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For Wholesale Brokers requesting approval to be a

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For Wholesale Brokers requesting approval to be a VA authorized agent for Orion Funding, or for Wholesale Brokers
requesting renewal, please complete this form and submit it with a check for $100.00 made payable to the Department
of Veterans Affairs.
Broker ID (If Approved):
Company Name:
DBA (If Applicable):
Main Office Address:
City, State, Zip:
Broker Tax ID #:
Broker of Record/Contact Name:
Broker/Contact Email Address:
Broker/Contact Telephone #:
Fax Number:
VA ID Number (If Previously Approved):
Please make check payable to the Department of Veterans Affairs.
Send check and completed form to:
Orion Lending
Attention: Broker Administration
770 The City Drive South, Suite 1100
Orange, CA 92868
*NOTE:
• Broker must be licensed in any state in which originations will occur.
• Orion Lending must provide the Broker’s information to the Department of Veterans Affairs for approval and
issuance of a VA ID number.
This document is limited to current Orion Lending policy and practice and should not be construed as legal advice, legal opinion, or any other advice on specific facts
or circumstances. Such policy and practice is subject to change. The recipient should contact its legal counsel for legal advice. For business and professional use
only. Not for consumer distribution. All loans subject to approval. Certain conditions and fees apply. Orion Lending is a registered DBA of American Financial Network,
Inc. NMLS ID# 237341.
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Completed 5 January 2022

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