Smart Choice Homes Lease To Own Application Form
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SMART CHOICE HOMES LEASE TO OWN APPLICATION
A separate application must be filled out for each person 18 years or greater.
INSTRUCTIONS: Response required for each blank. Use N/A if not applicable. Please print except
for signature. Use full names and initials. If more room is needed, use back of page.
APPLICATION for occupancy of _______________________________ Move in date requested________
I authorize anyone to investigate the facts, obtain and exchange reports regarding this application or
resulting account with credit reporting agencies and others. On request, I will be told each agency’s name
and address.
APPLICANT:____________________________ BIRTHDATE:________ SS# ____________________
DRIVER LICENSE # _______________________________ STATE:____________
Alabama
List all FORMER NAMES and Initials used and dates used ______________________________________
ADDITIONAL OCCUPANTS: Names & Birthdates_________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Pets (type, breed, age) __________________________________________________________________
Circle applicable answer. Explain “Yes” answers on back with names and details.
Has applicant ever been taken to court for bills? YES
/ NO
Has applicant ever been bankrupt? YES
/ NO
Has applicant been late or taken to collection/court on bills after the bankruptcy? YES
/ NO
/ N/A
Has applicant ever been guilty of a misdemeanor? YES
/ NO
Felony? YES
/ NO
Has applicant ever had a wage garnishment? YES
/ NO
Has applicant ever been foreclosed on or evicted? YES
/ NO
How much do you think you could afford for a monthly payment?___________
How much cash do you have for an option fee or down payment?____________
If you are self-employed can you supply your last three years tax returns? Y
N
PLEASE COMPLETE 5 YEARS OF HOUSING INFORMATION.
Present
City/
lease
Address_______________State/Zip___________Started_______Month$_________Phone __________
Landlord______________________________Address_______________________Phone____________
Is rent up to date? Y
N
Have you given notice to move? Y
N
Have you been asked to move? Y
N
Why are you moving?___________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Previous
City/
Rent/
Rent/
Address_______________________State/zip___________From______To______ Month$_______
Landlord____________________Address___________________________Phone__________________
Was rent up to date? Y
N
Did you give notice to move? Y
N
Had you been asked to move? Y
N
Why did you move?_______________________________________________________________
_______________________________________________________________________________
______________________________________________________________________________________
Housing information continued on next page
Page 1 of 3 Lease To Own Application
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