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I want a Loan to Purchase a Home
Please complete as much information as you can. If it doesn't appear to fit into the existing boxes, please include details in the 'Comments' box at the bottom.

Thank You.

Required fields are noted in BLUE/BOLD
Your Information
Borrower Name ( no Slashes '\' in names)
Borrower Day Phone
Borrower Evening Phone
Borrower Email
Employment Please check all that apply:
Employed:     Self Employed:     Retired:     Other: (please explain in comments box)

Co-Borrower Name
Co-Borrower Day Phone
Co-Borrower Evening Phone
Co-Borrower Email
Employment Please check all that apply:
Employed:     Self Employed:     Retired:     Other: (please explain in comments box)

Are you working with a Real Estate Agent?
Agent and Company
Agent and Company Phones
Property Information
Have you identified a property yet?
If yes, Address
City State Zip
County
This is what I have already found / am looking for (please select all that apply):
Single Family Home:   Townhouse:   Condo:   Other:  
Not built yet:   Under construction:   Built but Brand New:   Pre-Owned:   Other:
Primary Residence:   Secondary Residence:   Investment property:   Other:
If OTHER to any of the last 3 questions, please explain:
Transaction Information
What is your time frame for purchase?
Sale Price or Price you want to stay within $
Down payment $
Amount to Finance $
Do you want an escrow account?
Do you have a payment in mind? $
Financial Information
What is the total ANNUAL income for all borrowers? $ Whole Numbers ONLY
What is the total monthly payment for all debts excluding your mortgage payment? $
What is your current monthly rent, if you do not rent enter "0"? $
What is your current mortgage payment, if you rent enter "0"? $
How would you describe your credit?
Have you had any foreclosures/bankruptcies?
Will any part of the down payment be a gift?
If yes, how much? $
Approximate Savings and Cash on hand: $
Other accounts (e.g. stocks, bonds etc.) : $
Approximate Balance in Retirement Account(s) $
Comments & Questions:





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Baker Mortgage Company, Inc.
14090 Southwest Freeway, Suite 540
Sugar Land, Texas 77478
Office: 281-313-6683 Fax: 281-277-1293
Toll Free: 800-535-0901
Email Address: info@bakermortgage.com
Texas Mortgage Broker License No. 2223