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Direct Mailer
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If you rent, please request the property owner to fill out this form. Financing can only be obtained by the property owner.
Do you own or rent?
*
Own
Rent
Do you own your home outright?
*
Yes
No
Do you have a mortgage?
*
Yes
No
Have you requested a Total Restoration and Contracting estimate yet?
*
Yes
No
This form requires personal information from the applicants provided to various lending institutions and credit reporting agencies. While we do not share your information beyond those companies that help facilitate the loan and lending process, please read our Terms and Privacy Policy for what we do with that information.
Applicant's Personal Information
Name Applicant 1
*
First Name
Last Name
Date of Birth
*
Email
*
Phone Number
*
Name Applicant 2
First Name
Last Name
Date of Birth
Homeowner Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
This form requires personal information from the applicants provided to various lending institutions and credit reporting agencies. While we do not share your information beyond those companies that help facilitate the loan and lending process, please read our Terms and Privacy Policy for what we do with that information.
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Employment Information
Attention Applicant: Verifying your employment/income information is a required part of our application approval process, leaving any field blank or providing any false or misleading information will cause your application to be rejected.
Retired?
Yes
No
Employer Name Applicant 1
Years on the Job
Occupation
Gross Income
Employer Name Applicant 2
Years on the Job
Occupation
Gross Income
This form requires personal information from the applicants provided to various lending institutions and credit reporting agencies. While we do not share your information beyond those companies that help facilitate the loan and lending process, please read our Terms and Privacy Policy for what we do with that information.
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Next
Financing Requests
What would you like financed?
Select All
Roof Replacement
Roof Repair
Vinyl Siding
Soffit & Fascia
Disclaimer
The information I have provided is true and correct to the best of my knowledge. I hereby authorize Total Restoration and Contracting to verify the information I have provided and to obtain a consumer investigative credit report on myself and on all additional co/applicants.
Name
*
First Name
Last Name
Signature
*
Clear
Date
*
Name
First Name
Last Name
Signature
Clear
Date
This form requires personal information from the applicants provided to various lending institutions and credit reporting agencies. While we do not share your information beyond those companies that help facilitate the loan and lending process, please read our Terms and Privacy Policy for what we do with that information.
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