Lots Unlimited - Application

LOTS UNLIMITED

Please answer all questions completely and truthfully. Information will be verified. This is a pre-approval application. If you are pre-approved and you decide you would like to purchase the home after viewing it, you will be required to submit a recent credit report, picture of driver's license, social security number and proof of income to obtain final approval.

Applicant

First Name Middle Initial Last Name

Date of Birth

Married Single Separated

Number of Dependent Children Ages

Present Street Address City State Zip

Phone Number Time at Present Address Years Months

Rentor Homeowner Relative (live with)

Monthly Payment

Landlord/Mortgage Co. Name Contact Number

PREVIOUS STREET ADDRESS(ES) IF LESS THAN FIVE YEARS AT PRESENT ADDRESS:

Previous Street Address: City State Zip

Landlord/Mortgage Co. Name Contact Number

Time at this address Years Month

Previous Street Address: City State Zip

Landlord/Mortgage Co. Name Contact Number

Time at this address Years Month

Previous Street Address: City State Zip

Landlord/Mortgage Co. Name Contact Number

Time at this address Years Month

Employer Job Title

Hire Date: Phone Number

Gross Salary Hour Week Month Year

Previous Employer Job Title Employment Dates

Other Income

Co-Applicant

First Name Middle Initial Last Name

Date of Birth

Married Single Separated

Number of Dependent Children Ages

Present Street Address City State Zip

Phone Number Time at Present Address Years Months

Rentor Homeowner Relative (live with)

Monthly Payment

Landlord/Mortgage Co. Name Contact Number

PREVIOUS STREET ADDRESS(ES) IF LESS THAN FIVE YEARS AT PRESENT ADDRESS:

Previous Street Address: City State Zip

Landlord/Mortgage Co. Name Contact Number

Time at this address Years Month

Previous Street Address: City State Zip

Landlord/Mortgage Co. Name Contact Number

Time at this address Years Month

Previous Street Address: City State Zip

Landlord/Mortgage Co. Name Contact Number

Time at this address Years Month

Employer Job Title

Hire Date: Phone Number

Gross Salary Hour Week Month Year

Previous Employer Job Title Employment Dates

Other Income

Applicant/Co-Applicant Monthly Bills other than Rent/Mortgage and Utilities

Other Obligation: Current Balance: Monthly Payment:

Other Obligation: Current Balance: Monthly Payment:

Other Obligation: Current Balance: Monthly Payment:

Other Obligation: Current Balance: Monthly Payment:

Other Obligation: Current Balance: Monthly Payment:

Have you ever had a foreclosure action filed against you?

Have you ever had a home repossession/replevin action filed against you?

Have you ever had an eviction filed against you?

I hereby attest that all the information above is correct and that the applicant/co-applicant willfully submit this application.