Broker Login Credentials Request Form

Company Name(Required)

Company NMLS#(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Account Administration Name and Email

Contact Name(Required)

First Last

Phone(Required)

Note: This email address will receive ALL system generated notifications as well as Broker Approval notifications.

Select the compensation percentage you agree to be paid on each loan transaction:(Required)

Select your maximum amount of compensation:

Will you act as an Emerging Banker (Non-Delegated Correspondent) with REMN?(Required)

Please select the products your company will be originating as a Broker. (check all that apply)

Jumbo (must be brokered)

FHA

FHA 203(k)

Conventional

Conventional Renovation

Non-QM

USDA

Please select the products your company will be originating as an Emerging Banker. (check all that apply)

FHA

FHA 203(k)

Conventional

Conventional Renovation

Non-QM

USDA

Note: You cannot choose the same products for both Broker and EB Above

For those products you Banker, who will prepare the closing documents?(Required)

If banking, please note REMN must prepare closing docs on Non-QM

Name of Fulfillment Provider(Required)

List any states where applicant is licensed as Broker only

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