Home Application Questionnaire

Home Loan Application

Ken Jones Mobile Home Sales looks forward to helping you and your family with the purchase of your new home.

Florida Licensed

Bonded & Insured

What is your Full Name

What is your FULL Address

Email*

What is your best contact Phone Number

Are you SELF Employed and/or receive a W2 at the end of the year

What is your current HOURLY WAGE/YEARLY SALARY

Are you a FULL TIME or PART TIME employee

What was your current credit score the last time you checked it

Have you ever FILED BANKRUPTCY? If so, what chapter and how long ago was it discharged*

Yes

Have you ever had a FORECLOSURE/SHORTSALE in the past? If so, how long ago*

Yes, 1 Year or Less

Yes, 1-3 Years

Yes, 3-5 Years

Yes, 5+ Years

How much cash do you have available for the purchase of your new home*

I hereby agree that my data entered in the contact form will be stored electronically, and will be processed and used for the purpose of establishing contact. I am aware that I can revoke my consent at any time. By clicking on this link, I agree to provide this information based on the condition that my personal information WILL NOT be shared with any third parties.*

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