Prequalification Form for Rent-To-Own with Integrity Real Estate Solutions

Whether you need financing or some help purchasing a home,
this form will get started with our purchase programs.

Prequalification Application

A SEPARATE APPLICATION MUST COMPLETED BY EACH APPLICANT

THAT MEANS EACH ADULT THAT WANTS TO LIVE IN THE HOME

ALL information must be completed.

Name:

Email:

Address you are applying for:

Date of desired occupancy:

Would you like to take advantage of our owner financing or lease/option programs?

What monthly budget are you trying to work within for your house payment?

How much of a down payment can you raise?

How is your credit?

Your Personal Information

Phone:

Work Phone:

Cell Phone:

Birth Date:

Social Security Number:

Driver's License #

State:

Current Address:

City:

State:

Zip:

How long?

If renting, Apartment name/location:

Current Payment:

Land Lord / Manger's Name:

Phone:

Previous Address (if less than 2 yrs):

City:

State:

Zip:

Can you provide twelve (12) months of cancelled checks if required?

Employer:

Position:

How long?

Address:

Phone:

Gross Monthly Income before deductions:

Do you have any outstanding judgements? How much?

Have you filed for Bankruptcy in the last 3 years?

Have you had a Forclosure or Reposession in the last 5 years?

I declare that the application is complete, true and correct and I herewith give my permission either in person or over the phone, or internet, for anyone contacted to release the credit or personal information of the undersigned applicant to Management or their authorized agents, at any time, for the purposes of entering into and continuing to offer or collect on any agreement and/or credit extended. I further authorize Management or their Authorized Agents to verify the application information including but not limited to obtaining criminal records, contacting creditors, present or former landlords, employers and personal references, whether listed or not, at the time of the application and at any time in the future, with regard to any agreement entered into with Management. Any false information will constitute grounds for rejection of this application, or Management may at any time immediately terminate any agreement entered into in reliance upon misinformation given on the application.

By typing your full name below you are giving your digital signature.

Applicant:

Date:

I usually only takes us a couple days to get back to you after you submit this form. We look forward to helping you into this home very soon!