Form DFPI-MBL1950.122.2 "Notice of Officers, Directors, Partners, "control" Persons, Managers, Members, Trustees and Employees of a Residential Mortgage Lender, Residential Mortgage Lender and Servicer or Residential Mortgage Loan Servicer" - California

What Is Form DFPI-MBL1950.122.2?

This is a legal form that was released by the California Department of Financial Protection and Innovation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2020;
  • The latest edition provided by the California Department of Financial Protection and Innovation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DFPI-MBL1950.122.2 by clicking the link below or browse more documents and templates provided by the California Department of Financial Protection and Innovation.

ADVERTISEMENT
ADVERTISEMENT

Download Form DFPI-MBL1950.122.2 "Notice of Officers, Directors, Partners, "control" Persons, Managers, Members, Trustees and Employees of a Residential Mortgage Lender, Residential Mortgage Lender and Servicer or Residential Mortgage Loan Servicer" - California

Download PDF

Fill PDF online

Rate (4.4 / 5) 24 votes
STATE OF CALIFORNIA – DEPARTMENT OF FINANCIAL PROTECTION AND INNOVATION
NOTICE OF OFFICERS, DIRECTORS, PARTNERS, “CONTROL” PERSONS,
MANAGERS, MEMBERS, TRUSTEES AND EMPLOYEES OF A RESIDENTIAL
MORTGAGE LENDER, RESIDENTIAL MORTGAGE LENDER AND SERVICER
DFPI–MBL 1950.122.2 (Rev. 10-20)
OR RESIDENTIAL MORTGAGE LOAN SERVICER.
Fee: $20.00 + DOJ Noncriminal Applicant Fingerprint Fee
(Fees should include the Department of Financial Protection and Innovation's filing fee of [$20.00] and
the fee charged by the Department of Justice [Penal Code Section 11105] for processing Noncriminal
Applicant Fingerprints.) Receipt No.__________________
STATE OF CALIFORNIA
DEPARTMENT OF FINANCIAL PROTECTION AND INNOVATION
th
320 West 4
Street, Suite 750
Los Angeles, CA 90013-1105
(213) 576-7690
OFFICIAL USE ONLY
Special Instruction: Read
Financial Code Section 50317
LAST NAME
before completing this notice.
Date submitted CII:
Applicant I.D.#
PLEASE PRINT OR TYPE
File No.
(Name of Company)
ADDRESS OF MAIN OFFICE:
(Street)
(City)
(State)
(Zip Code)
EMPLOYING BRANCH OFFICE:
NAME OF OFFICER, DIRECTOR, PARTNER, "CONTROL" PERSON [Financial Code
Section 50003(e)], MANAGER, MEMBER, TRUSTEE AND EMPLOYEE:
(Last)
(First)
(Middle)
POSITION HELD OR TO BE HELD:
HOME ADDRESS:
(Street)
(City)
(State)
(Zip Code)
DATE OF BIRTH:
PLACE OF BIRTH:
(Month) (Day) (Year)
DRIVER'S LICENSE NUMBER:
HEIGHT:
WEIGHT:
SEX:
COLOR OF EYES:
COLOR OF HAIR:
STATE OF CALIFORNIA – DEPARTMENT OF FINANCIAL PROTECTION AND INNOVATION
NOTICE OF OFFICERS, DIRECTORS, PARTNERS, “CONTROL” PERSONS,
MANAGERS, MEMBERS, TRUSTEES AND EMPLOYEES OF A RESIDENTIAL
MORTGAGE LENDER, RESIDENTIAL MORTGAGE LENDER AND SERVICER
DFPI–MBL 1950.122.2 (Rev. 10-20)
OR RESIDENTIAL MORTGAGE LOAN SERVICER.
Fee: $20.00 + DOJ Noncriminal Applicant Fingerprint Fee
(Fees should include the Department of Financial Protection and Innovation's filing fee of [$20.00] and
the fee charged by the Department of Justice [Penal Code Section 11105] for processing Noncriminal
Applicant Fingerprints.) Receipt No.__________________
STATE OF CALIFORNIA
DEPARTMENT OF FINANCIAL PROTECTION AND INNOVATION
th
320 West 4
Street, Suite 750
Los Angeles, CA 90013-1105
(213) 576-7690
OFFICIAL USE ONLY
Special Instruction: Read
Financial Code Section 50317
LAST NAME
before completing this notice.
Date submitted CII:
Applicant I.D.#
PLEASE PRINT OR TYPE
File No.
(Name of Company)
ADDRESS OF MAIN OFFICE:
(Street)
(City)
(State)
(Zip Code)
EMPLOYING BRANCH OFFICE:
NAME OF OFFICER, DIRECTOR, PARTNER, "CONTROL" PERSON [Financial Code
Section 50003(e)], MANAGER, MEMBER, TRUSTEE AND EMPLOYEE:
(Last)
(First)
(Middle)
POSITION HELD OR TO BE HELD:
HOME ADDRESS:
(Street)
(City)
(State)
(Zip Code)
DATE OF BIRTH:
PLACE OF BIRTH:
(Month) (Day) (Year)
DRIVER'S LICENSE NUMBER:
HEIGHT:
WEIGHT:
SEX:
COLOR OF EYES:
COLOR OF HAIR:
STATE OF CALIFORNIA – DEPARTMENT OF FINANCIAL PROTECTION AND INNOVATION
NOTICE OF OFFICERS, DIRECTORS, PARTNERS, “CONTROL” PERSONS,
MANAGERS, MEMBERS, TRUSTEES AND EMPLOYEES OF A
RESIDENTIAL MORTGAGE LENDER, RESIDENTIAL MORTGAGE LENDER
DFPI–MBL 1950.122.2 (Rev. 10-20) Page 2 of 2
AND SERVICER OR RESIDENTIAL MORTGAGE LOAN SERVICER.
DFPI’s Privacy Notice on Collection
DFPI Collects and Uses Personal Information: The DFPI collects the information
requested on this form as authorized by Financial Code sections 50121, 50126(a)(2)(3),
50301(g) and 50317(c). The DFPI uses this information to investigate the background
information of individuals and determine eligibility for licensing under the California
Residential Mortgage Lending Act. Use of the personal Information DFPI collects is
subject to limitations contained in the Information Practices Act of 1977 and other
applicable state and federal laws.
Providing Personal Information Is Mandatory: When providing information or
documents, please do not include unrequested personal information such as a Social
Security number, driver’s license number, or financial information.
DFPI May Disclose Your Personal Information: We may share your personal
information with other state, federal or law enforcement agencies. Your personal
information may also be disclosed:
 In response to a Public Records Act request, as allowed by the Information
Practices Act.
 To another governmental agency as required by state or federal law.
 In response to a court order or administrative order, a subpoena or a search
warrant.
Your Access to Your Personal Information: You may review the records maintained
by DFPI that contain your personal information. To request access, contact: DFPI
Privacy Officer, 2101 Arena Blvd, Sacramento, CA 95834, (866) 275-2677.
Page of 2