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East Texas Houses Application
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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?
Choose a
Program Request
Rent
Rent to Own
Purchase with Us Financing
First Name:
*
Middle Initial:
Last Name:
*
Date of Birth(XX/XX/XXXX):*
Address*
Street*
City:*
State:*
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:*
Home Phone:*
Work Phone:*
Cell Phone:
Years at Current Address:*
Years at Previous Address:
Rate Your Neatness
Choose
Very Neat
Moderately Neat
Not Very Neat
Do You Smoke?
Do You Smoke?
Yes
No
Marital Status*
Choose a
Marital Status
Single
Married
Divorced
Widowed
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:
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Years at Current Address:
Years at Previous Address:
Rate Your Neatness
Choose
Very Neat
Moderately Neat
Not Very Neat
Do You Smoke?
Do You Smoke?
Yes
No
Marital Status
Choose a
Marital Status
Single
Married
Divorced
Widowed
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
Choose a
Bank Account Type
Checking
Savings
Balance:
Bank Name:
Bank Account Type
Choose a
Bank Account Type
Checking
Savings
Balance:
Type of Debt
Choose a
Type of Debt
Auto Loan
Credit Card
Student Loan
Home Loan
Other
Monthly Payment
Balance:
Account Open:
Yes
No
Type of Debt
Choose a
Type of Debt
Auto Loan
Credit Card
Student Loan
Home Loan
Other
Monthly Payment
Balance:
Account Open:
Yes
No
Type of Debt
Choose a
Type of Debt
Auto Loan
Credit Card
Student Loan
Home Loan
Other
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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