Mortgage Loan Originator State Licensing Checklist Form
Complete this checklist to confirm readiness for state licensing review and identify any outstanding requirements.
Full Name of Mortgage Loan Originator
*
First Name
Last Name
Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Licensing State or Jurisdiction
*
Please Select
Alabama
Alaska
Arizona
California
Florida
New York
Texas
Other
Checklist: Status of Required Licensing Items
*
Rows
Completed
Pending
Not Applicable
Pre-licensing Education Completed
1
2
3
Background Check Submitted
4
5
6
Fingerprinting Completed
7
8
9
State Licensing Exam Passed
10
11
12
Sponsorship by Licensed Entity
13
14
15
Continuing Education (if applicable)
16
17
18
Fees Paid
19
20
21
Upload Supporting Documentation (if applicable)
Upload a File
Drag and drop files here
Choose a file
Cancel
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Are all required licensing items ready for review?
*
Yes, all items are ready
No, some items are pending
List any pending items or requirements
Preferred Follow-Up Method
*
Email
Phone
Other
Additional Notes or Comments
Submit Checklist
Should be Empty: