Metal America Application

Metal America, 5555 N. Lamar Blvd. Suite K103, Austin, TX 78751

334-450-8781
Thank you for taking the time to complete this application for our rent to own program. I know your exited for your new building! The following information allows me to build out the contract so I can expedite getting it over to your inbox to E-sign. When its completed, I will be contacting you shortly and we will discuss the next steps to finalize your purchase today.

Best Regards

David Carroll
Applicant Details*

First NameMiddle NameLast Name
Contact information*

Cell Phone #Home Phone #Email
Identity Verification*

Last 4 of your SSN: Date of Birth:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Delivery Address (if different from Mailing Address.)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you own the Property?*

Yes or No?How Long? (Year/Months)
Employer
Personal Reference # 1

NamePhone NumberRelationship
Personal Reference # 2

NamePhone NumberRelationship
Please indicate the building you had an interest in (Size/Color) *
Please attach an image of the Front of Your Drivers License (Military, State ID, Or Passport works as well)

Cancelof
Should be Empty:

Metal America, 5555 N. Lamar Blvd. Suite K103, Austin, TX 78751