Please fill in this form and one of our Agents is going to contact you.
Your Full Name *
Street Address *
City*
State *
Zip *
Phone Number
Email Address *
Purchase Price
(if you are buying this home)
Estimated Value of Your
Home If You Are Refinancing
Loan Amount
(the amount you wish to borrow)
Will this loan be placed on your:
Primary Residence
 Vacation Home
Rental Property
Your current monthly salary from all sources
Your monthly commissions or bonuses averaged for the last two years,if any.
Your total liquid assets i.e. checking, savings, stocks, bonds, IRA's, CD's, money market accounts, 401K plans, etc. that have been under your control for at least the last 90 days.
Additional Comments
 
 

Jeanne Baker Realty
3162 Commodore Plaza Suite 3E&F Coconut Grove, FL 33133
Tel: (305) 446.9222 - Fax: (305) 448.9333 - info@JeanneBaker.com
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