt under Chapter 2, Title 34 of Virginia’s Code (Va. Code
Ann. §§ 34-4 through 34-25)
On the promissory note
Va. Code Ann. § 34-22
Statutory (optional)
Closing Conveyance Notice and
Trustee Addresses on Virginia
Security Instruments
Cx354 (FNMA/FHLMC),
Cx407 (FHA), Cx512, & Cx1335
Not specified Both
A loan of money Either: (1) 1-to-4 family residential dwelling units; or (2) real property
On the security instrument
Va. Code Ann. §§ 6.2-417 & 55-
58.1(3)
Statutory
FNMA Form 3047 – Virginia Deed of
Trust
Closing Recordation Tax Notices on
Virginia Security Instruments
Cx354 (FNMA/FHLMC), Cx407 (FHA), &
Cx512
Not specified Both
A refinance of an existing, secured
debt
Property On the security instrument
Va. Code Ann. §§ 17.1-223(A)(iii) &
58.1-803(D) Virginia
Recordation Tax Act
No
Closing Auto-subordination
Notice on Virginia Security
Instruments
Cx354 (FNMA/FHLMC) & Cx407 (FHA)
Not specified Both
A refinance mortgage, with a principal amount not exceeding by more than $5,00 the amount of, nor an interest rate exceeding
that of, the loan being refinanced
Real estate, containing no more than one dwelling unit
On the security instrument
Va. Code Ann. § 55-58.3
Statutory
FNMA Form 3047 – Virginia Deed of
Trust
Property of Docutech, LLC Page 264 Version 19.01
Virginia (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing Credit Line Caption on
HELOC Deed of Trust – VA
Cx1335 Not specified Both
A credit line deed of trust
Real property On the security instrument
Va. Code Ann. §§ 55-58.2(2) & (5) and 55-60(11)
Partial statutory
Closing Disclosure of Appraisal or AVM Fee and Escrow Instructions and Identification of
Settlement Agent on HUD-1 01-01-
10
Cx14222 (Federal)
Either: (1) a lender; or (2) not specified
Both
Either: (1) transactions involving the
purchase of the security of real estate; or (2) a
loan transaction, secured by a
primary deed of trust or mortgage
Real estate containing 1-to-4
residential dwelling units
On the settlement statement
Va. Code Ann. §§ 55-525.14 and
55-525.24(B)(2) & (E)
12 CFR Pt. 1024, App. A
Closing Notice of Servicing Transfer
Cx17905 (Federal)
A transferor (aka a licensee under Chapter 16, Subtitle III, Title 6.2
of Virginia’s Code) Both
A mortgage loan 1-to-4 family residential property
At least 10 calendar days before the first
payment affected by the notice
10 Va. Admin. Code § 5-160-
20(3)
12 CFR Pt. 1024, App. MS
Form MS-2
Click here for Table of Contents
Property of Docutech, LLC Page 265 Version 19.01
Click here for Table of Contents
Washington (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure WA Broker Application
Disclosure, and RESPA and TILA
Disclosures
Cx1591, Cx2655, & Cx14221
Either: (1) a mortgage broker; or (2) an entity
subject to the Washington Consumer
Loan Act Brokers
A residential mortgage loan
A dwelling (including
condos, coops, mobile or
manufactured homes, or a
trailer) or residential real
estate upon which is (or is
intended to be) constructed a
dwelling
Within 3 business days following
receipt of a loan application or any
moneys from a borrower
Wash. Rev. Code Ann. § 19.146.030(1), (2), &
(4); Wash. Admin. Code §§ 208-620-510(4) &
208-660-430(3) Mortgage Broker Practices Act and
Washington Consumer Loan Act
Model Disclosure Form
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 Every person who lends money or
extends credit and who solicits insurance
Lenders
A loan of money or extension of
credit
Real property Not specified Wash. Rev. Code Ann. § 48.30.260(2)
The Insurance Code
No
Initial Disclosure Appraisal Notification on
Purchase Money Mortgages
Cx2791 A lender Both
A residential mortgage loan
Real property Prior to closing Wash. Rev. Code Ann. § 19.149.020
No
Property of Docutech, LLC Page 266 Version 19.01
Washington (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure WA Interest Rate Lock Agreement and Good Faith Estimate 01-01-
10
Cx2792 & Cx14221 (Federal)
Either: (1) a mortgage broker, loan originator,
or lender; or (2) someone subject to the Washington Consumer
Loan Act Both
A residential mortgage loan
A dwelling (including
condos, coops, mobile or
manufactured homes, or a
trailer) or residential real
estate upon which is (or is
intended to be) constructed a
dwelling
No less than 3 business days after
locking the fee
Wash. Rev. Code Ann. § 19.146.030(2)(c) &
(3); Wash. Admin. Code §§ 208-620-510(3) & (4), 208-660-006, and
208-660-430(3)(c) Mortgage Broker Practices Act and
Washington Consumer Loan Act
Model Rate Lock Agreement
Initial Disclosure WA Conflict of Interest
Disclosure
Cx3705 A loan originator who is either subject to the
Mortgage Broker Practices Act or the
Washington Consumer Loan Act, who is also acting as a real estate broker or salesperson
Both
A residential mortgage loan
A dwelling (including
condos, coops, mobile or
manufactured homes, or a
trailer) or residential real
estate upon which is (or is
intended to be) constructed a
dwelling
When acting in a dual capacity
Wash. Admin. Code §§ 208-620-700(3) & 208-
660-300(7) Mortgage Broker Practices Act and
Washington Consumer Loan Act
Statutory and Administrative
Initial Disclosure WA Disclosure Receipt
Cx3747 A licensee under the Washington Consumer
Loan Act Both
A loan Real property Not specified Wash. Admin. Code § 208-620-510(2)
Washington Consumer Loan Act
No
Property of Docutech, LLC Page 267 Version 19.01
Washington (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Loan Brokerage Agreement
Cx3841 A loan originator or mortgage broker
subject to the Mortgage Broker
Practices Act Brokers
A residential mortgage loan
A dwelling (including
condos, coops, mobile or
manufactured homes, or a
trailer) or residential real
estate upon which is (or is
intended to be) constructed a
dwelling
Not specified Wash. Admin. Code §§ 208-660-430(23) & 208-660-500(4)(c) Mortgage Broker
Practices Act
No
Initial Disclosure Net Tangible Benefit
Worksheet
Cx12531 (upon request)
Not specified, but contextually a licensee under the Washington
Consumer Loan Act Both
A new loan or an increase in a
credit line within 120 days after originating a
previous loan or credit line
Not specified Not specified Wash. Admin. Code § 208-620-560(4)(d)
Washington Consumer Loan Act
No
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified, but practically with the
application
Wash. Rev. Code Ann. §§ 26.04.010 &
26.60.010 through 26.60.901
No
Property of Docutech, LLC Page 268 Version 19.01
Washington (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure RESPA and TILA Disclosures
Cx14221 and other RESPA
and TILA Disclosures
(Federal)
Either: (1) a financial institution; (2) a
licensee under the Washington Consumer
Loan Act; or (3) a licensee under the Mortgage Broker
Practices Act Both
Either: (1) a residential
mortgage loan; or (2) a
consumer loan
Either: (1) residential real property upon which is (or is
intended to be) constructed a 1-
to-4 unit dwelling, which
is either an owner-occupied
primary residence or a
second home; (2) real property; or
(3) a dwelling (including
condos, coops, mobile or
manufactured homes, or a
trailer) or residential real
estate upon which is (or is
intended to be) constructed a
dwelling
Within 3 business days following
receipt of a loan application.
Wash. Rev. Code Ann. § 19.144.020; Wash.
Admin. Code §§ 208-600-200, 208-620-511, & 208-660-430(1) &
(4) Washington Consumer
Loan Act and Mortgage Broker
Practices Act
12 CFR Pt. 1024, App.
12 CFR Pt. 1026,
App. G & H
Property of Docutech, LLC Page 269 Version 19.01
Washington (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure WA Facts About Construction Lien
Disclosure
Cx16579 A real property lender Both
Loans in which the proceeds are
used for residential
construction, residential repair,
or remodeling
Real property Not specified Wash. Rev. Code Ann. §§ 60.04.250 &
60.04.255
Facts About Construction Liens
Initial Disclosure WA Explanation of Fee Increase
Cx18518 (upon request)
A mortgage broker or loan originator on
behalf of a mortgage broker Brokers
A residential mortgage loan
Residential real estate upon
which is (or is intended to be) constructed a
dwelling (including
condos, coops, mobile or
manufactured homes, or a
trailer)
No less than three business days prior
to the signing of the loan closing
documents
Wash. Rev. Code Ann. § 19.146.030(4); Wash. Admin. Code §§ 208-660-430(11) & (12),
208-660-450(1)(a)(xiii), and 208-660-
500(11)(b) Mortgage Broker
Practices Act
No
Initial Disclosure WA Loan Commitment
Cx18562 A lender Lenders
A loan of money or extension of
credit, in connection with
the solicitation of property insurance
Property Before a person solicits property
insurance
Wash. Rev. Code Ann. § 48.30.260(3)(a)
The Insurance Code
No
Property of Docutech, LLC Page 270 Version 19.01
Washington (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure WA Optional Insurance Disclosure
Cx18563 (upon request)
Not specified, but contextually a licensee under the Washington
Consumer Loan Act Both
A loan Not specified Not specified Wash. Admin. Code § 208-620-560(3)
Washington Consumer Loan Act
No
Initial Disclosure WA Alternative Mortgage Loan
Product Disclosure
Cx18634 (upon request)
Either: (1) a person licensed or subject to licensing under the Mortgage Broker
Practices Act (Wash. Rev. Code Ann. §§
19.146.005 through 19.146.905); or (2) a
consumer loan company licensed or subject to licensing
under the Consumer Loan Act (Ibid. §§ 31.04.005 through
31.04.297) Both
A residential mortgage loan product with a less favorable
risk grade, excluding bridge
loans
Residential real property upon which is (or is
intended to be) constructed a 1-
to-4-unit dwelling
Not specified Wash. Rev. Code Ann. § 19.144.060
No
Initial Disclosure WA Loan Brokerage
Agreement and Loan Origination
Disclosure Statement
Cx19136 Mortgage Broker or Loan Originator
A residential mortgage loan
Not specified Not specified Wash Rev. Code Ann. § 19.146.040
No
Property of Docutech, LLC Page 271 Version 19.01
Washington (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, Processing,
Underwriting, & Closing
Disclosures on the 1003 Uniform Residential Loan
Application
Cx4193 (FNMA/FHLMC)
A mortgage loan originator
Both
A residential mortgage loan
A dwelling (including
condos, coops, mobile or
manufactured homes, or a
trailer) or residential real
estate upon which is (or is
intended to be) constructed a
dwelling
On the loan application
Wash. Rev. Code Ann. §31.04.284; Wash.
Admin. Code §§ 208-620-710(24) & (25)(d) and 208-660-350(24)
& (25)(d) Mortgage Broker Practices Act and
Washington Broker Practices Act
FNMA Form 1003
Initial Disclosure, TILA Redisclosure,
& Closing
First Lien Appraisal
Waiver/Receipt Form
Cx18183 (Federal)
A lender Both
A purchase money
residential mortgage loan
A 1-to-4 unit dwelling on
residential real estate
Not specified Wash. Rev. Code Ann. § 19.149.020
No
Closing Federal and Washington PMI
Disclosures
Cx29, Cx862, Cx4668, Cx14292, Cx14293,
Cx14294 (all Federal), 18541,
& 18542
A lender Both
A residential mortgage transaction
An owner-occupied, 1-to-4 unit residential real property
At the time a transaction is entered into
Wash. Rev. Code Ann. § 61.10.020(1)
None
Closing Disclosure on HELOC
Agreement – WA and HELOC Deed
of Trust – WA
Cx1366 & Cx1367
A licensee under the Washington Consumer
Loan Act Both
An open-end loan
Real property On the credit agreement (closing)
Wash. Rev. Code Ann. § 31.04.115(1) & (7)
Washington Consumer Loan Act
None
Property of Docutech, LLC Page 272 Version 19.01
Washington (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing WA Oral Agreement
Notice
Cx12751 A creditor Both
A loan of money or extension of
credit
Not specified In or with documents
relating to the credit agreement
(closing)
Wash. Rev. Code Ann. § 19.36.140
Statutory
Closing Notice of Servicing Transfer
Cx17905 (Federal)
A lender Both
A purchase loan A 1-to-4 family, owner-occupied
residence
At the time of or prior to loan
closing
Wash. Rev. Code Ann. § 19.148.030(1)
12 CFR Pt. 1024, App. MS-2
Click here for Table of Contents
Property of Docutech, LLC Page 273 Version 19.01
Click here for Table of Contents
West Virginia
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 A creditor Both
A consumer loan Real property Not specified W. Va. Code Ann. § 46A-3-109(b)(4)
& (b)(5) West Virginia
Consumer Credit and Protection
Act
No
Initial Disclosure WV Tangible Net Benefit Worksheet
Cx3849 A licensee under either the West Virginia
Residential Mortgage Lender, Broker, and Servicer Act or the West Virginia SAFE Mortgage Licensing
Act (W.Va. Code Ann. §§ 31-17A-1 through
31-17A-20), or a regulated consumer
lender Both
A primary mortgage loan or
a subordinate mortgage loan, or a consumer loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is constructed a
dwelling, or land
Not specified W. Va. Code Ann. §§ 31-17-8(d) &
46A-4-111(2) West Virginia Residential
Mortgage Lender, Broker, and Servicer Act
and West Virginia
Consumer Credit and Protection
Act
Tangible Net Benefit Worksheet
Initial Disclosure West Virginia Fees and Services Disclosure
Cx4827 (upon request)
A credit services organization
Brokers
An extension of credit
Not specified Before executing a contract with a
buyer or receiving any money
W. Va. Code Ann. § 46A-6C-6
West Virginia Consumer Credit and Protection
Act
CSO-3 & CSO-4
Property of Docutech, LLC Page 274 Version 19.01
West Virginia
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Credit Services Organization Contract and
Notice of Cancellation
UR A credit services organization
Brokers
An extension of credit
Not specified Not specified, but practically before engaging in credit
services
W.Va. Code Ann. § 46A-6C-7
West Virginia Consumer Credit and Protection
Act
Mostly Statutory
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan Both
A residential mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is constructed a
dwelling
With the application
W. Va. Code Ann. § 31-17A-18 West Virginia
SAFE Mortgage Licensing Act
FNMA 1003 Form - Uniform Residential
Loan Application
Closing Truth-in-Lending Disclosure and
Truth-in-Lending Total Payments
Itemization
Cx18 and other closing TILs and
Cx15444 (all Federal)
A licensee under either the West Virginia
Residential Mortgage Lender, Broker, and Servicer Act or the West Virginia SAFE Mortgage Licensing
Act (W.Va. Code Ann. §§ 31-17A-1 through 31-17A-20), or any person making a mortgage loan
Both
A primary mortgage loan or
a subordinate mortgage loan
A dwelling (as defined in Section 103[w] of TILA) or
residential real estate upon
which is constructed a
dwelling
At the time of closing
W. Va. Code Ann. § 31-17-9(a) West Virginia Residential
Mortgage Lender, Broker, and Servicer Act
12 CFR Pt. 1026, App. H; Form H-2
Property of Docutech, LLC Page 275 Version 19.01
West Virginia
(Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing 3260 Note Balloon, 3180
Rider Balloon, and Fixed Rate Note
West Virginia Second
Cx230 (FNMA/FHLMC),
Cx752 (FNMA/FHLMC),
and Cx1081
Not specified Both
A consumer loan Land With any writing purporting to contain the
agreement of the parties (closing)
W. Va. Code Ann. § 46A-2-105 West Virginia
Consumer Credit and Protection
Act
No
Closing WV Collateral Protection Insurance Disclosure
Cx1000 A creditor, who is an institution insured by
either the FDIC or NCUA Both
A consumer credit transaction
Collateral, which includes real
property
With the credit agreement (closing)
W. Va. Code Ann. § 46A-3-
109a(b)(3) West Virginia
Consumer Credit and Protection
Act
Statutory
Closing WV Notice to Cosigners
Cx1018 Not specified Both
A consumer loan Land Before a cosigner signs any
instrument evidencing the
transaction.
W. Va. Code Ann. § 46A-2-104 West Virginia
Consumer Credit and Protection
Act
Statutory
Closing WV Assessment of Borrower’s Ability
to Repay
Cx18963 (Upon Request)
Both Residential mortgage loan
Not specified Not specified W. Va. Code St. R. 106-5-11
Statutory
Click here for Table of Contents
Property of Docutech, LLC Page 276 Version 19.01
Click here for Table of Contents
Wisconsin (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 Either: (1) any person engaged in the
business of loaning money; or (2) any
person Both
A financing of the purchase of the property or a
lending of money secured by the
property
Real property Not specified Wis. Stat. Ann. §§ 134.10 & 628.34(5)
No
Initial Disclosure Advanced Fee/Application
Disclosure
Cx2783 Either: (1) a bank, credit union, savings bank,
savings and loan association, mortgage banker, or any other
lender; or (2) a mortgage banker,
mortgage loan originator, or mortgage
broker Both
Either: (1) a loan, which is a primary
lien; or (2) a residential
mortgage loan
A 1-to-4 family dwelling used as the borrower’s
principal residence
Before accepting an application or fee in connection
with the loan.
Wis. Stat. Ann. § 138.052(7e)(b) ;
Wis. Admin. Code, DFI-BKG §
43.02(11) & (14)
No
Initial Disclosure WI Adjustable Rate Mortgage
Information Statement
Cx3951 A lender Both
A variable rate loan, which is a
primary lien
Either: (1) a mobile or
manufactured home; or (2) a 1-
to-4 family dwelling used as the borrower’s
principal residence
Before making a variable rate loan.
Wis. Stat. Ann. § 138.056(3m) & (6)
No
Property of Docutech, LLC Page 277 Version 19.01
Wisconsin (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Addendum to Loan Application
Cx13441 Not specified Both
Not specified Not specified Not specified, but practically with the application
Wis. Stat. Ann. §§ 770.001 through
770.18
No
Initial Disclosure Good Faith Estimate 01-01-10
& WI Loan Commitment
Cx14221 (Federal) and
Cx15918
Either: (1) a lender; or (2) a licensed mortgage banker, mortgage loan originator, or mortgage
broker under Subchapter III, Chapter
224 Both
A residential mortgage loan
A dwelling (as defined in 15
USCA § 1602[v]) or residential real property (upon
which a dwelling is or is intended
to be constructed)
Before accepting a loan
commitment fee
Wis. Admin. Code, DFI-BKG §§
40.01(5) & (6) and 43.02(12) & (13)
12 CFR Pt. 1024, App. C
Initial Disclosure WI Consumer Disclosure Statement
Cx14546 A mortgage broker licensed under
Subchapter III, Chapter 224
Brokers
A residential mortgage loan
A dwelling (as defined in 15
USCA § 1602[v]) or residential real property (upon
which a dwelling is or is intended
to be constructed)
Before entering into a contract
with an individual to provide brokerage services
Wis. Stat. Ann. § 224.79(2); Wis.
Admin. Code, DFI-BKG § 44.02
Consumer Disclosure Statement
Initial Disclosure WI Mortgage Broker Agreement
Cx14547 Either: (1) a mortgage broker licensed under Subchapter III, Chapter 224; or (2) a mortgage banker, mortgage loan originator, or mortgage
broker Brokers
A residential mortgage loan
A dwelling (as defined in 15
USCA § 1602[v]) or residential real property (upon
which a dwelling is or is intended
to be constructed)
Not specified, but practically before
engaging in broker services
Wis. Stat. Ann. § 224.79(1); Wis.
Admin. Code, DFI-BKG §§ 43.02(14) &
44.01
Mortgage Broker Agreement - Both
Versions
Property of Docutech, LLC Page 278 Version 19.01
Wisconsin (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure High Cost Tangible Net
Benefit Worksheet
Cx15773 (upon request)
A lender Both
A covered loan that refinances
another covered loan, but
excluding bridge loans
Residential real property that is or will be occupied by the customer
as a principal dwelling
Not specified Wis. Stat. Ann. § 428.203(7)
No
Initial Disclosure Cost of Insurance Disclosure
Cx16488 A merchant Both
A consumer credit transaction, which is a junior
lien and the amount financed is $25,000 or less
Real property Not specified Wis. Stat. Ann. § 422.202(1)(b) &
(2s)(a) Wisconsin
Consumer Act – Consumer Credit
Transactions
No
Adverse Action Statement of Credit Denial,
Termination, or Change
Cx15858 (Federal)
A bank, credit union, savings bank, savings
and loan association, or mortgage banker
Both
A loan, which is a primary lien
A 1-to-4 family dwelling used as the borrower’s
principal residence
When adverse action is
communicated to the applicant
Wis. Stat. Ann. § 138.052(7e)(a)
12 CFR Pt. 1002, App. C
Form C-1
Initial Disclosure & Closing
WI Property Tax Escrow Option
Cx1023 A bank, credit union, savings bank, savings
and loan association, or mortgage banker
Both
A loan, which is a primary lien
A 1-to-4 family dwelling used as the borrower’s
principal residence
Before closing Wis. Stat. Ann. § 138.052(5)(am), (5)(b), & (5m)(b)
No
Property of Docutech, LLC Page 279 Version 19.01
Wisconsin (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier
Disclosed on 1003 Uniform
Residential Loan Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan Both
A residential mortgage loan
A dwelling (as defined in 15
USCA § 1602[v]) or residential real property (upon
which a dwelling is or is intended
to be constructed)
On the application
Wis. Stat. Ann. § 224.73(4)(a) & (b)
FNMA 1003 Form - Uniform Residential
Loan Application
Initial Disclosure & Closing
WI ARM Prepayment
Penalty Notice
Cx9109 A lender Both
A variable rate loan, which is a
primary lien
Either: (1) a mobile or
manufactured home; or (2) a 1-
to-4 family dwelling used as the borrower’s
principal residence
At the time of offering a variable
rate loan
Wis. Stat. Ann. § 138.056(3m)(a)
No
Initial Disclosure & Closing
WI Addendum to Loan Application
Cx18412 A creditor Both
Either: (1) an open-end credit
plan; or (2) a consumer credit transaction, both
of which are junior liens and
the amount financed is
$25,000 or less
Real property With the application
Wis. Stat. Ann. §§ 422.308(1) &
766.56(2)(b); Wis. Admin. Code DFI-
WCA § 1.351(2) Wisconsin
Consumer Act – Consumer Credit Transactions &
The Family Code
Open-End Credit Application Sample
Marital Property
Agreement Notice
Property of Docutech, LLC Page 280 Version 19.01
Wisconsin (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure & Closing
WI Covered Loan Disclosure to
Borrower
Cx18444 A lender Both
A covered loan Residential real property that is or will be occupied by the customer
as a principal dwelling
At least 3 business days before closing
Wis. Stat. Ann. § 428.208 ; Wis.
Admin. Code, DFI-BKG § 46.03
Statutory & Administrative
Closing Construction Notice on Security
Instruments
Cx358 (FNMA/FHLMC),
Cx411 (FHA), Cx515, and
Cx1353
Not specified Both
A construction mortgage
Land Not specified, but practically at
closing.
Wis. Stat. Ann. § 706.11(1m)(b)(3)
Instructions to FNMA Form 3050
Closing WI Mortgage Second & Fixed
Rate Note Wisconsin Second
Cx515 & Cx1080
Not specified Both
A consumer credit transaction, which is a junior
lien and the amount financed is $25,000 or less
Real property With the writing evidencing the
customer’s obligation to pay
(closing)
Wis. Stat. Ann. § 422.303(3) Wisconsin
Consumer Act
Statutory
Closing Notice to Spouse of Extension of
Credit by Copy of WI Mortgage
Second & HELOC Mortgage - WI
Cx515 & Cx1353
A creditor Both
A credit transaction
governed by the Wisconsin
Consumer Act (Wis. Stat. Ann. ch. 421 through 427), which is a junior lien and
the amount financed is
$25,000 or less
Real property Before any payment is due
under the transaction
Wis. Stat. Ann. § 766.56(3)(b) & (c) The Family Code
No
Property of Docutech, LLC Page 281 Version 19.01
Wisconsin (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Closing WI Explanation of Personal
Obligation
Cx16043 A creditor Both
Either: (1) a consumer credit
transaction, which is a junior lien
and the amount financed is
$25,000 or less; or (2) a loan subject to Subchapter I,
Chapter 428, which is a first
lien loan of $25,000 or less
Either: (1) real property; or (2)
real estate
At the same time of signing a
separate instrument
Wis. Stat. Ann. §§ 422.305(1) &
428.103(1)(b) ; Wis Admin. Code DFI-WCA §§ 1.341 &
1.35 (2014) Wisconsin
Consumer Act – Consumer Credit
Transactions
No
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Wyoming (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure Anti-Coercion Insurance Disclosure
Cx2778 Either: (1) any person; (2) a producer or other person; or (3) a creditor
Both
Either: (1) a loan of money or
extension thereof; or (2) a consumer loan,
which is generally a junior
lien with a finance charge exceeding 18%
Either: (1) real or personal
property; or (2) land or a dwelling
(consisting of 1-to-4 units,
including condos, coops, mobile homes, and
trailers)
To be given promptly
Wyo. Stat. Ann. §§ 26-13-118, 26-23-324, & 40-14-
409 Unfair Trade Practices Act,
Wyoming Title Insurance Act, and Uniform
Consumer Credit Code - Insurance
No
Initial Disclosure Enhanced Prepayment Penalty
Disclosure
Cx12389 A licensee under the Wyoming Residential
Mortgage Practices Act Both
A residential mortgage loan,
which is a primary lien
A dwelling (a residential structure
containing 1-to-4 family units,
including condos, coops, mobile homes, and trailers) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Initially within 3 business day
after accepting an application,
then subsequently with the final
Truth-in-Lending Disclosure
Wyo. Stat. Ann. §§ 40-23-
113(a)(ii) & 40-23-115(b); Wyo. R. & Regs. AUD RMP ch. 2, § 6
Wyoming Residential Mortgage
Practices Act
Administrative
Property of Docutech, LLC Page 283 Version 19.01
Wyoming (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure WY Mortgage Broker Agreement
Cx13452 A licensee under the Wyoming Residential
Mortgage Practices Act (document must be signed by a licensed
mortgage broker under this Act) Brokers
A residential mortgage loan,
which is a primary lien
A dwelling (a residential structure
containing 1-to-4 family units,
including condos, coops, mobile homes, and trailers) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Within 3 business days of a
borrower signing an application, but before any consideration is
paid
Wyo. Stat. Ann. § 40-23-114 Wyoming Residential Mortgage
Practices Act
No
Initial Disclosure Good Faith Estimate 01-01-10 and WY
Notice and Explanation of Fee
Increase
Cx14221 (Federal) &
Cx16634
A licensee under the Wyoming Residential
Mortgage Practices Act Both
A residential mortgage loan,
which is a primary lien
A dwelling (a residential structure
containing 1-to-4 family units,
including condos, coops, mobile homes, and trailers) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Not less than 3 business days
prior to closing
Wyo. Stat. Ann. §§ 40-23-
113(e)(ii)& 40-23-114(d)(ii)
Wyoming Residential Mortgage
Practices Act
12 CFR Pt. 1024, App. C
Property of Docutech, LLC Page 284 Version 19.01
Wyoming (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure WY Commitment/Lock-in
Agreement
Cx15904 A licensee under the Wyoming Residential Mortgage Practices
Act, but only a mortgage lender can
execute it Both
A residential mortgage loan,
which is a primary lien
A dwelling (a residential structure
containing 1-to-4 family units,
including condos, coops, mobile homes, and trailers) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Not specified Wyo. Stat. Ann. §§ 40-23-115(a) & 40-23-117(x)
Wyoming Residential Mortgage
Practices Act
No
Initial Disclosure Cost of Insurance Disclosure
Cx16488 A lender Lenders
A consumer loan, which is
generally a junior lien with a
finance charge exceeding 18%
Land or a dwelling
(consisting of 1-to-4 units,
including condos, coops, mobile homes, and
trailers)
Not specified, but practically before charges for additional insurances are
made
Wyo. Stat. Ann. § 40-14-311(b)(i) &
(ii) Uniform
Consumer Credit Code - Loans
No
Property of Docutech, LLC Page 285 Version 19.01
Wyoming (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
TILA Redisclosure, Redisclosure, Pre-
Closing
WY Notice and Explanation of Fee
Increase
Cx16634 (Non-TRiD Loans) & Cx19752 (TRiD
Loans)
A licensee under the Wyoming Residential
Mortgage Practices Act Both
A residential mortgage loan,
which is a primary lien
A dwelling (a residential structure
containing 1-to-4 family units,
including condos, coops, mobile homes, and trailers) or
residential real estate upon
which is (or is intended to be) constructed a
dwelling
Not less than 3 business days
prior to closing
Wyo. Stat. Ann. §§ 40-23-
113(e)(ii)& 40-23-114(d)(ii)
Wyoming Residential Mortgage
Practices Act
No
Initial Disclosure, TILA Redisclosure,
& Closing
All RESPA and TILA Disclosures
Cx18, Cx1591, and all other
RESPA and TILA Disclosures (all
Federal)
Either: (1) a person regularly engaged in
the business of making loans; or (2) a licensee under the Wyoming
Residential Mortgage Practices Act
Both
Either: (1) a consumer loan;
or (2) a residential
mortgage loan, which is a
primary lien
Either: (1) Land or a dwelling
(consisting of 1-to-4 units,
including condos, coops, mobile homes, and
trailers); or (2) such a dwelling
or residential real estate upon
which is (or is intended to be) constructed a
dwelling.
Various times Wyo. Stat. Ann. §§ 40-14-320, 40-
23-113(a)(i), & 40-23-114(b)
Uniform Consumer Credit
Code – Loans and Wyoming
Residential Mortgage
Practices Act
12 CFR Pt. 1024, App.
12 CFR Pt. 1026,
App. G & H
Property of Docutech, LLC Page 286 Version 19.01
Wyoming (Package Type)
Proper Name of Disclosure
Generic Cx Number
License Type Lender/Broker/Both
Loan Type Property Timing Requirement
Legal Reference Specific Language Required
Initial Disclosure, Processing,
Underwriting, & Closing
NMLS Unique Identifier Disclosed on 1003 Uniform Residential Loan
Application
On Cx4193 (FNMA/FHLMC)
Any person originating a residential mortgage
loan Both
Either: (1) a residential
mortgage loan, which is a
consumer loan that generally is a junior lien with a finance charge exceeding 18%;
or (2) a residential
mortgage loan, which is a
primary lien
Either: (1) Land or a dwelling
(consisting of 1-to-4 units,
including condos, coops, mobile homes, and
trailers); or (2) residential real
estate upon which is (or is
intended to be) constructed such
a dwelling
With the loan application
Wyo. Stat. Ann. §§ 40-14-649 &
40-23-133 Wyoming Uniform
Consumer Credit Code and Wyoming Residential Mortgage
Practices Act
FNMA 1003 Form - Uniform Residential
Loan Application
Closing Homestead Waiver on all Security Instruments
Cx360 (FNMA/FHLMC),
Cx413 (FHA), Cx517, & Cx1403
Not specified Both
A conveyance or a mortgage
A homestead At closing Wyo. Stat. Ann. § 34-2-121
Statutory
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