Form W'9 Request for Taxpayer Give Form to the
(Rev. October 201 8) ldentification Number and Certification requester. Do not
Department of the Treasury send to the lRS.
lnternal Revenue Service ) Go to www.irs.gov/FormWg tor instructions and the latest information.
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank
;(;( .-rr) i.' I l: ( -- i ;v <
2 Business name/disregarded entity name, if different from above
c.j
0) 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1 . Check only one of the 4 Exemptions (codes apply only to
o following seven boxes. certain entities, not individuals; see
o instructions on page 3):
c E Corporation fl Corporation fl eartnership fl
o f] Individual/sole proprietor or C S Trust/estate
.o
otr single-member LLC Exempt payee code (if any)
oo
>!
riJ [Limit"oliabilitycompany.EnterthetaXClassification(C=cCorporation,S=Scorporation,P=Partnership)>=
oi Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA repoding
,o LLC if the LLC is classfied as a single-member LLC that is disregarded from the owner unless the owner of the LLC is
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that code (if any)
oql is disregarded from the owner should check the appropriate box for the tax classi{ication of its owner.
'6
o Other (see instructions) > (Appres to accounts mahlalned autede the U S )
o 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional)
;r- i: -:; i lc. ,,u-,,.
o)
o CLr l, L t .)
a
6 Caty, state, and ZIP code
7 List account number(s) here (optional)
Part I on Number
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
m[I-m
backup withholding. For individuals, this is generally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part l, later. For other
entities, it is your employer identification number (ElN). lf you do not have a number, see How to get a
I/N, later. or
Note: lf the account is in more than one name, see the instructions for line 1. Also see What Name and
Number To Give the Requester for guidelines on whose number to enter.
Ceftification
Under penalties of perjury, I cerlify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subiect to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the lnternal Revenue
Service (lRS) that I am subject to backup withholding as a result of a failure to repod all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on yourtax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (lRA), and generally, payments
other than interest and dividends, you are not required to sign the certification, but you must provide your correct TlN. See the instructions for Part ll, later.
Sign Signature of I
Here U.S. person , / l, ,'' Date > I tq
General lnstructions . Form those from stocks or mutual
funds)
Section references are to the lnternal Revenue Code unless otherwise . Form 1099-MISC (various types of income, prizes, awards, or gross
noted.
proceeds)
Future developments. For the latest information about developments . Form 1099-8 (stock or mutual fund sales and certain other
related to Form W-9 and its instructions, such as legislation enacted
transactions by brokers)
after they were published, go lo www.irs.gov/FormWg.
. Form 1099-3 (proceeds from real estate transactions)
Purpose of Form . Form 1099-K (merchant card and third party network transactions)
An individual or entity (Form W-9 requester) who is required to file an . Form 1098 (home mortgage interest), 1098-E (student loan interest),
information return with the IRS must obtain your correct taxpayer 1098-T (tuition)
identifrcation number [lN) which may be your social security number . Form 1099-C (canceled debt)
(SSN), individual taxpayer identification number (lTlN), adoption
taxpayer identification number (ATIN), or employer identification number
. Form 1099-4 (acquisition or abandonment of secured property)
(ElN), to repod on an information return the amount paid to you, or other Use Form W-9 only if you are a U.S. person (including a resident
amount reportable on an information return. Examples of rnformation alien), to provide your correct TlN.
returns include, but are not limited to, the following.
lf you do not return Form W-9 to the requester with a TtN, you might
. Form 1099-lNT (interest earned or paid) be subject to backup withholding. See What is backup withholding,
later.
Cat. No.10231X rorm W-9 (Rev. 10-201 8)
M-JWM
PCLICY CTRTIFICATION
r,Arnold Gajraj am the owner/majority shareholder of
American Executive Mortgages !nc located at
7065 Westpointe Blvd Orlando Fl 32835 and I hereby certiry and make the
following representations and warranties:
'1
. Our company has documented policies and procedures regarding the origination process that
complies with all investor, State and Federal laws including but not limited to;
a. State Regulations and Disclosures
b. Fair Lending
c. Real Estate Settlement Procedures
d. Truth ln Lending Act
e. The Privacy Act
f. USA Patriot Act
g. BSA/Anti-Money Laundering
h. Qualified Mortgage and Ability to Repay
2. Our company has a process which accurately monitors and updates NMLS registration as required
per the SAFE Act.
3. Our company has documented procedures to ensure that loan submissions to UWM are accurate and
meet all applicable requirements, as well as UWM/lnvestor requirements.
4. Our company ensures that all employees are apprised of all State, Federal, UWM and lnvestor
guidelines and updates.
5. Our company has a process to check and monitor OFAC, Freddie Mac Exclusionary List, FHFA/SCP
List, GSA and LPD lists for all new hires and participants in any mortgage transaction.
6. I understand that UWM is relying in good-faith on all of the above representations and warranties, all of
which are material to their continued willingness to accept loan originations from our company.
I understand that UWM is relying in good-faith on all of the above representations and warranties, all of which
are material to their continued willingness to accept loan originations from our company.
Arnold Gajraj Owner/Ceo
Owner/Majority Shareholder Typed/Printed Name Title
t,-'1,1 af;f't
/i .
Owner/Majority Shhreixllder Sig nature Date /
I
i::\ (:ri,ietl 2 i a :',: * 1 !)
4t10t2019 Print MUI Filing
American Executive Mortgages,lnc. (1378406) Company (MU1) ACN Processed submitted 0611312017 by System.
ffiusiness Activlties
Item 1 of 1:
Eilsin*us Artivity; f trslns*r1git1;t: i:rokcr rtq
itt#ustrY: fvlcf tLli l.lr)
$tate{s}: Florida
u,--x**n
**/ffi mE i strati* n nfo rE:-: *ti* E n
Item 1 of 1:
Regxlat*r: Flortda
l*ict:nge: h'lortgage Brr<*r L icense
ld*ntifyi ng I nfarrnati*n
Entity name and EIN:
Ent ity hl a n.l e ; Arn t rt ra r'l I x r:c u li rie lll*rl4a;1*':;.lrt r::
1 ffi $ f; m p l*yer ld*rrtif icati o n SJ u rn b* r "" >.x- x. t xT li 2A
Main address:
Numher & Street: 70fi5 V',lesiroinir: *lvcj
https:/iwww.statemortgageregistry.com/PrintFiling/M Ul iPrintMU'l .aspx?Filingld= 11 1 1 1 648&Page=All
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$tate ; 1:: lcsritlzt
*ountny I Prsvinre; Llnrl*:tj 5l:llt)S
Fostai *q:de: 32835
Any other business locations?
*ther than the rnain cffice does the No
*n(ity ronduet business \#ith
{:#as$msrs througl-r l>ran*h *ffices
err othq:r l:ilsiiress trocations?
#th*r Trad* Narn*s
r,,&Sgg"g_r{ IqUn4..
ffimsidm*:tlR*EImter*d Ag*nt
Item 1 of 1:
Ccm pany : Arr: *t"t c;t tt IxecL; ti'", e 1\4orlg ai;es
First i',lame: Arn*irj
Last Nanlo: Ga;r;l;
Title: llir*ctor
Business Addr*ss: 7065 Westpointe Blvd
il)u rr1 ;1111ils3 rr,.l 3.)xt Srriti: 30ti
CitY: Orland*
State: [:itriria
Cmuntry ! Trrsvimc*: Uriled States
Psilstal C**sy :1? lJ:15
[3*siness P]:cne; t+ {.i I -57'l-ltl:1188
Fax l-[lle: 407 -57 {:1,-!t{17 l]
Sn'r*il Adeiress l aqajreaj {g)y ah**.r;orn
\ffmb Addre$$*s
h,lc Record found.
**mta*t Ur.lr ploye* I nf*rrnati*n
Item 1 of 1:
I Frirnary Colrpany Cont;rct
I Prirnery Cr:ns';rrer Carlplaini (Rec,rlalor)
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4t10t2019 Print MUI Filing
First N;;rne: Arnokl
L;rst f{anr*; {};l]rai
T;tle: Oyiinei
Hn:;*il Addres$ : asalraj(ryrihoo.iiorlr
Mailing Aelde'ess: 70{i5 Wcstpairte BlvC
/^ie.,.
vriy. iv,ri.r,!rr.",
Ir!,r,r{rr
State: F lorirJa
C*un{ry I Provincs: Unilecl Slales
'3?'d3{i
Postal e*ele:
ffiusiness Pl:*ne : 447-57&-588*'
Fax Line:
Ilrdustry Tyg:le(s1;
Arca{s} nf $tesponsrhillty:
$tat*{*}:
trf
ffic*ks and ffiecands lnformation
Item 1 of 1:
e*m pa *y : A,m cri ca t: Ixt':cu lr ire \ir:ilSltty.:s
First Nanle: l\rnlirj
Last f{an:e: G*;r;r1
ffiueiness Address: 7C65 Wesi*i:ir.rlc Blvti
l) .: ;.r :- l. ri r
CitY; 0tl;lndl
$tat*: Fii;rid*
e*untry I Frovince; United State;s
Fcstal Code: 321]'35
ffi usin*ss Phpne: 4A ! -5'1 E-5888
Fax Ll|}e: +Ll/ -)/li- jld, a1
Hm a i I &d d r*s s : ;l E a1 re a1 @-y al trs r.s cr.srt:,
lnduslry Typc{s}: l'fu sr"r;at1e
State{s}: l'ksrir|it
Ccmm*nts:
(i)it::-:,.ttr iillttl Vr.rlir igx: t:l11\t\j to i:)'tl l;lt.:li:r,.lr,fii.)
Appr*vals and D*signati*ns
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4110t2019 Print MU1 Filing
Frsvide the inf*rn'lation below for any approvfll$ldesignations the company cunrently holds.
I f r:dslral licrsing Acjrrrinistralir:n (Il"1A) Apprcval
Aprproval Type.
Main Approval#:
I Crnnre l.le;e aJ:Droveri issLre riservit*r - Meus A;sp',ra',tal NN'.
| 7;tnltc Mae r:J:prcv*rj SelieriService r - lv,lain Approval #.
! l-reddrr !,lac ztp,;r<t',t*d $ellertfier\..tcer ^ L4arn Ai:proval #:
I Vele rans AJrtrriistrarliclr (VA) Approvr,:rl L*:nder - ful*in Apssrovrsl il:
! i:irCf i.J l{r*grslraiior: - Mcney $cryir;e ilusinoss ,-tnlv
Con{ii"i:-rallon ll.
Filir:r1 D:ri.e:
I Ll n if r;rrn I )enl-tr4a n;r g r?fi.]*,ri Sr: rvicen Act Accrecl i l;rlion
! Cuar:rr:leed Rural H*using (GRH)Appraval - tulairr Approiral fl:
I Clher" Apprr:vallD*sicri;:Lr*n
f.lame i.ri Apprcv;lilDes ii:naticn :
App;"r.,va li Reg islr;r lir:rr #.
Will tht: enti{y e*g*ge in any nnn-financial services retatec! businass? \ic
lf "yes" briefly dr*scribe.
ffililI the ei.rtity occupy ar *har* $p#ctr with any persor:{s} *ngaE*d in fin*ncial service$-re}ated activity? |lr;
lf "yes" briefly eiescrihe"
ffimnk Account !nforrnatian
No Record found"
L*ga[ Stat*s
Fiseai yeer e nd l{*Mlfiffi[ 12/31
l{ publicly traded, pi*a** inserf stock syr"r:boi;
Fsrmation State; Flotida
Farmatinn Ceiuntry I Provine*; Urrrttlr) Slatrs
F<rrmaii*n ffi ate: 04 I 2A 120{:1
Legnl $tatur: Cr:rporati*it
Desc ription:
Aff'Iiates/$ r"* bsid ia ni*s
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4t10t2019 Print MU1 Filing
Nc Reco!"d found.
Frnmncrml nstitr-*ticns tr
No Record found
ffi iscl*s rtr G Lj sstio n s
i",{
Criminal Disclosure
l{h,} Wa* th* e ntity nr a contrnl affiliats ever:
{lllseen convictsd of *r pl*d guitty or nolo contend*re {"n* c*r:tesl"} in a dornestic, foreign, gr military l!r:
cccirt ta any felnny?
(2) been e harged witir any tel*ny? No
{8}
{t} In ihe past t0 y*ars has the entity c>n a contro[ affili*te beer: currvicteci of or pleri guilty ar nol<: Nc
**ntend*re {"nn c*nte*t"} in a elornesti*, fr:r*ign, or military cqrurt to comrniiting or e*aspiring lo
csmmit a misdemeansr invr:lving: {i} financial services or a fir"lancial servic*s-related bt*siness, (ii}
fr^aud. {iii}fals* statements or *missicn*, {iv} th*ft or wrongful taking of property, {v) bribery, (vi} perjury.
{vii} tCIrgery, {viii} *onnte rfeiting, *r (ix} extortion?
(ft| hre tlTere pending charg*s against the entity or a cnntro{ attiliate f$r a mis{,effi{;}*nor sp*cified in (S} hl,,
!!L'
I
{1 }?
Regulatory Action Disclosure
{C}trtthe past't0 year$, has any $tate or fed*ra\ regulatory ag*rlc}i arfareiEn financial negr:latory authority cr
self-reEulatory organization {SRS} ever:
{1} f*und t[-le *ntity *r a ccntrol affi]iate tc haure marle a false statement cr on:issio* or heen dishonest, lrlo
unfair cr un*thical?
(2)f*und the entity on a er:ntr*l affiilate t* have beer: involved irr a violation *{ a{inancial services- Nn
re{ated regulaticn{s} or statute{s}?
{3}f*und tlre entity *r ;l c**trol affiliate to havo been a c;rus* of a financial ssrvices-related buslr.:ess
havinE its authorizatir:* to dc [:usiness denied, susperrded, revoked c:r restrictecJ?
i4} enlercd an order" against th* crrtity *r a **:rtr*i *tffiliate in connection with a {enanctatr fi#rvices - l(o
related ar:tizsi\y?
derli*d. sltspended, or revoked the tlntily'* cr a cr:ntr*l ;*Kiliale'x regislration *r licens* *r *therwise.
{$,1
hy order, prevent*cl it fren, associating with a financial services*related b*sin*ss cr restricted its
activities?
l*|#as ths entity'$ or a ceintrol affiliate's auths:rlzaii*n ter act as an ;*ttorney" accountant, or $taie or tederal h.ln
c*ntractcr ever been re'roked or *uspended?
{[) [s there a pending regulatary actian y:roceedirrg against th* entity or a *nntrol affiliate f*r a*y alf e g*d l"i r.r
vi*lati** clescriheel in {C} thro*gh {f}?
Civil Disclosure
{F} lt*s any dorn*stic *r f*reig*rr cnu*:
{1} in tfu* pa*t ten years en.loinerj the entity cr a c*ntrol affiliate ir: connection with any financial [.jo
s e rvi c*s -rs { ittq cJ actt\t ity "?
{?} i* the past ten year"s founci tlre errtity or a corrlrol affiliate was invotvecj in a violatian af any finar:cial t\t
services-relsted statute{s} *r regr:lation{s)?
{3} in the pa$t ten years di*rnissed, pursumnt to a settlerxent ar;r**r**nt. a financia! services-related civil N<;
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411012019 print MUI Fiting
action br*ught asair,:st the *ntity i:r c$r:trtl aftiliate by a State *{ t*rei7{i finannl;ll regulat*ry auih*rity?
{G} {s there ii pBndinfr financial servi{:e$-related civil action in which the entity or a ccntrcl affiliate is Nr:
*an:e* f,r:rr any alleged violxtinn <i*scribed in {Fi?
Financial Disclosure
{[-i] {n the pn$t ten year$ []a$ the *rTtity or e ccntrol affiliate been the $ubjcct of a bankruptry petition? No
(i) i"{as a bonding eorulpany evcn der:ied" paiei out on, o!' revoked a bond for the entity? l,li;
(J) Does tF"re *ntity have any r-lnsatisfied jurJgments or lie*s ag*ir:st it? Nt
*iscf nsu r# ffi xplan*ti*ns
No Record found"
ffiire*t #wr:en$ ffind ffixecutive Officers
Item 1 of 1:
f;ntity l{3: 1 29325& ."ilrv-r1:1:ll]-g3l$L1lp1iljl
Full Legat Name: lialitj, Arnr.:ltl Ar.,:nrn;:uih
Title: Mr
F*r**:*taE* of Ow**rship: lfit
lnr:iIvidr-lai *r Conrpany: ]nriivirjiiill
lndirect *wnens
No Record found.
*uatrlfyirrg !ndivldutrls
Item 1 of 1:
E;"rtity lD: 12.?3?_l:& View lndivicjui*l Snapshr:rt
FLrll Legill Natt:c: Galrai, Amcld Anrarnilulh
Titie: l!1r
ffiusinegs Aeldress: 7065rli*lipciintr Blvd
City: Crlanrio
$iaie: !:1olda
e a:t"rntry I Province: t"lniterj Slales
$?*st*l Crysie: 32B:J5
FendinE Creatinn Pending Rernnval
Curre nt lnd*stry Types ffiffective Date f;ffective ilate
Yes Mcrlgage
Pending Crealion Pending R,emoval
e urr*nt States f;ffective Date Effective Date
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4t10t2019 Print MUI Filing
Yr,:s ?\t:;rilzt
Do*un1#nt Uplcads
l&sxM
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