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East Texas Houses Application
Important: The submission of this form is 100% secure utilizing SSL 128 bit encryption.
IMPORTANT
WE WILL NOT CHECK CREDIT OR CALL YOUR EMPLOYER OR LANDLORD UNTIL WE HAVE INTERVIEWED YOU ABOUT A SPECIFIC PROPERTY
Honesty and integrity are our main approval criteria. We will never reject your application solely on a credit score.
Please enter a valid email address.

Why do you want to move?

What city do you want to live in?

How did you find out about us?

Do you have a particular property in mind? If so What address?

Desired Monthly Payment:*

Desired Move in Date:*

Rent, Rent to Own or Purchase?

First Name:*

Middle Initial:

Last Name:*

Date of Birth(XX/XX/XXXX):*

Address*

Street*

City:*

State:*

Zip Code:*

Home Phone:*

Work Phone:*

Cell Phone:

Years at Current Address:*

Years at Previous Address:

Rate Your Neatness

Do You Smoke?

Marital Status*

Number of Dependents:*

Ages:

Number of Pets in the Home:*

Size of Pets in Lbs:

Occupation (Applicant)
Current Occupation:*

Current Employer or Business Name:*

Business Address:*

Monthly Take Home Pay After Taxes:*

Type of Business:*

Position Held:*

Supervisor Name & Title:*

Supervisor Phone:*

Start Date:*

Previous Occupation:

Previous Employer or Business Name:

Business Address:

Monthly Take Home Pay After Taxes:

Type of Business:

Position Held:

Supervisor Name & Title:

Years Employed:

Residence History (Applicant)
Mortgagee/Landlord Name:*

Mortgagee/Landlord Phone:*

Current Mortgage/Rent:*

Current Mortgage Balance if Applicable:

Co-Applicant Information ( We require applicant information on everyone living in the home over 18 years of age)
First Name:

Middle Initial:

Last Name:

Date of Birth(XX/XX/XXXX):*

Address

Street

City:

State:

Zip Code:

Home Phone:

Work Phone:

Cell Phone:

Years at Current Address:

Years at Previous Address:

Rate Your Neatness

Do You Smoke?

Marital Status

Number of Dependents:

Ages:

Note: Alimony,child support or separate maintenance income need not be revealed.
Other Income:

Other Income Source:

Occupation (Co-Applicant)
Current Occupation:

Current Employer or Business Name:

Business Address:

Monthly Take Home Pay After Taxes:

Type of Business:

Position Held:

Supervisor Name & Title:

Supervisor Phone:

Start Date:

Note: Alimony,child support or separate maintenance income need not be revealed.
Other Income:

Other Income Source:

Residence History (Co-Applicant)
Mortgagee/Landlord Name:

Mortgagee/Landlord Phone:

Current Mortgage/Rent:

Current Mortgage Balance if Applicable:

Financial References (Applicant & Co-Applicant)
Bank Name:

Bank Account Type

Balance:

Bank Name:

Bank Account Type

Balance:

Type of Debt

Monthly Payment

Balance:

Account Open:
Yes
No

Type of Debt

Monthly Payment

Balance:

Account Open:
Yes
No

Type of Debt

Monthly Payment

Balance:

Account Open:
Yes
No

Have you Ever Filed for Bankrupcy?*
Yes
No

Have you Ever Been Evicted?*
Yes
No

Ever had a Judgement Against You?*
Yes
No

I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT AND AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF A CREDIT REPORT AND REVIEW OF MY EMPLOYMENT HISTORY.
I AGREE THAT THE LANDLORD MAY TERMINATE ANY AGREEMENT ENTERED INTO IN RELIANCE ON ANY MISSTATEMENTS MADE ABOVE.
IMPORTANT! IF YOU ARE MARRIED OR HAVE A SIGNIFICANT OTHER LIVING IN THE HOME AND CONTRIBUTING TO THE MONTHLY PAYMENT YOU MUST SUBMIT INFORMATION AND SIGNATURES FOR BOTH INDIVIDUALS.
By entering my first & last below, I stipulate that I agree to all of the terms and conditions stipulated on this application.
Signature First and Last:*

Dated:*

Signature First and Last:

Dated:

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