INFINITY HOMES OF JAX, INC
  866-956-2250

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Home Finance Worksheet

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Please submit the form below for Infinity Homes of Jax, Inc to assist in getting financing or refinancing your manufactured/ modular home. Most responses have a decision within 24 hours if duringthe week. If weekend, please allow extra time for processing.

Applicant Information
  Are you a Us Citizen?
First Name MI: *
Last Name: *
Social Security #: *
Date of Birth:: *
Gender:
Marital Status::
Address Street 1: *
Address Street 2:
City: *
Zip Code: * (5 digits)
State: *
Rent or Own?: *
How long at resisdence?: * (in years)
Employer Name, Address & Phone #:: *
How long on job?:
Gross Monthly Income:: *
Other Income::
 
Co-Applicant Information
  Are you a US Citizen?
First Name MI:
Last Name:
Social Security #:
Date of Birth:
Gender:
Marital Status::
Address Street 1:
Address Street 2:
City:
Zip Code:  (5 Digits)
State:
How long at resisdence?: (in years)
Employer Name, Address & Phone #::
How long on job?:
Gross Monthly Income::
Other Income::
Contact Information
Daytime Phone: *
Evening Phone:
Email:
Financial Information
Loan Type:
Loan Amount: (USD)
Property Information
Property Type:
Occupancy:
Do you own land?: *
Are you?:
Purchase Price: (USD)
Amount owed on land:: (USD)
Appraised Value: (USD)
Mortgage Balance: (USD if applicable)
Other Information
Assets: *
List Monthly          Payments of all Debts:: *
Comments:
I authorize Infinity Homes of Jax, Inc and it's preferred lender(s) to verify my credit and employment history. This box is checked in lieu of my signature.

 

    



 

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