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This document serves to notify the Division of Mortgage Lending about the termination of an independent licensee's affiliation with a loan modification consultant, foreclosure consultant, or covered
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How to fill out INDEPENDENT LICENSEE - NOTICE OF TERMINATION OF AFFILIATION WITH ASSOCIATED LICENSEE

01
Begin by obtaining the INDEPENDENT LICENSEE - NOTICE OF TERMINATION OF AFFILIATION WITH ASSOCIATED LICENSEE form.
02
Fill in the date at the top of the form where indicated.
03
Provide your name and contact information in the designated sections.
04
List the name of the associated licensee from whom you are terminating your affiliation.
05
Clearly state the reason for the termination in the appropriate section.
06
Indicate the effective date of the termination.
07
Review the completed form for accuracy and completeness.
08
Sign and date the form where required.
09
Make copies for your records and submit the original form to the appropriate authority.

Who needs INDEPENDENT LICENSEE - NOTICE OF TERMINATION OF AFFILIATION WITH ASSOCIATED LICENSEE?

01
Independent licensees who wish to formally terminate their affiliation with an associated licensee.
02
Individuals or businesses that have entered into a contractual agreement with an associated licensee and need to end the partnership.
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INDEPENDENT LICENSEE - NOTICE OF TERMINATION OF AFFILIATION WITH ASSOCIATED LICENSEE is a formal document used to notify that an independent licensee is terminating their affiliation or relationship with a specific associated licensee.
The independent licensee who wishes to end their affiliation with an associated licensee is required to file the INDEPENDENT LICENSEE - NOTICE OF TERMINATION OF AFFILIATION WITH ASSOCIATED LICENSEE.
To fill out the INDEPENDENT LICENSEE - NOTICE OF TERMINATION OF AFFILIATION WITH ASSOCIATED LICENSEE, one should provide the name and contact information of both the independent licensee and the associated licensee, state the effective date of termination, and include reasons for the termination if necessary.
The purpose of the INDEPENDENT LICENSEE - NOTICE OF TERMINATION OF AFFILIATION WITH ASSOCIATED LICENSEE is to officially document and communicate the termination of the professional relationship, ensuring clarity and legal compliance between the parties involved.
The information that must be reported includes the names and addresses of the independent and associated licensees, the effective date of termination, any relevant identification numbers, and potentially the reasons for termination.
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