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Application for Rent-To-Own Program

	If you would like to be considered for one of our Rent-To-Own programs, please complete the following form. We will review your information and try to match to homes that are available at the present time. Also, we will notify you of any new homes that will become available in the near future. All information is strictly confidential.
	What are you looking for?
	How many bedrooms would you like to have?
	How many bathrooms would you like to have?
	Do you need a garage or can live without it?	Garage Carport Not Required
	What is the approximate square footage you require?
	Do you need to have central heat and air?	Must Have Flexible Not Required
	What is the maximum monthly payment you can afford? (Total including utilities)	Should not be more than 40% of your monthly income
	What is the area you are looking for?
	If you would like to be more specific about the area, please comment.
	How much time would you need to close and get financing?	12 months 24 months 36 months
	Please describe the house you are looking for
	What price range are you looking for?	to
	How much do you have saved for deposit?
	Who besides yourself will be living in the house? Please be specific.
	Do you have any pets?	Yes No Describe
	Can you guarantee your monthly payments and maintenance of the house?	Yes No
	If we do not have a suitable home at this time, would you like to be notified if we will have it in the near future?	Yes No


	Applicant Information
	Contact Information
	How did you hear about us?
	First Name
	Last Name
	Address
	City
	Province
	Postal Code
	Home Phone
	Business Phone
	Email Address
	Date of Birth	yyyy/mm/dd
	Social Insurance Number

	Income Information
	Employer
	How Long with employer?
	Monthly Income
	Available Savings
	Current Debt
	What is your credit like? (Poor or No Credit is OK!)

	Co-Applicant Information
	Contact Information
	First Name
	Last Name
	Address
	City
	Province
	Postal Code
	Home Phone
	Business Phone
	Email Address
	Date of Birth	yyyy/mm/dd
	Social Insurance Number

	Income Information
	Employer
	How Long with employer?
	Monthly Income
	Available Savings
	Current Debt
	What is your credit like? (Poor or No Credit is OK!)
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