Infinity Financial Services
Secure Online Mortgage Loan Application

www.infinityfinancialservices.com

We also offer a printable application that can be filled out and faxed or mailed to us CLICK HERE.


If you are working with one of our mortgage loan officers
please select him/her here: 

Desired Loan Amount:
In what state is the home located:
Please Select A Loan Type:
 
Home Purchase

Price Of Home 
(sales price or price range considering)		 Mortgage Refinance

Home's Value 
1st Mortgage Balance 
 Interest Rate 
Monthly Payment
Does this payment include taxes & insurance?
YES   NO
2nd Mortgage Balance
(if applicable)                                                		 Second Mortgage

Home's Value 
1st Mortgage Balance 
2nd Mortgage Balance
(if applicable)                                                

Borrower Information:
 
Borrower (Full Name):
Date of Birth: (ex. dd/mm/yyyy)
Soc. Security #:
Residence Phone #: (including area code)
Business Phone #: (including area code)
Present Address:
City:
State:
Zip Code:
E-mail Address
Years at Present Address:   Rent $ /month

    Own $ /month
Give previous address if at current address less than 2 years:
Previous Address:
City:
State:
Zip Code:


Marital Status: Married
Separated
Unmarried (including single, divorced, or widowed)
   
Occupation:
   (Position & Title)
# of years:
Place of Employment:
  (Name & Address)
Previous Employer:
   (Name & Address)
Co-Borrower Information: (you may use the word "same" for co-borrower info that is the same as borrower's) 
 
Co-Borrower (Full Name):
Date of Birth: (ex. dd/mm/yyyy)
Soc. Security #:
Residence Phone #: (including area code)
Business Phone #: (including area code)


Present Address:
City:
State:
Zip Code:
E-mail Address
Years at Present Address:     Rent $  /month

  Own $  /month
Give previous address if at current address less than 2 years:


Previous Address:
City:
State:
Zip Code:
 
Marital Status: Married
Separated
Unmarried (including single, divorced, or widowed)
 
Occupation:
   (Position & Title)
# of years:
Place of Employment:
   (Name & Address)
Previous Employer:
   (Name & Address)
Gross Annual Income:
 

Borrower Co-Borrower
Self-Employed ? Yes    No Yes    No
Base Salary:  $ $
Overtime: $ $
Bonuses: $ $
Commissions: $ $
Dividends: $ $
Net Rental Income: $ $
Other: $ $
 
Total: $ $
 
Do You Intend To Occupy This Property ?    Yes     No
Number of Children:
Ages:
Other Dependents:
 
Assets:
 
Checking: $  Bank:
    Checking #2 $  Bank:
Savings: $  Bank:
    Savings #2 $  Bank:
Credit Union: $  Bank:
Stocks: $
Bonds: $
Life Insurance: $
 
Present Residence  (If Owned):
Market Value: $
Mortgage Balance: $
Lender:
 
Other Assets (Specify):
 
 
Are There Any Judgements or Lawsuits Present?   Yes   No 
Amount:  $

Is Any Part of the Down Payment or Settlement Costs
Being Obtained From a Source Other Than From Assets
Listed Above? 		  Yes   No

I hereby give my consent to have my credit report secured
from any credit reporting agency which you designate. 		  Yes   No

    


www.infinityfinancialservices.com