Fillable Smart Choice Homes Lease To Own Application Form (Page 3 of 3) in pdf

REFERENCES

Relative_____________________________Phone_________________________Relationship__________

__________

Address_______________________________________________________________________________

__________

Non-Relative Reference_____________________________Phone___________________________

Address_______________________________________________________________________________

In Emergency

Contact_____________________________Phone________________Relationship_________________

Address_______________________________________________________________________________

Statements to Yes answers or loans should be written here. Give full details: date, location, and what

caused the event.

______________________________________________________________________________________

Why would you be a good lease to own buyer? ______________________________________________

______________________________________________________________________________________

I declare the foregoing information is true and correct. I hereby authorize you to conduct an

employment, credit, criminal and tenant history check and to verify references. When the lease

agreement is made, this form will become part of the lease agreement. Should any of the above

statement(s) be significantly inaccurate on this application or any other application associated with

this application, that would have caused this rental unit not to be rented to the person or any other

person in the rental group, the lease will be terminated and the renters evicted.

I am responsible for any and all legal, attorney, court, and collection costs incurred by that result

from not maintaining my account within the terms granted me (us).

ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE

UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM

AT ANY TIME.

A PHOTOCOPY OF THE DRIVER’S LICENSE OR STATE ID AND LAST TWO PAYCHECK

STUBS ARE REQUIRED, AS PART OF THIS APPLICATION, IF SELF EMPLOYED, BANK

STATEMENTS FROM YOUR CHECKING ACCOUNT ARE REQUIRED AND YOUR MOST

RECENT TAX RETURN SHOWING YOUR SELF-EMPLOYMENT INCOME .

______________________________________________ _________________

Applicant’s Signature

Date

Page 3 of 3 Lease To Own Application

Smart Choice Homes Lease To Own Application Form Page 3