Zero Percent Interest Qualification Form

Full Legal Name *

Date of birth *

Last 4 Digits of Social *

Will require a confirmation call for full social

By signing below I agree to a confirmation call to obtain further information to share my credentials for eligibility

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Phone *

Email *

Address

Street Address

City

State

Country

Postal Code

Time At Current Address *

Previous Address Include City, State, Zipcode *

Enter full address

Employment & Income *

Current Employer
Employer Address
Job Title
Time at Employer
Monthly Gross Income
Additional Monthly Income
Previous Employer

Housing Status *

Monthly Mortgage/Rent
Mortgage/Landlord Name
Mortgage/Landlord Phone

Project and Loan *

Project Type
Estimated Project Cost
Desired Loan Amount
Preferred Loan Term
Notes to Estimator

Driver's License

Upload a clear image of the front of your current driver's license

Credit Pull Consent: “I authorize the lender to obtain and review my credit report for financing eligibility.”

Credit Pull Consent Signature

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Info Share Authorization: “I authorize J.A.Y. Construction to share my information with third-party lenders for financing review.”

Info Share Authorization Signature

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Acknowledgment (Not a Lender): “I understand J.A.Y. Construction LLC, J.A.Y. Construction, and its heirs/successors/assigns do not extend credit or financing and are not the decision-maker. Approval, terms, and any zero-percent offers are determined solely by the lender.”

Acknowledgment (Not a Lender) Signature

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