Texas Mortgage Company Disclosure

Figure:  7 TAC §80.200(a)
 

TEXAS MORTGAGE COMPANY DISCLOSURE 


Residential Mortgage Loan Originator: ____________________________ 

NMLS ID: _______________________

Check ALL that apply 

Duties and Nature of Relationship 
 
     We will submit your loan application to a participating lender which we may from time to time contract upon 
such terms as you may request or a lender may require. In connection with this mortgage loan, we are acting 
as an independent contractor and not as your agent 
 
     We will make your loan ourselves. In connection with this mortgage loan, we are acting as an independent 
contractor and not as your agent. 
 
     We will be acting as follows: 
 
How we will be compensated 

     The retail price we offer you - your interest rate, total points, and fees - will include our compensation. In 
some cases we may be paid all of our compensation by you or by the lender or investor
 
     Our pricing for your loan is based upon: 
________________________________________________________________________________________
 
CONSUMERS WISHING TO FILE A COMPLAINT AGAINST A MORTGAGE COMPANY OR A LICENSED 
MORTGAGE COMPANY RESIDENTIAL MORTGAGE LOAN ORIGINATOR SHOULD COMPLETE AND 
SEND A COMPLAINT FORM TO THE TEXAS DEPARTMENT OF SAVINGS AND MORTGAGE LENDING 
2601 NORTH LAMAR, SUITE 201, AUSTIN, TEXAS 78705. COMPLAINT FORMS AND INSTRUCTIONS 
MAY BE OBTAINED FROM THE DEPARTMENTS WEBSITE AT WWW.SML.TEXAS.GOV.  A TOLL-FREE 
CONSUMER HOTLINE IS AVAILABLE AT 1-877-276-5550.
 
THE DEPARTMENT MAINTAINS A RECOVERY FUND TO MAKE PAYMENTS OF CERTAIN ACTUAL OUT 
OF POCKET DAMAGES SUSTAINED BY BORROWERS CAUSED BY ACTS OF LICENSED MORTGAGE 
COMPANY RESIDENTIAL MORTGAGE LOAN ORIGINATORS. A WRITTEN APPLICATION FOR 
REIMBURSEMENT FROM THE RECOVERY FUND MUST BE FILED WITH AND INVESTIGATED BY THE 
DEPARTMENT PRIOR TO THE PAYMENT OF A CLAIM. FOR MORE INFORMATION ABOUT THE 
RECOVERY FUND, PLEASE CONSULT THE DEPARTMENT’S WEB SITE AT WWW.SML.TEXAS.GOV.


Applicant(s)                                Residential Mortgage Loan Originator
Signed: _____________________  Signed: ________________________ 
Name: ______________________  Name: _________________________ 
Date: _______________________  Date: __________________________ 
 
Signed: _____________________ 
Name: ______________________ 
Date: _________________________
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