MGIC Master Policy application

Institution Type & License Number(s)

Enter all numbers that apply

FDIC #
NCUA Charter #
NMLS #
LEI #

Company Information

Company Name

Company Address (not a PO Box or Residence)

City

State

ZIP

Phone Number

Fax Number (optional)

Corporate Website (optional)

Month/Year Founded

Please leave blank if you are human: Home Office Corporate Address
Same as company address

City

State

ZIP

Phone Number

Fax Number (optional)

Organizational Principals

Name

Title

Provide one of the following

NMLS #

Years of Service

Add an Organizational Principal

Name

Title

Provide one of the following

NMLS #

Years of Service

Add an Organizational Principal

Name

Title

Provide one of the following

NMLS #

Years of Service

Add an Organizational Principal

Name

Title

Provide one of the following

NMLS #

Years of Service

Add an Organizational Principal

Name

Title

Provide one of the following

NMLS #

Years of Service

Investor Does your company have an agency investor seller/servicer number?
Yes
No

Agency Investor Approvals

FannieMae Seller/Servicer #
FreddieMac Seller/Servicer #

FHLB Seller/Servicer #
GinnieMae Seller/Servicer #

Other Investor Approvals

Name

Add another Investor

Name

Add another Investor

Name

Add another Investor

Name

Add another Investor

Name

Submission Preference
Delegated (submit electronically)
Non-Delegated (submit full file)

Contact with MGIC Account Manager Have you had contact with an MGIC Account Manager prior to completing this application?
Yes No

Comments (optional)

Master Policy Contact

If additional information is needed for this application or for any future Master Policy questions/communications, contact will be made to this individual.

Same as Authorized Submitting Representative

Name

Title

Phone

E-Mail Address

Authorized Submitting Representative

The authorized submitter certifies that he/she has been duly authorized to submit this application on behalf of the lender.

Name

Title

Phone

E-Mail Address

I have applied for an MGIC Master Policy, providing company information pertaining to location, principals, institution type, and key contact information. I certify that all of the information is true and complete.

To the best of my ability, I have made no misrepresentation on the application, nor did I omit any pertinent information.

I understand and agree that MGIC reserves the right to verify with my company the information provided on the application.

By submitting this application, I agree to these terms.

I acknowledge the above