Skip to main content

NURSES: The deadline to renew your license without a late fee has been extended to June 30, 2024. Contact our call center at 1-800-560-6420 if you have questions. You can also view our helpful guides for retrieving your user name and for help resetting your password.

PERC LICENSEES: The deadline to renew your license without a late fee has been extended to July 31, 2024. Contact our call center at 1-800-560-6420 if you have questions. You can also view our helpful guides for retrieving your user name and for help resetting your password.

Mortgage Brokers and Bankers - Forms

Update: Certain forms are now available on this site in two formats - the traditional and the new fill-in format.
Traditional Form: A traditional type form must be printed off of the computer, typed and mailed, along with other required documentation, if any.
Fill-in Form: The fill-in form may be completed on screen, printed off and mailed. (These forms cannot be returned to this office via the computer, but must be printed off and mailed.)
Instructions for fill-in form: To complete a fill-in form, tab between the gray boxes inserting the requested information in each. Some gray boxes have drop-down menus, which provide a choice of answers. Other boxes require the answer to be typed in. Once the form is complete, print it off and mail to this office, along with other required documentation, if any.
FILL-IN NAME OF FORM TRADITIONAL
  LICENSING  
  Residential Mortgage License Act (205 ILCS 635 1-1) X
  Rules - Residential Mortgage License Act of 1987 (38-1050) X
  Application for Duplicate License X
  Lost License Affidavit X
  Averments X
  Fee Schedule X
X Illinois State Police Form X
  Illinois Surety Bond Requirements (NEW) X
  Residential Mortgage License Bond X
  Exempt Entity Bond X
  Mortgage Industry Education Fact Sheet X
  Reissuance of Regulatory Bulletin JS 93/1 of December 1993 Concerning Rate Lock-Ins and Good Faith Estimates X
  REPURCHASE DEMAND REPORTS
(Fill-In Versions require MS Word)
 
  Repurchase Demand Form Instructions X
X Repurchase Demand Form X
 

ANNUAL ACTIVITY FORMS AND INSTRUCTIONS
Note: Our Department now accepts your timely and accurate NMLS Mortgage Call Reports in lieu of our Annual Mortgage, Brokerage, Servicing, and Purchasing Activity Reports.

 
X Report of Mortgage Activity (Click here for sample) X
X Report of Brokerage Activity (Click here for sample) X
X Report of Servicing Activity (Click here for sample) X
  Mortgage Activity Instructions X
  Brokerage Activity Instructions X
  Servicing Activity Instructions X
X Mortgage Activity Attestation Affidavit X
X Brokerage Activity Attestation Affidavit X
X Servicing Activity Attestation Affidavit X
X Purchasing Activity Report and Attestation Affidavit X
  MISCELLANEOUS  
6-2 X

Footer