Please Put Co-borrower information on a separate Application

Application Form   Fill out ALL information and click submit at the bottom of the page. Please complete one application for each adult that will live in the home.         Applicant Information          Address you are Applying for:      Would you like to take advantage of our Owner Financing or Lease Purchase Programs    Yes No   How much of a down payment can you raise? *      How would you rate your credit (Good, Fair, Ugly)    Good Fair Ugly   How soon can you move?      What monthly budget are you trying to work within for your house payment? *          First Name *      Middle Name *      Last Name *      Date of Birth *      Marital Status *    ex:Married/Single/Divorced   Phone Number *    999-123-4567   Cell Phone #      Email Address *      Children (#) *      Ages    ex:7,12,18         Co Borrower:      First Name      Middle Name      Last Name            Residence History: (must have 2 years of explanation)          Current Address *      City *      State *      Zip Code *      How Many Years/Months *      Do You Own or Rent *    Own Rent   Amount per Month *      Landlord/Managers Name      Landlord/Managers Phone          Previous Address      City      State      How Many Years/Months      Did You Own/Rent    Own Rent   Amount Per Month      Landlord/Managers Name      Landlord/Managers Phone            Employment History: (Must have 2 years of Explanation)              Place of Employment *      Title      Address *      Phone Number *      Length of Employment (Years/Months) *      Gross Salary(yearly) *      Gross Salary(Monthly/Hourly) *          Previous Place of Employment      Title      Address      Phone Number      Dates Of Employment (from/to)      Gross Salary(Monthly/Hourly)            Other Forms of Income:          Social Security (Monthly Amount)      SSI (Monthly Amount)      Disability (Monthly Amount)      Child Support (Monthly Amount)            Others:              Any Bankruptcies or Foreclosures in the past five years? *    No Yes   I Authorize you to obtain my Credit Report? *    Yes No   Funds available for down payment or closing costs? *    Yes No   If Yes, What Amount                Digital Signature    By typing name below you are signing application.   Signature *      Date *              Verification Enter the letters you see in the image above. This ensures that a real person, not an automated program, is entering this information.  * Required Field   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 Signed above to Management or their authorized agents, at any time, for the purposes of catering into an 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 time of the application and at any time in the future, with regard to any agreement entered into with management. Any false information with constitute grounds for rejection of the application or management may at any time immediately terminate any agreement entered into in reliance upon misinformation given on application.        Please click only once.