Pre-Qualification Questionnaire New Manufactured and Modular Homes

What is your name? *

First

Last

What is your phone number? *

What is the best time to call you? *

What is your email address? *

Which manufactured home dealership or community partner are you working with? *

Jacobsen Homes Plant City - The Factory Home Store Inc.
My Jacobsen Outlet/Citrus Homes Meadowood Homes of Florida Inc (Clearwater/Largo)
My Jacobsen Outlet/Citrus Homes Meadowood Homes of Florida Inc (Bradenton/Sarasota)
Other
I am not working with a specific dealership or sales person yet
I am not purchasing a manufactured/modular home from a dealer

This questionnaire is only for those who are working with a manufactured or modular home dealership, please call 813-603-3100 or go back to the home page and click on apply now to apply for an existing home loan. Thank you!

Dealership or Community and Location?

Who is your sales person at the dealership or community?

What is the contact phone number for this person at the dealership or community?

What is your employment Status? *

Self Employed or 1099 Employee
W2 Employee Non-Owner
Retired

What is the name of your company?

How is it organized?

What is your 2-year average adjusted gross income? (You may add back deductible portion of your self-employment tax and any depreciation expense) *

(Required Before Processing) Please upload the last two years of personal and business signed tax returns all pages and schedules. Do not included worksheets or annual comparisons. Email to info@malanmortgage.com or upload here

Click or drag files to this area to upload. You can upload up to 4 files.

Who is your employer? *

How many years have your worked for this employer?

Less than 2 years
More than 2 years

How Many Years?

How are you paid? *

Salary
Hourly
By The Job

What is your MONTHLY income BEFORE taxes and deductions (Gross Monthly Pay) *

How much do you make an hour? *

How many hours a week do you work?

Do you receive regular overtime?

Yes
No

What are your average number of overtime hours per week?

Do you receive regular bonuses?

Yes
No

Calculate your bonus pay on a MONTHLY basis even if they are quarterly or annual

(Not Required Now) Upload your latest pay sub (must show-year-to-date earnings)

Click or drag a file to this area to upload.

Who was your previous employer?

What was your average monthly pay with your pevious employer??

Was this in the same line of work as your current job?

Yes
No

What is your total MONTHLY retirement income from social security and/or pensions before deductions? (Gross Monthly Retirement Income) *

Do you have any other regular non-employment or retirement income? Note: Court ordered income may be used but is not required to be used or disclosed to qualify for a loan/mortgage.

Yes
No

Source, monthly amount, and number of years payment will continue.

Do you claim this income on your taxes?

Yes
No
I am not required to report this income

If you draw from IRAs, Annuities, or investment account(s)? Please provide details: Account type, monthly amount drawn, account balance

What type of new home do you wish to build? *

Manufactured - Placed a loose concrete block foundation and anchored to the ground. Built to HUD code. Can be placed where zoning code allows manufactured (post 1978) or mobile homes (pre 1976)
Modular - Placed on and bolted to a permanent foundation and built to state building code. Can be placed anywhere except where deed restrictions or covenants prevent factory-built homes
I don't know yet

What is the estimated or expected cost of this new home and any other improvements and/or structures that would be included in the purchase contract? (please include sales tax) If you have not visited a dealership yet we would recommend that you do before completing this form so you have realistic expectations of the cost of building a new home.

(Not Required) If you have a quote or preliminary contract from the dealer or community you can uploand it here

Click or drag a file to this area to upload.

Do you already own/have the land where your new home will be built? *

Yes
No

What geographical areas are you looking for land to build a new home?

How much to do you expect to pay for the land where you new home will be built?

Will the new home be your primary residence? *

Yes
No

What is the purpose of the new home?

Second Home/Vaction Home
Investment
Buying for Someone Else

Will you also be living in the home? *

Yes
No

What is the address where the new home will go? If no address use TBD and the street name and put the Parcel ID in Address Line 2

Address Line 1

Address Line 2

City

State

Zip Code

Is it a replacement home for the one located at your current address?

Yes
No
Yes but it is on a different property

Is there a mortgage or payoff? *

Yes
No

What is the payoff amount?

How is the land titled? *

Deeded/Fee Simple (private lot)
Co-Op Share (cooperative community)
Condo Association (condominium community)
Rented Land (Land Lease)
It will be an accessory dwelling
Land owned by someone else

What is the lot rent? *

How much is the monthly maintenance fee/HOA fee? (if any) *

Do you wish to use the land equity to satisfy the required minimum investment/down payment? *

Yes
No
Im not sure yet please tell me the pro's and con's

What is the market value/price you think you could sell your land or co-op share for today?

Where would you like to put your new home?

Private Deeded Lot that you will own
Private Deeded Lot that someone else will own
Deeded Lot in a Manufactured Home Community
Co-Op/Share in a Manufactured Home Community
Rental Lot in a Manufactured Home Community

Do you have a contract in place to buy land?

Yes
No

Are you already working with a realtor to find land?

Yes
No
No, but I need help finding land and writing a contract to buy it

What is the maximum amount of cash you will have available, before closing, for deposit, down payment, closing costs, loan fees, pre-paid insurance and taxes, escrows, and reserve funds? (actual dollar amount do not put a %) *

Will any of this money be gifted?

Yes
No
If I need more I can get a gift

(Not Required Now) Upload the last two monthly bank statements from the account where the down payment will come from (all pages no redactions)

Click or drag a file to this area to upload.

Have you owned or have been on title to a home in the last three years? *

Yes
No

Will you be buying this home with a co-borrower? *

Yes
No
I want to co-sign for the co-borrower and I will not be living in the home.

Who is the co-borrower? Note: All co-borrower(s) MUST complete a questionnaire themself and put you as the co-borrower before this questionnaire can be processed.

How are you related to the co-borrower?

Are you a United States Active Duty Military or Veteran? *

Yes
No

Are you elligile for VA Loan Benefits?

Yes, I have a certificate of elligibility (COE)
Yes, but I need to get my COE
Yes, but I'm not interested in using my VA loan benefits
Yes, but I'd like to review all options including a VA Loan
No, I already know I'm not elligible for VA loan benefits

What is your date of birth? (needed for COE) *

What is your social secuirty number? (needed for COE) *

What were/are your dates of service? (needed for COE) *

(Not Required Now) Upload your COE

Click or drag a file to this area to upload.

Do you have any court ordered monthly expenses? (child support/alimony/judgments/back taxes/etc.) *

Yes
No

Describe the expenses, provide the amount and number of years it will be payable

Have you claimed bankruptcy in the last 7 years? *

Yes
No

Bankruptcy Chapter?

Discharge Date?

Have you had a forclosure? *

Yes
No

When was the property returned to the bank?

Have you had a short sale? *

Yes
No

Date of Short Sale

Are you in default on any government or student loans? *

Yes
No

Do you have any student loans in deferral? *

Yes
No

Total balance of student loans in deferral or with zero payments.

Are you currently in forbearance on a mortgage? *

Yes
No

What is your current or primary residence address? *

Address Line 1

Address Line 2

City

State

Zip Code

At this address I

Rent
Own
Live Rent Free

What are your plans for this residence?

It will remain my primary residence
It will become my second home
It will be sold before the new home is built
It will be sold after I move into the new home
I will rent it as an income property
I am replacing the home that is currently on this property

Do you currenly have a mortgage on this residence?

Yes
No

How much is the monthly mortgage payment?

Does the mortgage payment include taxes and insurance?

Yes
No

Home much is are the current taxes and insurance (calculate monthly)

How much is your monthly rent?

Have you lived at this address for more than two years? *

Yes
No

How many years have you lived at your current address? *

Previous Address *

Address Line 1

Address Line 2

City

State

Zip Code

At this address I

Owned
Rented
Lived Rent Free

How may years have you lived at your previous address? *

How much was the rent?

What is your social security number? (Required for soft pull credit report) *

What is your date of birth? (Required for soft pull credit report) *

Are you already working with a loan officer at Malan Mortgage?

Yes
No

Which loan officer are you working with?

You understand that by clicking on the “I AGREE” button immediately following this notice, you are providing “written instructions” to Thomas J Malan PA d/b/a Malan Mortgage under the Fair Credit Reporting Act authorizing Thomas J Malan PA d/b/a Malan Mortgage to obtain information from your personal credit profile or other information from Xactus. You authorize Thomas J Malan PA d/b/a Malan Mortgage to obtain such information solely to conduct a pre-qualification for credit. You also agree to allow us to share the informaiton in this questionnaire with the dealership, with the exception of your social secuirty number, date of birth, and credit score. You also agree to allow us to provide a copy of your pre-qualification letter to the dealership should you be pre-qualified. *