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APPLICATION FOR CREDIT


Fields denoted with a (*) are required and must be populated in order to complete the form.

Which home are you
applying for:*
Information Primary - Applicant:
Email*
Full Name:*
Date of Birth:*
Home Phone:*
Work Phone:*
Cell Phone:
Social Security Number:*
Driver's License #:
Driver's License State:

Present Address:

City:
State: Zip:
How Long?:*
if renting,
Apt name/location:
Landlord Name:
Phone:
Why are you leaving:
Current Monthly Rent (or House payment including
taxes and insurance):
Employer:
Position:
How Long?
Address:
Phone:
Gross Monthly Income:
Monthly After deductions:
Other Monthly Income:
Source:

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Information - Joint Applicant:
Full Name:
Date of Birth:
Home Phone
Work Phone:
Cell Phone:
Social Security Number:
Driver's License #:
Your State:

Present Address:
City:
State: Zip:
How Long?:
if renting,
Apt name/location:
Landlord Name:
Phone:
Why are you leaving:
Current Monthly Rent
(or House payment including
taxes and insurance):
Employer:
Position:
How Long?
Address:
Phone:
Net Monthly Income
after deductions:
Other Monthly Income:
Source:

Assets and Liabilities (Both Applicants):
Assets
Liabilities:
Balance / Mon.Payment
Cash:*
Loans: Bank & Fin Co.s:
/
Automobiles:
Loan on Cars:
/
Real Estate:
Mortgages:
/
Stock/Bonds:
Credit Card:
/
Other Assets (List):
Other Liabilities (List):
/
/
/
/

Your Monthly Budget:
Total Monthly net income
(Income after Taxes):
Current House Payment:
Utilities:
Water:
Gas:
Elect:
CableTV:
Food:
Car Payments:
Telephone:
Clothes:
Gasoline:
Car Maint.:
Credit Cards:
Alimony:
Child Support:
Medical Bills:

Entertainment:
Eating Out:
Miscellaneous:
Other:
Other:
Other:
Other:
Total Monthly Expenses:

List your Checking & Savings Accounts:

Bank
Account Number
Amount


What is your budget for your:

What is the source of your down payment
Down payment?
(savings, 401K, etc)?
Monthly payment?

Please fax copies of bank statements, money market accounts, 401K, etc., showing cash on deposit to fax number 678-669-2615. Your application cannot be fully processed until this information is received.

References: List at least five personal or business reference:
Name
Phone Numbers
Relationship


Have you ever declared
a Bankruptcy?
If so, please explain
Have you had a house foreclosed?
If so, Please explain:
Do you have good or poor credit? Explain?

 

  
If known, what is
your credit score?

How many will be living
 in the house?

How many are Adults?


Please fax back pay stubs, W-2’s & other proof of income.

Everything that I have stated is correct to the best of my knowledge. You may retain this application. You are authorized to check my credit, employment and rental history and to answer questions about your credit experience with me:


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