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Dear Broker:
Complete the short application to become a registered and
protected broker with Magnolia Financial Consultants. This is required
prior to funding out your first loan with us, so we know were to
send your commissions and under what tax ID # for our year end
records.
Please note: Please feel free to print it off
prior to filling in the blanks, and fax to us at 601-649-7116.
Personal Name:
_______________________
Today's Date: ________
Title: ______________________ E-mail
Address:
__________________
Company Name: __________________ DBA: ______________________
Physical Address:
____________________________________________
City: _______________________
State: ________ Zip
Code: _________
Phone Number: _____________ Fax
Number: _____________________
Years in Business: _____
Number of Agents:__________
Principal Officer of Company: _________________ Title:
______________
Federal Tax Number or Social Security Number for Commissions Paid:
__________________
Advise us of Any Unique Situations You May Have for Payment of
Commission______________________________________________
CONFIDENTIALITY AGREEMENT
In consideration of promises of each Party to each other
herein stated:
This agreement entered into this date, between
_________________________ Party of the first part, and Magnolia Financial Consultants, Party of the second part, shall set forth certain
rules of conduct, to be adhered to by all parties, in each
individual loan transaction they may explore into:
TO WIT
1. All parties
agree not to circumvent the other to negotiate or complete business
transactions, directly or indirectly, with the other's associates,
correspondents, clients, or principals, without the express written
consent of the party being circumvented.
2. The parties
also agree not to initially disclose the identity of the other
associates, correspondents, clients, or principals, until such time
into the loan process that it becomes necessary to do so. This will
take place after the borrower-broker-lender have a meeting of the
minds on the terms and conditions of the pending loan.
3. The
provisions of the agreement shall remain in effect for each separate
loan transaction under negotiation or entered into, and such as, but
not limited to, loan increases, collateral and partial transfers,
rollovers, third-party assignments.
4. It is
furthermore agreed, in the event that either party circumvents the
other or discloses information to a third party, which results in a
direct loss of compensation to either party, the responsible party
shall be liable to the injured party(s), to the extent of the injury
or lost consideration and full costs of satisfaction and recovery of
liquidated damages including attorney's fees.
5. This
agreement can be amended, in writing, by the mutual consent of all
parties.
6. This
agreement can be terminated, with thirty days written notification,
by either party; however, its provisions shall continue to apply to
all parties, in regard to business negotiations, and loan
transactions entered into, during the effective period of the
agreement and for a period of (2) TWO years, after terminations,
providing non-circumvention and non-disclosure protection of each
parties associates, correspondents, clients, or principals.
7. This
agreement shall be binding upon all persons entering thereto and all
companies, partnerships, corporations and their subsidiaries, in
which they are representing and-or a part, their successors and
assigns.
It is understood and agreed by and between all parties that
this agreement, as written above, constitutes the entire agreement
between the parties, and upon execution by the parties, shall be
binding upon the parties hereto, and upon their respective heirs,
personal representatives, successors and assigns.
A fully executed and signed copy of this agreement sent via
fax shall be binding to the extent as an original.
___________________________
Company Name
___________________________
Signature of First Party
___________________________
Print in Name of Above Party
___________________________
Date
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Magnolia Financial Consultants
________________________
Signature of Second Party
Michael Raybourn
_________________________
Date
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