| 1.
Applicant
Name |
|
| 2.
Social
Security Number |
|
| 3.
Date
of Birth |
|
| 4.
Street
Address |
|
| 5.
City,
State, Zip |
|
| 6.
Relationship
to Co-Applicant (if applicable) |
|
| 7.
Home
Phone |
|
| 8.
Work
Phone |
|
| 9.
Credit
Problems you are aware of |
|
| 10.
Please
explain |
|
| 11.
Ever
filed for Bankruptcy? |
|
| 12.
Year
Discharged if Filed |
|
| 13.
Any
leins or judgments? |
|
| 14.
If
so, what? |
|
| 15.
Employer
and Job Title |
|
| 16.
Wages
on Prior W2 |
|
| 17.
Employer
Address City State Zip |
|
| 18.
Supervisor's
Name |
|
| 19.
Years
Employed |
|
| 20.
Monthly
Net Salary |
|
| 21.
Own,
Rent, or Land Contract? |
|
| 22.
Landlord's
Name and Phone |
|
| 23.
Length
at Residence |
|
| 24.
Rent
Amount/House payment |
|
| 25.
Any
Late Payments |
|
| 26.
Co-Applicant
Name |
|
| 27.
Co-Applicant
SS Number |
|
| 28.
Co-Applicant
Date of Birth |
|
| 29.
Street
Address |
|
| 30.
City,
State, Zip Code |
|
| 31.
Relationship
to Co-Applicant |
|
| 32.
Home
Phone |
|
| 33.
Work
Phone |
|
| 34.
Credit
Problems you are aware of |
|
| 35.
Please
explain |
|
| 36.
Ever
filed for bankruptcy? |
|
| 37.
Year
discharged if filed |
|
| 38.
Any
leins or judgments? |
|
| 39.
If
so, what? |
|
| 40.
Employer
and Job Title |
|
| 41.
Wages
on prior W2 |
|
| 42.
Employer
Address, City, State, Zip |
|
| 43.
Superivsor's
Name and Phone |
|
| 44.
Years
Employed |
|
| 45.
Monthly
Net Salary |
|
| 46.
Own,
Rent, or Land Contract? |
|
| 47.
Landlord's
name and phone |
|
| 48.
Length
at Residence |
|
| 49.
Rent
Amount/House Payment |
|
50. Please
tell us which property you are interested
in below so we know how to
consider your application. Thank You. |
|
|
| |
|
|