BlacPay+R2O Rent To Own Application - rental or rent to own

Apply for RENT or RENT TO OWN

Please fill every single field of this application. If something is not applicable simply put N/A on it, application is $20 or it equivalent non refundable fee by filling this form you are agreeing to ALL BlacPay’s requirements and policy.
How did you hear about us?*

StreetsignBlacPay+R2OBlacPay StaffOnlineReferral
I would like to apply to?*

5 YRS STRUCTURED PAYMENT PURCHASERENT TO OWNOUTRIGHT PURCHASE
Accommodation Information
Which house are you interested in?*
Purpose of Property

Residential UseInvestment purchase
Address of Property intended to Buy?

Full Address for inspection purpose &Name of Owner or agent
Interested Location of Property

TownStateCountry
When are you available to view the house / suite that you are interested in with an inspector? Days and Times please*
Appointment
When are you looking to move?*
Name of Processing Agent

First NameLast Name
Date*

MonthDayYear
Date
Personal Info of FIRST Applicant
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Birth Date*

MonthDayYear
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Can you come up with the damage deposit at time of Viewing?*

YesNo
Personal Info of SECOND Applicant
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Birth Date

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Browse Files

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Relationship to Applicant
Employment Info of FIRST Applicant
Current Employer (NAME)*
DIRECT Supervisor Name*
Phone Number*

Area CodePhone Number
Monthly Gross Income*
Employment agreement or letter*

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Salary Account Bank Statement *

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Income from Addtional Sources
List Source
Upload Bank Statement

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Total Amount
Financial Information
BANK NAME #1*
Bank letter from Branch

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BRANCH ADDRESS
Rental History
Current Landlord*
Phone Number*

Area CodePhone Number
Personal Information
HAVE YOU OR YOUR SPOUSE EVER BEEN EVICTED OR ASKED BY A LANDLORD OR HIS AGENT TO LEAVE THE RENTED PREMISES?

YESNO
HAVE YOU OR YOUR SPOUSE EVER BEEN CONVICTED OF A CRIMINAL OFFENSE?

YESNO
Application Signature
APPLICATION FEE DIRECT BANK DEPOSIT FOR NIGERIA ONLY: BlacPay Nigeria LTD.

GTBANK - 0617384510 ZENITH BANK - 1018925725 TAJBANK NIG LTD - 0001078667
I UNDERSTAND THAT I ACQUIRE NO RIGHTS IN THE HOUSE / SUITE UNTIL I SIGN THIS AGREEMENT AND SUBMIT A HOLDING FEE. NONREFUNDABLE OPTION TO PURCHASE FEE. UPON APPROVAL OF TENANCY AND THE SIGNING OF A HOUSE RENTAL OR RENT TO OWN APPLICATION, THIS FEE WILL BE CREDITED AGAINST MY DEPOSIT. IN CONSIDERATION FOR LANDLORD HOLDING SAID HOUSE / SUITE AT THE ABOVE LOCATION, I HEREBY WAIVE ALL RIGHTS TO THE RETURN OF SAID HOLDING FEE, AND SAID FEE SHALL BE RETAINED AS LIQUIDATED DAMAGES IN THE EVENT I DO NOT CHOOSE TO ENTER INTO THE AGREEMENT APPLIED FOR HEREIN. PURSUANT TO STATE AND FEDERAL FAIR CREDIT REPORTING ACTS, THIS IS TO INFORM YOU THAT AN INVESTIGATION INVOLVING THE STATEMENTS MADE ON YOUR RENTAL OR RENT TO OWN APPLICATION FOR THE ABOVE MENTIONED LOCATION, AS WELL AS INQUIRIES REGARDING YOUR CHARACTER, GENERAL REPUTATION, MODE OF LIVING, AND PERSONAL CHARACTERISTICS MAY BE INITIATED. SHOULD YOUR APPLICATION BE DENIED, YOU HAVE THE RIGHT TO DISPUTE THE INFORMATION REPORTED. UPON WRITTEN REQUEST, YOU ARE ENTITLED TO A COMPLETE AND ACCURATE DISCLOSURE OF THE INVESTIGATION'S NATURE AND SCOPE, AS WELL AS A WRITTEN SUMMARY OF YOUR RIGHTS AND REMEDIES UNDER THE FAIR CREDIT REPORTING ACT. I/WE CERTIFY THAT, TO THE BEST OF MY/OUR KNOWLEDGE, ALL STATEMENTS ARE TRUE AND COMPLETE. I/WE AUTHORIZE BLACPAY+R2O AND ITS SUBSIDIARIES. TO OBTAIN ALL REPORTS AND VERIFICATIONS NECESSARY TO VERIFY ALL INFORMATION PUT FORTH IN THE ABOVE APPLICATION AND TO FURNISH ALL INFORMATION TO THE LANDLORD NAMED ABOVE. FALSE, FRAUDULENT, OR MISLEADING INFORMATION MAY BE GROUNDS FOR DENIAL OF TENANCY OR SUBSEQUENT EVICTION. UPON DENIAL NO REFUNDS WILL BE MADE TO APPLICANTS OF APPLICATION FEES OR PAYMENT.*

I ACCEPT
UPLOAD APPLICATION & PROCESSING FEE PROOF OF PAYMENT $20 OR ITS NAIRA EQUIVALENT FOR NIGERIAN APPLICANTS ONLY*

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This is very important for background check and application processing, WE ACCEPT ONLY ONGOING OPEN MARKET EXCHANGE RATE* Cancelof
Signature (First Applicant)*
Date Submitted*

MonthDayYear
Signature (Second Applicant)
Date Submitted

MonthDayYear
Should be Empty:

Apply for RENT or RENT TO OWN

Accommodation Information

Personal Info of FIRST Applicant

Personal Info of SECOND Applicant

Employment Info of FIRST Applicant

Income from Addtional Sources

Financial Information

Rental History

Personal Information

Application Signature

APPLICATION FEE DIRECT BANK DEPOSIT FOR NIGERIA ONLY: BlacPay Nigeria LTD.