A lender or broker may not accept a fee or deposit from an applicant for a mortgage loan unless at the time the lender or broker accepts the fee or deposit there is a written statement:
(1) signed by the applicant;
(2) stating whether or not the fee or deposit is refundable; and
(3) describing the conditions, if any, under which all or a portion of the fee or deposit will be refunded to the applicant.