"Mortgage Loan Origination Disclosure Form" - Montana

Mortgage Loan Origination Disclosure Form is a legal document that was released by the Montana Department of Administration - a government authority operating within Montana.

Form Details:

Released on September 23, 2011;
The latest edition currently provided by the Montana Department of Administration;
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TATE OF

ONTANA

EPARTMENT OF

DMINISTRATION



IVISION OF

ANKING AND

INANCIAL

NSTITUTIONS

301 South Park, Suite 316  PO Box 200546  Helena, MT 59620-0546

Phone: 406-841-2920  Fax: 406-841-2930

E-mail:

banking@mt.gov

 Website:

www.banking.mt.gov/mortgage.asp

ORTGAGE

OAN

RIGINATION

ISCLOSURE

(Name of mortgage loan originator) is a Montana-licensed mortgage loan originator employed by a Montana

licensed entity who is authorized to provide mortgage loan origination services to (borrower and co-borrower(s)

name – printed) in connection with your Montana residential mortgage loan. Lender(s) whose loan products

(name of entity) distributes generally provide their loan products to (name of entity) at a wholesale rate.

SECTION 1. NATURE OF RELATIONSHIP in connection with this mortgage loan:

1. (name of entity) is acting as an independent contractor and not as your agent;

2. (name of entity) enters into separate independent contractor agreement(s) with one or more lender(s); and

3. While (name of entity) seeks to assist you in meeting your financial needs, (name of entity) does not

distribute products of every lender(s) or investor(s) in the market and cannot guarantee the lowest price or

best terms available in the market.

SECTION 2. OUR COMPENSATION

1. The retail price (name of entity) offers you may include (name of licensee's) compensation.

2. If you would rather pay a lower interest rate, you may pay higher up-front costs.

3. If you would rather pay less up front, you may pay all of (name of entity's) compensation indirectly through

a higher interest rate in which case (name of entity) will be paid by the lender.

4. If you compensate (name of entity) directly, (name of entity) cannot be compensated by any other person for

the same transaction.

By signing below, you acknowledge that you have received a copy of this disclosure.

_______________________________________________________

___________________________

ORROWER

ATE

_______________________________________________________

___________________________

-B

ORROWER

ATE

____________________________________

________________ ___________________________

NMLS #

ORTGAGE

OAN

RIGINATOR

ATE

_______________________________________________________

___________________________

NMLS#

MPLOYING

NTITY

The State of Montana, Department of Administration, Division of Banking and Financial Institutions (Division),

is the licensing agency of mortgage lenders, mortgage brokers, mortgage servicers, and mortgage loan

originators. Any consumer with a comment, question, or concern should contact the Division by the means

listed within this disclosure.

Rev 09/23/11