Applications and Forms

If you are unable to complete your transaction due to unexplained problems, you may need to update your browser. A common problem, involving Microsoft Internet Explorer version 5.0 and AOL 7.0, results in a blank screen, when your licensing transaction proceeds (links) from one screen to the next. You may upgrade to the latest version of your browser by clicking on browser updates and information.

Forms are available in Word format (download Word viewer for free) and PDF format (download Adobe Acrobat for free).

Affiliated Insurance Producers - Mortgage Loan Originators

• Apply for an Affiliated Insurance Producer-Mortgage Loan Originator License - Form MU4 (Login to NMLS)
• Amend an Affiliated Insurance Producer-Mortgage Loan Originator License (Login to NMLS)
• Affidavit of Mortgage Originator Activity - New Applicant (Word document, 83KB)
• Affidavit of Mortgage Originator Activity - License Amendment or Return to Active Status (Word document, 82KB)
• Sponsor Certificate – AIP-MLO (Word document, 72KB)
• Fingerprint Cards Request Form
• Surety Bond Form (Word document, 38KB)
• Required Notice of Housing Counseling Programs and Services Form that Lender Must Provide to Borrower (PDF document, from the Maryland Department of Housing and Community Development (DHCD))

Banks

• ATM - Uniform Interstate Application Form (Word document, 54KB)
• Branch - Uniform Interstate Application Form (Word document, 54KB)
• Foreign Bank Office Permit (Instructions) (Word document, 29KB)
• Foreign Bank Office Permit - Initial (Word document, 3.4MB)
• Foreign Bank Office Permit - Renewal (Word document, 3.4MB)
• De Novo Bank Application (Word, 418KB) (PDF, 96KB)
• Instructions for Completion of Registration to Exercise Trust or Fiduciary Powers by Out-of-State Banks and Trust Companies Form (Word document, 36KB)
• Registration to Exercise Trust or Fiduciary Powers by Out-of-State Banks and Trust Companies Form (Word document, 3.4MB)
• Charter Conversion - Please contact Marcia Ryan, Assistant Commissioner, Depository Corporate Applications Unit at 410-230-6104.
• Required Notice of Housing Counseling Programs and Services Form that Lender Must Provide to Borrower (PDF document from DHCD)

Credit Unions

• ATM Application
• Charter Conversion
• Credit Union Branch Establishment Application (Word document, 32KB)
• Notice of Discontinuation
• Required Notice of Housing Counseling Programs and Services Form that Lender Must Provide to Borrower (PDF document from DHCD)

Check Cashers

• Check Casher Application (Word document, 424KB)
• Check Casher Renewal Application (Word document, 361KB)
• Update Licensing Contact Information (Word document, 50KB)

Collection Agencies

• Original Office License - Initial Application
• Branch Office License - Initial Application
• License Renewal
• Interim Changes
• Surety Bond Form (Word document, 38KB)
• Change In Control - Collection Agency Application Update Form (Word document, 32KB)
• Business Registration Form (Word document, 132KB)

Consumer Lending

• Original Office License - Initial Application
• Branch Office License - Initial Application
• License Renewal
• Interim Changes
• Surety Bond Form (Word document, 38KB)

Credit Services Businesses

• Original License - Initial Application (Word document, 380KB)
• Surety Bond Form (Word document, 38KB)
• Update Licensing Contact Information (Word document, 50KB)

Debt Management Companies

• Debt Management License Application (Word document, 593KB)
• Fingerprint Card Request
• Surety Bond Form - Debt Management (Word document, 38KB)
• Update Licensing Contact Information (Word document, 50KB)

Debt Settlement Services Providers

• Debt Settlement Services Provider Registration Description (Word document, 63KB)
• Debt Settlement Checklist (Word document, 73KB)
• Debt Settlement Registration (Word document, 208KB)
• Surety Bond Form (Word document, 38KB)
• Debt Settlement Services Provider Annual Report (Excel document, 4.6MB, download Excel viewer for free)
• Instructions for Debt Settlement Services Provider Annual Report (Word document, 208KB)
• Update Licensing Contact Information (Word document, 50KB)

Installment Lenders

• Original Office License - Initial Application
• Branch Office License - Initial Application
• License Renewal
• Interim Changes
• Surety Bond Form (Word document, 38KB)

Money Transmitters

• Money Transmitter Application (Word document,731KB)
• Fingerprint Card Request
• Update Licensing Contact Information (Word document, 50KB)

Mortgage Lenders/Brokers/Services

• Apply for a Maryland Mortgage Lender License - Forms MU1 and/or MU3 (Login to NMLS)
• Surety Bond Form (Word document, 38KB)
• Maryland Mortgage Servicer Reporting Form
• Net Tangible Benefit Worksheet (Word document, 74KB)
• Secondary Mortgage Commercial Loan Disclosure (Word document, 39KB)
• Fingerprint Card Request
• Required Notice of Housing Counseling Programs and Services Form that Lender Must Provide to Borrower (PDF document from DHCD)

Mortgage Loan Originators

• Apply for a Maryland Mortgage Loan Originator License - Form MU4 (Login to NMLS)
• Amend a Maryland Loan Originator License (Login to NMLS)
• Affidavit of Mortgage Originator Activity - New Applicant (Word document, 82KB)
• Affidavit of Mortgage Originator Activity - License Amendment or Return to Active Status (Word document, 77KB)
• Distance Affidavit – MLO (Word document, 106KB)
• Net Tangible Benefit Worksheet (Word document, 74KB)
• Fingerprint Card Request
• Required Notice of Housing Counseling Programs and Services Form that Lender Must Provide to Borrower (PDF document from DHCD)

Sales Finance Companies

• Original Office License - Initial Application
• Branch Office License - Initial Application
• License Renewal
• Interim Changes

Other Forms

• Business Registration Form (Word document, 132KB)
• Maryland Mortgage Servicer Reporting Form
• Reporting Form Fraud, Theft, or Forgery, And Convictions (Word document, 63KB)
• Surety Bond Form (Word document, 38KB)
• Surety Bond Form - Debt Management (Word document, 38KB)
• Secondary Mortgage Commercial Loan Disclosure (Word document, 39KB)

Forms: Foreclosure Regulations - 09.03.12 (Effective October 25, 2011)

• Notice of Intent to Foreclose (Mortgage Loan Default) (Word document, 49KB)
• Notice of Intent to Foreclose (Alternative/Other Liens) (Word document, 39KB)
• Notice of Intent to Foreclose (Not an Owner-Occupied Mortgage Loan Default) (Word document, 73KB)
  List of Maryland Housing Counselors
• Loss Mitigation Application (Word document, 128KB)
• Notice of Foreclosure Action (Preliminary Loss Mitigation Affidavit) (Word document, 64KB)
• Preliminary Loss Mitigation Affidavit (Word document, 61KB)
  List of Maryland Housing Counselors
• Notice of Foreclosure Action (Final Loss Mitigation Affidavit) (Word document, 68KB)
• Request for Mediation (Instructions and Application) (Word document, 75KB)
• Final Loss Mitigation Affidavit (Word document, 61KB)
• Maryland Register on (Vol. 38, Issue 21, p. 1289) (October 7, 2011)

Updated May 16, 2012