LEASE TO OWN PROPERTY
EACH APPLCANT MUST COMPLETE A SEPARATE APPLICATION
PLEASE PRINT - ALL information must be completed. The decision to sell to you will depend in great part on your
credit history and references. Only clean, responsible people who are willing to pay their loan on time, need apply.
Address you are applying for: ______________________________________________________
How did you find out about us? Sign ?: Newspaper ?: Friend ?: Other ?
Date Desire Occupancy: ________________
YOUR PERSONAL INFORMATION
Full Name ______________________________________________________________________________
Home Phone (______________)______________________________________________________________
Work Phone: (_____________)_______________________________________________________________
Cell Numbers: (_____________)______________________________________________________________
Social Security Number _____________-___________-_____________
Driver's License #____________________________________________
State: _______________ Date of Birth: __________________________
Present Address _______________________________________________________________________________________________________
City _________________________________________________ State: ____________ Zip: ____________________________
How Long? __________ If renting, Apartment name/location _________________________ Phone: (_____)_______________
Landlord/mgr's name _____________________________________ Alternate Phone: (_________)____________________________
Why are you leaving? ___________________________________ Current Payment: $____________________/month
Previous Address _______________________________________________________________________________________________________ City: ________________________________________________ State: ____________ Zip: ____________________________
How Long? __________ If renting, Apartment name/location _________________________ Phone: (_____)_______________
Landlord/mgr's name _____________________________________ Alternate Phone: (____________)_________________________
Why did you leave? _______________________________________
Employer #1: __________________________________________________________ Position: __________________________ How Long? _________
Address ____________________________________________________________________________________ Phone: (_____)__________________
Gross Monthly Income before deductions: $______________
Employer #2: _________________________________________________________ Position: __________________________ How Long? _________
Address ____________________________________________________________________________________ Phone: (_____)__________________
Gross Monthly Income before deductions: $______________ Other Income: $_______________ Source: ___________________
Former Employer _________________________________________________________ Position: ________________________ How Long? _________
Address ____________________________________________________________________________________ Phone: (_____)__________________
Why did you leave? ___________________________________________________________
CREDIT INFORMATION: This can include store credit cards, rental stores, car loans, small loans, etc.
Bank __________________________________ Branch ___________ Acct#(s):_______________________________________________
Checking: [ ]: Savings [ ]: Loan [ ]:
City ____________________________________________ State ____ Approx. Balance $_____________ How Long? _______
Other Active Credit Ref:
Name: ____________________________________________________ Account # __________________________ Exp. Date: _________ Type of Account: ___________________ Credit Limit: _____
How Long? _______ Payments current? YES ?: NO ?:
Credit Reference:
Name: ______________________________________________
Account # ___________________________ Exp. Date: ________ Type of Account: __________________ Credit Limit: $_____ How Long? ______ Payments current? YES ?: NO ?:
OTHER CREDIT REFERENCE:
______________________________________________ Account # ______________________________ Exp. Date: _________
Type of Account: ______________ Credit Limit: __________ How Long? _______ Payments current? YES ?: NO ?:
How much down payment money do you have to work with? $____________________________
Source of down payment? Personal Funds ?: Gift ?: Relatives ?: 401k ?: Loan ?: Other ?_____________________
Have you ever been evicted? YES ?: NO ?:
Have you ever had a repossession? YES ?, Date ________: NO ?: (If Yes, explain below)
Have you ever had a foreclosure? YES ?, Date ________: NO ?: If Yes, explain: ___________________________________________________________
Do you have any unpaid student loans? YES ?: NO ?:
If Yes, how much is the total? $_________________
Monthly Payment: $_______________________
Is your paycheck currently being garnished? YES ? NO ?: If Yes, how much? $______________ If Yes, explain: ___________________________________________________________
Have you ever filed for bankruptcy? YES ?, Date __________:
NO ?: (if Yes, explain below)Chapter 7 ? or Chapter 13 ??
If YES, has the bankruptcy been discharged? YES ?: NO ?:
If YES, when dicharged? ___________________
Have you ever been convicted of a crime, other than a traffic violation? YES ?: NO ?:
If you answered YES to any of the above questions,explain:
____________________________________________________________________________
____________________________________________________________________________
LIST ALL OF YOUR CURRENT MONTHLY OBLIGATIONS BELOW:
Pay To: ___________________________________________________
Total Amount Due: $__________ Monthly Payment: $_____________
Pay To: ___________________________________________________
Total Amount Due: $__________ Monthly Payment: $_____________
Pay To: ___________________________________________________
Total Amount Due: $__________ Monthly Payment: $_____________
Pay To: ___________________________________________________
Total Amount Due: $__________ Monthly Payment: $_____________
Pay To: ___________________________________________________
Total Amount Due: $__________ Monthly Payment: $_____________
PERSONAL REFERENCES - List three persons, other than your relatives, that we may contact to verify your character.
Name ____________________________________________ Relationship __________________ Phone: (_____)_____________
Address __________________________________________________
City _________________________ State ______ Zip ___________
Name ____________________________________________ Relationship __________________ Phone: (_____)_____________
Address __________________________________________________
City _________________________ State ______ Zip ___________
Name ____________________________________________ Relationship __________________ Phone: (_____)_____________
Address __________________________________________________
City _________________________ State ______ Zip ___________
OTHER INFORMATION
OTHER PERSONS (INCLUDING CHILDREN) WHO WILL LIVE IN THE PROPERTY
Name __________________________________________________
Name __________________________________________________
Name __________________________________________________
Name __________________________________________________
Pets:
Name ________________ Type ______________ Weight ____ lbs.
Name ________________ Type ______________ Weight ____ lbs.
Do you have: Vacuum cleaner ?: Lawn mower ?: Water bed ?: Musical instruments ?: Does anyone smoke? Yes ?: No ?:
List all motor vehicles, including recreational vehicles, to be kept at the property:
MAKE/MODEL YEAR TAG# STATE MONTHLY PAYMENT
______________ ____ ________ ____ $__________________
______________ ____ ________ ____ $__________________
______________ ____ ________ ____ $_________________
______________ ____ ________ ____ $_________________
A Non-refundable application fee of $35.00 and a reservation fee of $500.00 are required for processing this application, and is being paid herewith. An Application Receipt Agreement must be signed by all adults who will occupy the property before this application can be considered by Management. The undersigned expressly agrees that if this application is approved applicant herewith agrees to Lease/Option the property. Applicant further agrees that if applicant is accepted by Management and then decide, for any reason, not to move into the premises, then all monies paid herewith shall be retained as liquidated damages since other prospective tenants may have been turned away and it will be necessary for Management to re-advertise the property and evaluate other applicants. Processing of application shall be as timely as possible and the results may be delivered via telephone, fax or mail. Once approved, applicant agrees to pay the balance of funds and complete the paperwork within 48 hours, otherwise management will assume that applicant has decided to forfeit the reservation fee made herewith and will begin re-marketing the property.
If applicant is not approved, all monies given herewith, less application fee shown above, shall be returned to applicant.
A PHOTOSTATIC COPY OF MY DRIVER'S LICENSE OR PICTURE IDENTIFICATION CARD, SOCIAL SECURITY CARD, LATEST PAY CHECK STUB(S) AND LAST YEAR'S W-2(s) OR COPY OF LAST YEARS INCOME TAX RETURN ARE ATTACHED TO THE APPLICATION [____], OR WILL BE PROVIDED [_____]. 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 getting 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.
____________________________________ ______________
Applicant Signature Date
____________________________________ ______________
Co-Applicant Signature Date