HOMEBUYER APPLICATION

APPLICANT

Applicant Name:____________________________________________________________________________________

 

Current address:_________________________________________________________#of Years___________________

 

Social Security Number: __________________________________Phone Number______________________________

 

 Current rent rate________________________________________

 

Landlord name and phone number: _____________________________________________________________________

 

Former Address:_______________________________________________________# of Years____________________

 

Landlord name and phone number: _____________________________________________________________________

 

Name and address of employer:______________________________________________________________________

 

Phone Number: ______________________________________ #of years on job:_______________________________

 

Former employer: ____________________________________ #of years on job:________________________________

CO-APPLICANT

Co-Applicant Name: _______________________________________________________________________________

 

Address if different from applicant:____________________________________________________________________

 

Social Security Number: ________________________________________Phone Number:________________________

 

Name and address of employer:______________________________________________________________________

 

Phone Number:_________________________________________# of years on job:_____________________________

 

Former Employer __________________________________# of years on job:___________________________________

 

 

 

 

 

 

 

HOUSEHOLD INFORMATION (everyone in household including applicant and co-applicant                                                                  

Full Name	Birthday	Social Security #	Relationship

HOUSEHOLD INCOME( all household members)

Family Member	Source	Amount	Frequency

 

 

 

HOUSEHOLD DEBT (auto loans, credit cards, charge accounts, credit unions or bank loans, store accounts etc.)

Creditor's Name & Phone #	Account#	Monthly Payment	Unpaid Balance

List any additional creditors on back of this page.

Do you have any outstanding judgments? _______________if yes please explain.

________________________________________________________________________________________________

In the past 7 years, have you declared bankruptcy?  ____________ if yes what year? _______________________________

Have you ever purchased a home in the past? ________________ if yes, what year?_______________________________

The information provided below is true and complete to the best of my/our knowledge and belied.  I/we consent to the disclosure of all income, asset and debt information listed above as needed in order to determine eligibility.  I/we understand that any willful misstatement of material fact will be grounds for disqualification

__________________________________________       _____________________________________________        

  (Applicant)                                                                                                                (Date)

__________________________________________        ____________________________________________

 (Applicant)                                                                                                                (Date)