APPLICATION

Name/Nombre*

First NameLast Name

Phone Number/Numero de Telefono*

Area CodePhone Number

Backup Phone Number/Numero Alternativo

Please enter a valid phone number.

Email*

example@example.com

Address/Direccion de Casa*

Street Address

CityState / Province

Postal / Zip Code

How did you hear about us? Como nos encontro?*

Date of Birth/Fecha De Nacimiento*

Date

Which of the following applies to you? cuál de los siguientes se aplica a usted*

Social Security NumberITINOther/Otro

Please enter your Social Security Number/ Por Favor ponga su Numero Social/ITIN*

Citizenship Status/ Estado de ciudadanía?*

U.S. CITIZENPERMANENT RESIDENTNone/ NingunoOther/Otro

Marital Status/ Estado Civil*

***If Married, your spouse will need to fill out an application also - SI ESTA CASADO, SU PARAJE TIENE QUE LLENAR APLICACION TAMBIEN.***

If Married, what is your spouse's name? Si esta casado, cual es el nombre de su pareja?

Spouse Phone Number/Numero de su Pareja

Please enter a valid phone number.

Current Monthly Rent or Mortgage/ Cuanto Paga de Renta o Hipoteca

How long have you lived at your current address/ Cuanto tiempo llevas viviendo en tu direccion?

Are you Self-Employed? Trabaja Por Su Propia Cuenta?*

Current Employer / Empleador*

How long have you worked at your current employer? Cuanto tiempo ha trabajado en su empleador actual?*

Work Address / Direccion de Empleador

Job Title / Titulo Profesional

Monthly Income / Ingreso Mensual*

Salary or Hourly? How much a year/per hour? /Salario o Pago por Hora? Cuanto al año o Cuanto le pagan por hora?*

Previous Employer / Empleador Anterior

How long were you at your previous employer? Cuanto tiempo trabaja en su empleador anterior?

Estimated Monthly Debt / Deuda Mensual Estimada

How much do you have in your Checking Account? Cuanto tiene en su cuenta de cheques? *

How much do you have in your Savings Account? Cuanto tiene en su cuenta de ahorros?*

Do you have a 401k? Tiene cuenta de 401k?

YES/SINO

Have you owned any other real estate in the last 5 years? Ha tenido alguna propiedad en su nombre en los ultimos 5 años?*

YES/SINO

Are you a Veteran? Eres Veterano?

YES/SINO

Do you have any dependents? Tiene dependientes?*

YES / SINO

If you have dependents, what are their ages? Si tiene dependientes, ¿cuáles son sus edades?

Do you pay alimony or Child Support? Paga pension alimenticia o manutencion de los hijos?*

YES/SINO

Will this be your primary residence? Sera esta su residencia principal?*

YES/SINO

If you have them available, you can submit the following documents here/ Si los tiene disponibles, puede enviar los siguientes documentos aquí:

- ID, Social Security Card, Last 2 year Taxes, Last 30 day paystubs, Last 2 months Bank Statements, Last 2 years W2 ///// -ID, Tarjeta social, tarjeta de residencia, ultimos 2 anos de taxes, ultimos 2 meses estados de cuenta, ultimos 2 anos w2, ultimos 30 dias talones de cheques

Do you have anything else you want us to know or notes to add? ¿Tiene algo más que quiera que sepamos o notas para agregar?

I understand that by filling out this firm I am applying for the purchase of a home and that my credit will be pulled in order to receive the best lending options available to me. I understand that at the time of my closing, I may be charged a $1,000 Administrative Fee from Orpha Ruth Realty and agree to this charge. This will only be charged at my closing and not for applying. If you have any questions, please call 832-275-5648.

If you only want to receive your credit score and not purchase a home, there is a $125 fee for the credit report along with a $399 processing fee.

Hello! Thank you for choosing Orpha Ruth Realty

BEFORE applying, please acknowledge you have read the below form.

APPLICATION