Do you qualify? (Infinity Mortgage)

5901 B Sixth Ave.
Altoona, PA 16602
1-888-320-5626
814-949-2900

Licensed by the
PA Department
of Banking.

Answer the following questions and click the submit button at the bottom and we will notify you as soon as possible.
Items marked with a * are required to submit the form. This will help us process your form and contact you when needed.

1. What type of loan would you like quoted?
2. In what zip code is the property located?		*
3. What is the property type?
4. What loan program are you interested in?
5. What will the loan be used for?
6. How much do you make each month?		$ *
	Include your own pre-tax income, and that of anyone else whose name will be on the loan.
7. How much do you owe each month?		$ *
	Include all the debt you pay consistently each month (except housing) - student loans, car loans, credit card bills, alimony, etc.
8. How much cash do you have to buy your new home?		$
	Include cash you have in the bank, other assets (like stocks or bonds) you can sell to raise cash, and any money you might receive as a gift from family members or friends. Your cash contribution will need to be at least 5% of purchase price.
9. What do you expect to pay for your new home?		$
10. What's most important to you in a loan?		I need the lowest monthly payment I need the lowest cash up front
11. When do you anticipate closing on your loan?		30 days 60 days 90 days 90+ days
12. How long have you been at your present job?		* Years Months
13. Are You Self Employed?		Yes No
14. Have you ever had a bankruptcy?		Yes No
15. Your credit history is:		Excellent Some problems Major credit problems
16. The best time to contact me is:

17. Please contact me at:
	*Name:
	*Address:
	*City:
	State:
	*Zip:
	*Home phone:	-
	Work phone:	- ext.
	Fax number:	-
	*E-mail:
		Additional Comments