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The following items are required in order to complete the broker registration process. If you are operating as a net branch of a corporate office, please contact your Regional Manager for additional documentation that is required in order to register with Silver Hill Funding, LLC.

Principals

Provide resumes for the individuals listed
Max. file size: 128 MB.
Max. file size: 128 MB.
Max. file size: 128 MB.

Signatures

I/We the undersigned do hereby attest and confirm that the information provided in this Broker registration form is true and correct to the best of my/our knowledge as of the date of signing. Silver Hill Funding, LLC is authorized to send any and all communications, rate sheets, product information and advertisements to the fax number or email address provided above. I/We are obligated to immediately notify Silver Hill Funding, LLC of any changes to the information contained herein.
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D.B.A s and Affiliates

Provide information on all D.B.A s and affiliates.

Disclosure Due Diligence Questions

1. Has your company, and/or principals, directors or corporate officers (whether at this company or a previous company) and affiliates, been named as a defendant in a civil lawsuit for alleged fraud or misrepresentation in connection with any real estate or financial related activity?
2. Has your company and/or principals, directors or corporate officers (whether at this company or a previous company and affiliates, ever been involved in, or is it currently involved in, any other litigation for fraud, misrepresentation or breach of contract?
3. Has your company, and/or principals/directors or corporate officers and affiliates, been named as a defendant in criminal proceedings, complaint, and/or conviction for alleged fraud, misrepresentation, or money laundering in connection with any real estate or financial related activity?
4. Has your company, and/or principals, directors or corporate officers (whether at this company or a previous company) and affiliates, ever been subject to any fines, settlement agreements, debarment, sanctions, penalties, or administrative action taken by a federal, state or local government regulator/ agency?
5. Has any business owner, shareholder, principal, or corporate officer, and affiliates been subject to any revocation, disgorgements, disbarment, suspension, or termination of any state license or professional license or certification?