Md. Code Regs. 09.03.11.02
A. Licensee Information or Affidavit in Lieu of Licensee Information.
(1) If a mortgage lender licensee is named in the promissory note or agreement evidencing a mortgage loan on a residential property that is secured by a security instrument to be recorded under Real Property Article, §3-104.1, Annotated Code of Maryland, the following information shall be filed with the security instrument:
(2) If a mortgage loan originator licensee originated the mortgage loan on residential property that is secured by a security instrument to be recorded under Real Property Article, §3-104.1, Annotated Code of Maryland, the following information shall be filed with the security instrument:
B. Information/Affidavit Form.
Licensee Information or Affidavit Filed in Accordance with Real Property Article, §3-104.1, Annotated Code of Maryland
Licensee Information
Maryland Mortgage Lender Name:__________________________________________
Maryland Mortgage Lender License Number:__________________________________
Maryland Mortgage Loan Originator Name:___________________________________
Maryland Mortgage Loan Originator License Number:__________________________
Affidavit in Lieu of Maryland Mortgage Lender or Maryland Mortgage Loan Originator Licensee Information
(Check the box and complete the information for the applicable selection(s) below. As used herein, the term “Loan” means the mortgage loan secured by the security instrument attached hereto [for subsequent filings insert: “or, if no instrument is attached, by the security instrument recorded at liber/book ______, folio/page ______”].)
Affidavit of Individual Mortgage Loan Originator:
[ ] I, ________________________________ [Insert name of affiant], whose address is _______________________________ [Insert address of affiant], hereby affirm, under the penalties of perjury, that I am the individual who originated the Loan and, in connection therewith, I am exempt from the licensing requirements under Financial Institutions Article, §§11-601 through 11-618, Annotated Code of Maryland.
Affidavit of Lender:
[ ] I, ________________________________ [Insert name of affiant], hereby affirm, under the penalties of perjury, that I am the [Insert Title] of _______________________________ [Insert the name of the lender (the “Lender”) that made the Loan]. The Lender's address is _______________________________ [Insert address of Lender]. I am duly authorized by the Lender to execute this affidavit. The Lender, in connection with the Loan, is exempt from the licensing requirements under Financial Institutions Article, §§11-501 through 11-524, Annotated Code of Maryland.
Affidavit of Lender (on its own behalf and on behalf of its employee who originated the Loan):
[ ] I, ________________________________ [Insert name of affiant], hereby affirm, under the penalties of perjury, that I am the _______________________ [Insert Title] of _______________________________ [Insert the name of the lender (the “Lender”) that made the Loan]. The Lender's address is _______________________________ [Insert address of Lender]. I am duly authorized by the Lender to execute this affidavit. The Lender, in connection with the Loan, is exempt from the licensing requirements under Financial Institutions Article, §§11-501 through 11-524, Annotated Code of Maryland. The employee of the Lender who originated the Loan is exempt from the licensing requirements under Financial Institutions Article, §§11-601 through 11-618, Annotated Code of Maryland.
Affidavit of Mortgage Broker (on behalf of its employee who originated the mortgage loan):
[ ] I, _______________________________ [Insert name of affiant], hereby affirm, under the penalties of perjury, that I am the _______________________________ [Insert title] of _______________________________ [Insert the name of the broker (the “Broker”) that brokered the Loan]. The Broker's address is _______________________________ [Insert address of Broker]. I am duly authorized by the Broker to execute this affidavit. The employee of the Broker, _______________________________ [Insert name of employee (the “Employee”)], is the individual who originated the Loan. The Employee, in connection with the Loan, is exempt from the licensing requirements under Financial Institutions Article, §§11-601 through 11-618, Annotated Code of Maryland.
I SOLEMNLY AFFIRM, under the penalties of perjury and upon personal knowledge, that the contents of the foregoing paper are true.
__________________Date _______________________________Signature of Affiant (Signing on behalf of Lender) _______________________________Print Name and Title of Affiant ____________________________ Date ________________Signature of Affiant (Individual Mortgage Loan Originator) _______________________________Print Name of Affiant __________________ Date _______________________________ Signature of Affiant (Signing on Behalf of Mortgage Broker) _______________________________Print Name and Title of Affiant
C. Location and Subsequent Filings.
(2) Subsequent Filing.
(c) A subsequently filed document recorded under this subsection shall contain:
Authority: Real Property Article, §3-104.1, Annotated Code of Maryland
Effective date:
Regulation .01 adopted as an emergency provision effective April 10, 2008 (35:10 Md. R. 970); emergency status extended at 35:23 Md. R. 2012
Regulation .02 adopted as an emergency provision effective May 23, 2008 (35:13 Md. R. 1177); emergency status extended at 35:23 Md. R. 2012
Regulations .01 and .02 adopted effective December 29, 2008 (35:26 Md. R. 2247)
Regulation .01B amended effective March 15, 2010 (37:5 Md. R. 427); July 3, 2017 (44:13 Md. R. 621)
Regulation .02 amended effective March 15, 2010 (37:5 Md. R. 427)
Regulation .02A amended effective July 3, 2017 (44:13 Md. R. 621)