Search Results: "filing history"

Life & Health

Application Forms

Applications for qualified education loan servicer licenses must be submitted through the Nationwide Multistate Licensing System (NMLS). Federal student loan servicing contractors who qualify for automatic issuance of a license pursuant to § 6.2-2602 of the Code of Virginia may also document their eligibility and request the license through NMLS.  

Applications for acquisition of control of existing licensees must be submitted outside of NMLS using form CCB-12003. The application may require the filing of one or more of the supplemental forms listed below. It is important to carefully read and follow all instructions and to provide full and complete responses. Investigation of the application may be delayed if the application is incomplete.

Application Forms

  • APPLICATION FOR PERMISSION TO ACQUIRE CONTROL OF A QUALIFIED EDUCATION LOAN SERVICER LICENSEE
    • CCB-12003  Application for permission to acquire control of a qualified education loan servicer licensee Pursuant to § 6.2-2609 of the Code of Virginia
      • SUPPLEMENTAL FORMS
        • CCB-1123 Personal Financial Report and Disclosure Statement
        • CCB-1143 Limited Personal Financial Report and Disclosure Statement
        • CCB-1149 Depository Institution Authorization Form
        • CCB-1150 Employment and Business Affiliation Disclosure Form
        • CCB-12004 Criminal history records consent and fingerprinting instructions

ccb8808

Application for Permission to Acquire Control of a Mortgage Lender and or Broker Licensee Pursuant to §6.2-1608 of the Code of Virginia

ccb8812

Criminal History Records Consent Form

ccb5514

Application for Permission to Acquire Control of a Money Transmitter Licensee Pursuant to Section 6.2-1914 of the Code of Virginia

ccb12004

Criminal history records consent and fingerprinting instructions

ccb12003

Application for permission to acquire control of a qualified education loan servicer licensee Pursuant to § 6.2-2609 of the code of Virginia

ccb5531

Criminal History Records Consent and Fingerprinting Instructions

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Public Adjuster FAQs

ccb1149

Depository Institution Authorization Form
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