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General Information
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Address you are applying for:
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Date of desired occupancy:
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How much of a down payment can you raise?
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What monthly budget are you trying to
work within for your house payment?
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Is your credit, good, fair, or ugly?
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Do you know your credit score?
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Spouses score?
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Personal Information
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Full name:
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S.S.N.:
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Date of birth:
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Driver’s License #:
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State:
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Spouses name:
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S.S.N.:
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Date of birth:
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Driver’s License #:
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State:
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Primary phone:
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Alternate phone:
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Your email:
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Spouse's email:
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Current address:
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City:
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State:
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Zip:
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Years & months at current address:
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Monthly Payment:
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If renting, apartment name:
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Landlord/mgr name:
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Landlord/mgr number:
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Employer:
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Position:
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How long:
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Address:
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Phone:
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Spouse's employer:
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Position:
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How long:
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Address:
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Phone:
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Your gross income
before deductions:
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Spouse's gross income
before deductions:
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By answering the following questions, we can better determine your situation to match a financial program with your
criteria.
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Have you or your spouse had a bankruptcy in the last 7 years?
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If yes, when did you file?
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When was the discharge date?
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Do you have any collections or
judgments? If yes, please explain:
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Do you have any other late payments or
obligations on your credit? (please explain)
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Have you been more than 30 days late on your
rent or mortgage in the last 12 months?
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Please list any debts and payments:
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Do you authorize to have your credit reviewed?
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I declare that the application is complete, true and correct and I herewith give my permission for anyone contacted
to release the credit or personal information of the undersigned applicant to Management or their authorized agents,
at any time, for the purposes of entering into and continuing to offer or collect on any agreement and/or credit
extended. I further authorize Management or their Authorized Agents to verify the application information including
but not limited to obtaining criminal records, contacting creditors, present or former landlords, employers and
personal references, whether listed or not, at the time of the application and at any time in the future, with regard to
any agreement entered into with Management. Any false information will constitute grounds for rejection of this
application, or Management may at any time immediately terminate any agreement entered into in reliance upon
misinformation given on the application.
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By typing your name here you are virtually "signing" this application:
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Typed signature:
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Date:
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Spouse's typed signature:
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Date:
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