National Tax Lien Association - Membership Application
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1 National Tax Lien Association - Membership Application Thank you for your interest in the NTLA. We re pleased you have decided to join our association. Please complete this application in full in order to be considered for membership. This information will only be used by NTLA Headquarters and will not be shared or sold. Direct any questions to NTLA Headquarters at or at info@thentla.com. You may also choose to complete this application online, at 1) Information Please list the Corporate Principal and Main Contact for your NTLA membership below. Company Name Previous Company or Affiliate Name(s) Principal Contact Name (First, Middle, Last) Business Title DOB (XX/XX/XXXX) Nicknames Aliases Company Address City State Zip Code Company Phone Company Fax Company Website 2) List all Principals Additional individuals under the same corporation may be added to the Primary Membership at no additional fee and will be reviewed on an individual and group basis to meet membership criteria. Principal Contact Name (First, Middle, Last) Business Title DOB (XX/XX/XXXX) Nicknames Aliases Phone Fax pg. 1
2 Website Additional information can be provided to complete full online membership profile upon approval. Principal Contact Name (First, Middle, Last) Business Title DOB (XX/XX/XXXX) Nicknames Aliases Phone Fax Website Additional information can be provided to complete full online membership profile upon approval. 3) Corporate Profile Information you provide will be reviewed to meet membership criteria. 3a) Business Classification (Check one) [ ] Investor [ ] Lender [ ] Servicer [ ] Legal [ ] Technology [ ] Advisor [ ] Government [ ] Academic 3b) Industry Practices (Check all that apply) [ ] Individual Investment [ ] Corporate Investment [ ] Commercial Banking [ ] Servicing [ ] Trusts [ ] Auction Vendor [ ] Consulting [ ] Financial Advising [ ] Lien Trading [ ] Developing Real Estate [ ] Foreclosure Services [ ] Title Servicing [ ] Insuring Bonds [ ] Providing Software [ ] Accounting [ ] Engineering 3c) Membership Levels (Check one) Memberships are based on portfolio size/lending amount/trading volumes (avg. last 12 mo.) Membership dues are good for 1 year from month of application. Category Criteria Annual Dues [ ] Lender over $250 million $20,000 [ ] Lender $150 million - $240 million $15,000 [ ] Lender $75 million - $149 million $10,000 [ ] Lender under $75 million $5,000 [ ] Investor/Servicer/Trust Bank over $100 million $10,000 [ ] Investor/Servicer/Trust Bank $25 million - $99 million $6,000 [ ] Investor/Servicer/Trust Bank $5 million - $24 million $4,000 [ ] Investor/Servicer/Trust Bank $1 million - $5 million $3,000 [ ] Investor/Servicer/Trust Bank under $1 million $2,000 [ ] Private Investor (Using Own funds) under $500,000 $500 pg. 2
3 Category Criteria Annual Dues [ ] Auction Vendor over $100 million $5,000 [ ] Auction Vendor $50 million - $99 million $3,500 [ ] Auction Vendor under $49 million $2,500 [ ] Financial Advisor over $100 million $5,000 [ ] Financial Advisor $50 million - $99 million $3,500 [ ] Financial Advisor under $49 million $2,500 [ ] Real Estate Developer $3,000 [ ] Real Estate Broker $2,000 [ ] Law Firm/Attorney $2,500 [ ] Bond Insurer $2,500 [ ] Title Services $2,500 [ ] Consulting Firm $2,500 [ ] Lien Software Vendor $2,500 [ ] Accounting Firm $2,000 [ ] Environmental Engineer $2,000 [ ] Government $150 3d) Please tell us briefly what your business does related to this industry: 3e) Number of Employees [ ] Under 10 [ ] [ ] [ ] [ ] [ ] 100+ pg. 3
4 4) Background Screening Questions apply to all applicants listed on this application. Information you provide will be reviewed to meet membership criteria. 4a) Have you ever been convicted of Bid Rigging or any other Sherman Anti-trust Violation? (Check one) [ ] Yes [ ] No If checked Yes, please explain: 4b) Have you ever been convicted of a felony? (Check one) [ ] Yes [ ] No If checked Yes, please explain: 4d) Verification Statement (To be signed by all applicants) I hereby warrant that all representations set forth above are true. To verify the above statements, I direct those persons named in this application to ask questions about me or us. I waive all rights of actions for consequences as a result of such information. I agree and authorize and give permission to the National Tax Lien Association, to perform a background check on me. Print Name Print Name pg. 4
5 5) Code of Ethics (To be signed by all applicants) The NTLA takes the ethical considerations of the tax lien industry very seriously. All members are required to adhere to a code of ethics and sign an anti-trust compliance statement. 1. NTLA members will be informed on local, state, and national issues, important to the tax lien industry. 2. NTLA members will conduct business affairs in a manner which recognizes the rights of property owners and the responsibilities of public revenue officials, and which brings credit to the tax lien industry. 3. NTLA members and prospective NTLA members, will always provide accurate and full disclosure for those membership categories based upon a dollar value. 4. NTLA members will maintain appropriate competency to enhance the professional image of the Association through continuing education and business experience. 5. NTLA members will work cooperatively with tax collectors, county treasurers, revenue commissioners, and other public revenue officials responsible for ad valorem tax lien and tax sale laws. 6. NTLA members shall not make false or misleading statements about competitors, their business or business practices. 7. NTLA members shall conduct business practices in accordance with local, state, and federal laws governing the purchase, issuance, and investment of tax liens, tax deeds, and the administration of tax lien sales, tax land sales, and foreclosure proceedings. 8. NTLA members shall obey all local, state, and federal laws and regulations, particularly those concerning the registration and sale of securities; the buying and selling of tax liens, and tax deeds; the collection of taxes, tax liens and other municipal, state, and federal debt sold to third persons; real property foreclosures; fair debt collection practices; truth in lending; and unfair trade, anticompetitive, and antitrust behavior. Statement of Compliance I/We, hereby declare and affirm that: I have read and understand the NTLA s Code of Ethics and By- Laws; I will comply with the NTLA s By-Laws and Code of Ethics. In particular, I state the information in my NTLA membership application, (and renewal) is true and correct to the best of my knowledge. I shall not knowingly make false or misleading statements about competitors, their business, or business practices. I will conduct my business, and all aspects thereof, in accordance with local, state, and federal statutes governing the purchase and investments of tax liens, the administration of tax lien sales, and foreclosure proceedings. I shall comply with and not intentionally violate local, state, and federal laws and regulations, concerning the registration and sale of securities, the buying and selling of tax liens, the collection of tax liens, real property foreclosures, debt collection practices, and truth-in-lending. I shall comply with all federal and state laws concerning unfair acts and unfair methods of competition, unfair trade, and anticompetitive behavior. I shall comply with all federal and state antitrust laws. pg. 5
6 Print Name Print Name How did you hear about the NTLA? (Check all that apply) [ ] Online Search Engine [ ] Google [ ] Bing [ ] Yahoo [ ] Other: [ ] Social Media [ ] Twitter [ ] Facebook [ ] LinkedIn [ ] Google+ [ ] [ ] Mail [ ] I ve Attended NTLA Conferences [ ] Referred by a Colleague Name: pg. 6
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