FOR SALE APPLICATION

COPY OF DRIVER’S LICENSE, ID CARD, OR PASSPORT IS REQUIRED.

Property you are interested in ( name / location / price ):*

Name of the agent you're working with:*

Agent's Phone Number*

Please enter a valid phone number.

Applicant #1*

First NameLast Name

Date of birth*

Date

SSN (please type "N/A" if doesn't applied to you, DO NOT enter your IEN instead):*

Email address:*

example@example.com

Phone Number*

Please enter a valid phone number.

Applicant's #1 Employer:*

Employer's contact number:

How long have you been employed?*

Employer's address:

Take home pay (monthly / weekly / yearly):*

Applicant #2

First NameLast Name

Date of birth

Date

SSN

Email address:

example@example.com

Phone Number

Please enter a valid phone number.

Applicant's #2 Employer:

Employer's contact number:

How long have you been employed?

Employer's address:

Take Home Pay (monthly / weekly / yearly):

Mailing address:*

How long have you lived at your current address?

Physical address:*

Previous physical address:

How long have you lived at your previous address?

Applicant #1 Driver’s License NO. (or any other valid identification document with picture) :*

Issued state / country:*

Applicant #2 Driver’s License NO. (or any other valid identification document with picture):

Issued state:

* Please provide a copy of driver's license (or any other valid identification document with picture) for all applicants.*

AUTOMOBILE INFO #1

Make / Model / Year / Color :*

License Plate #*

Title in name of*

AUTOMOBILE INFO #2

Make / Model / Year / Color :

License Plate #

Title in name of

List two of your nearest relatives with phone numbers, city and state:

#1

#2

List two local references with good phone numbers:

#1

#2

List your last two landlords or mortgage holders with good phone numbers, and city / state where they are located:

#1

#2

Explain in detail why you have moved each time in the last 3 years.

1.Have anybody listed on this application ever been sued, sued anyone, or been named in legal action?*

YesNo

2.Does anybody listed on this application have any judgments against them?*

YesNo

3.Does anybody listed on this application have a fair credit?*

YesNo

4.Has anybody listed on this application ever filed bankruptcy?*

YesNo

5.Has anybody listed on this application ever been evicted or defaulted or breached a lease?*

YesNo

If you answer "Yes" to any of the following, please use space below and explain in detail. Include dates, and locations.

By signing below, I warrant and will forever defend that I have completed this application myself and have answered truthfully to the best of my knowledge and that the information given is guaranteed true and accurate. I authorize the holder of this application to use all available means to verify the above and to determine my payment abilities and history, and my credit worthiness. I authorize the holder to employ the services of credit reporting agencies, as well as private reporting agencies and investigative services at any time within the next 36 months. I understand that the information I have given will only be used to determine my credit worthiness or to collect monies I may owe. I further acknowledge and understand that any deposits I may pay shall become immediately non-refundable, unless I am not approved.

Applicant #1*

By initialing below, I'm requesting to be sent a background credit check and I acknowledge I will be responsible for paying background check fee of $50 . *

Applicant #2

By initialing below, I'm requesting to be sent a background credit check and I acknowledge I will be responsible for paying background check fee of $50 .

Date*

Date

Application FeeOne applicant - $50 *if there's more than one person applying, please adjust the quantity accordingly.

$50 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

Please click one of the PayPal options to complete payment and submit the form.