MASSACHUSETTS NOTICE OF DENIAL

Date:
Loan No:
Borrower:
Mortgage Broker: Nationwide Mortgage Loan Company
Property Address:

This disclosure is provided to you pursuant to Massachusetts law
( Mass. Regs. Code tit. 209, §§ 39.07 and 39.99, Appendix A.).
You have the right to appeal this denial of your loan application to a Mortgage Review Board composed of lenders and citizens from your area. The Board members are appointed by the Massachusetts Commissioner of Banks whose staff coordinates this review process as provided by law.

The Board will review the application to determine if it was declined for valid reasons or because the property is located in a specific neighborhood or geographical area. If the Board determines that your loan was in fact declined because of the property's location then the Board will refer the application back to the lender with the recommendation that the loan be made.

If you wish to have your application reviewed, you may do so by affixing your signature to the statement below and returning the statement in the enclosed addressed envelope to:

Administrative Secretary
Mortgage Review Boards
Division of Banks
One South Street
Boston , MA 02110

The confidential information in your mortgage application and appeal to the Board will be released only to the members of the Mortgage Review Board and the Administrative Secretary. All copies are collected at the end of the review and destroyed.

If you have any questions concerning this process, please contact the Administrative Secretary of the Board at the Division of Banks at (617) 956-1500, who will, if you request, put you in touch with representatives of consumer credit organizations. The Board will notify you of the disposition of your appeal.

515 Encinitas Blvd. ste 100 , Encinitas CA 92024 1-800-242-6986.

Notice of Appeal
In accordance with the provisions outlined above, I/we wish to appeal the denial of my/our mortgage application to the appropriate mortgage review board, and I/we hereby authorize the release of the confidential material in my/our application solely for the purpose of this review.

To be completed by Mortgagee.
Mortgagee
Company Name: Nationwide Mortgage Loan Company MA Mortgage Broker # MB3598
Address:
Contact Person / information:

Property Address:
Name of Applicant(s):
Signature of Applicant:

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