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	1HomeSold.com Phone: (800)371-2419 rod@FLORIDA-HOMEBUYERS.COM


	1HomeSold.com (800)371-2419 rod@FLORIDA-HOMEBUYERS.COM

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	Which of our Homes interests You? *
	*Tenant/Buyer Information*
	Name
	Address
	City
	State
	Zip Code
	Phone
	Fax
	Email *
	Date of Birth
	Social Security Number
	Drivers License
	State of Issue & Exp. Date
	How long at this address
	Landlord/Agent Name
	Landlord Phone
	Current Rent Amount
	Previous Address, City, St, Zip
	Previous Landlord/Agent Name
	Previous Landlord Phone
	*Employment Information*
	Occupation
	Employers Name
	Employers Address
	Work Phone
	How long at present job?
	Gross Monthly Salary (US dollars)
	Other Monthly Income (US dollars)
	*References*
	Credit Reference #1
	Credit Limit/Highest Amount Owed
	Purpose of Credit
	Monthly Payment
	Personal Reference #1
	Address, City, St, Zip
	Phone
	Length of Acquaintance
	Nearest Relative #1
	Address, City, St, Zip
	Phone
	Relationship
	*Co-Tenant/Buyer Information*
	Name
	Address, City, St, Zip
	Phone
	Email *
	Date of Birth
	Social Security Number
	Drivers License
	State of Issue & Exp. Date
	How long at this address
	Landlord Name & Phone
	Current Rent Amount
	Previous Address, City, St, Zip
	Previous Landlord Name & Phone
	*Co-Tenant/Buyer Employment Information*
	Occupation
	Employers Name
	Employers Address
	Work Phone
	How long at present job?
	Gross Monthly Salary (US dollars)
	*References*
	Credit Reference #2
	Credit Limit/Highest Amount Owed
	Purpose of Credit
	Monthly Payment
	Personal Reference #2
	Address, City, St, Zip
	Phone
	Length of Acquaintance
	Nearest Relative #2
	Address, City, St, Zip
	Phone
	Relationship
	Have you or the co-tenant ever filed for Bankruptcy	YES NO
	Have you or the co-tenant ever been Evicted	YES NO
	DECLARATION * BY SIGNING BELOW I DECLARE THAT THE FOREGOING INFORMATION IS TRUE & CORRECT, AND AUTHORIZE ITS VERIFICATION & THE OBTAINING OF CONSUMER CREDIT REPORT.	I Agree I Disagree
	*Digital Signature*
	Applicant A
	Date
	Applicant B
	Date
	I agree that the Landlord/Seller may terminate any agreement entered into in reliance on any misstatement made above.

	Verification	Enter the letters you see in the image above. This ensures that a real person, not an automated program, is entering this information.
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(800)371-2419
rod@FLORIDA-HOMEBUYERS.COM

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