Please fill in all areas of the form.  Feel free to view our privacy policy, here. Applications are processed on a First Come-First Served basis.  Or feel free to download our application and fax it to us.   All  Information  Is  P R I V A T E   &   C O N F I D E N T I A L   Primary Applicant Information    Name  How much Down Payment do you have to put on your next home ?    Is your credit... (choose one) (Ugly is "ok"!) Excellent Good Fair Poor Ugly No Credit      Do you have ... A Credit Card ...and/or 401K ... and/or Something to trade toward down payment? If you are applying for a specific home (or responding to an advertisement), please indicate which home and/or which advertisement.  (Leave Blank if unknown)   What date do you wish to move in? Address    City    State    GA AL AK AZ AR CA CO CT DC DE FL HI ID IL IN IA KS KY LA ME MA MD MI MN MS MO MT NE NV NC NH NJ NM NY ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code    Home Phone   Cell Phone    Fax    Email    Date of Birth    Social Security Number    Drivers License  #   What is your current living status?    Please choose one Currenting Renting Staying with Friends or Family Currently own a home How long at this address      If renting, what is your Landlord's name? If living in Apartment Complex, what is name? What is your Landlord's or Apartment Complex Phone Number? Employment Information    Employers Name    Employers Address    Work Phone    How long at present job?    If above is less than 3 years, how long at previous job?    Current Gross Monthly Salary  Other Monthly Income    Source for Other Income     Joint Applicant Information   (if applicable)  Name    Address    City    State    Zip Code    Phone    Date of Birth Social Security # Drivers License # Employers Name    Employers Address    Work Phone    How long at present job?    Gross Monthly Salary     Other Monthly Income   Source for Other Income     I/We certify that the information provided in this application is true and correct as of this date.  I/we further authorize management and/or its assigns to pull my/our credit reports for the purpose of this application. I/We further authorize our employer(s), banking institutions, landlords, or any other third party, whether an individual or entity, to release all necessary information needed to process our application for financing 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. By "Submitting" this application, I/We certify the above declarations even though my/our actual signatures may not be present on this application. I/We further authorize any third party to release any necessary information even though my/our actual signatures may not be present on this form.  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 give on the application.  Please indicate your approval by entering your full name: (Use "Backspace" key to erase and type your own name.)     Additional comments or questions: It's possible that we may need to gain further information from you in order to complete this application.  Please give the best phone number to reach you during normal business hours:       Please press submit only once.   You'll be directed to a new page once the submission has completed.   All  Information  Is  P R I V A T E   &   C O N F I D E N T I A L