Rent-To-Own

Rent-to-own Application Information

Finance type *

Individual Rent-to-own Application

Asterisk indicates required field

Statement of consent

I certify that the information provided by me is correct. I also understand that you will be
checking with credit reporting agencies. I authorize an investigation of my credit and employment history and the
release of information about my credit experience. Please initial below to indicate that you have received a copy of
our Privacy Notice and agree to all of the above. YOUR CREDIT APPLICATION IS GOING THROUGH A SECURE WEBSITE AND YOUR
IDENTITY IS SAFE

Initial here *

Your Contact Information

Name As It Appears on Driver's License

First Name *

Middle Name

Last Name *

Driver's License Number *

State of License *

Driver's License Expiration Date *

Residence phone *

Email *

Social Security Number *

Date of Birth *

Marital Status

Unit Information

Type of Trailer *

Down Payment *

Salesperson *

Physical Address Information

Physical Address *

City *

State *

Zip Code *

County *

Mailing/Billing Address (If Different Than Physical)

Address

City

State

Zip Code

County

Housing Information

Do you Rent or Own your home, or other? *

LandLord / Mortgage Holder

Rent / Mortgage Monthly Amount *

Time at current residence (Years) *

Time at current residence (Months) *

Previous Residence (If less than 2 years at Current Residence)

Address

City

State

Zip Code

How long at Previous Residence (Years)

How long at Previous Residence (Months)

Employer Information

Occupation *

Employer Name *

Employer Address *

Employer City *

Employer State *

Employer Zip *

Employer Phone *

Salary (Annually Gross) *

Time at Employer (Years) *

Time at Employer (Months) *

Type of Employment

Other Income

Other Income Frequency

Previous Employer Information (If less than 2 years at Current Employer)

Occupation

Employer Name

Employer Address

Employer City

Employer State

Employer Zip

Employer Phone

Salary (Annually Gross)

Time at Employer (Years)

Time at Employer (Months)

Business Information

Business Name

Address

Phone Number

Start Date

Years In Business

IRS FEIN Number

Ownership Percentage

Monthly Income

Business Type

Additional Comments

Please include any information that you feel may help us process your application.

References

Name *

Phone *

Address *

City *

State *

Name *

Phone *

Address *

City *

State *

Please leave this field empty.

Joint rent-to-own Application

Asterisk indicates required field

Statement of consent

Primary Applicant Initial here *

Primary Applicant Contact Information

Name As It Appears on Driver's License

First Name *

Middle Name

Last Name *

Driver's License Number *

State of License *

Driver's License Expiration Date *

Residence phone *

Email *

Social Security Number *

Date of Birth *

Marital Status

Unit Information

Type of Trailer *

Down Payment *

Salesperson *

Primary Applicant Physical Address Information

Physical Address *

City *

State *

Zip Code *

County *

Primary Applicant Mailing/Billing Address (If Different Than Physical)

Address

City

State

Zip Code

County

Primary Applicant Housing Information

Do you Rent or Own your home, or other? *

LandLord / Mortgage Holder

Rent / Mortgage Monthly Amount *

Time at current residence (Years) *

Time at current residence (Months) *

Primary Applicant Previous Residence (If less than 2 years at Current Residence)

Address

City

State

Zip Code

How long at Previous Residence (Years)

How long at Previous Residence (Months)

Primary Applicant Employer Information

Occupation *

Employer Name *

Employer Address *

Employer City *

Employer State *

Employer Zip *

Employer Phone *

Salary (Annually Gross) *

Time at Employer (Years) *

Time at Employer (Months) *

Type of Employment

Other Income

Other Income Frequency

Primary Applicant Previous Employer Information (If less than 2 years at Current Employer)

Occupation

Employer Name

Employer Address

Employer City

Employer State

Employer Zip

Employer Phone

Salary (Annually Gross)

Time at Employer (Years)

Time at Employer (Months)

Primary Applicant Business Information

Business Name

Address

Phone Number

Start Date

Years In Business

IRS FEIN Number

Ownership Percentage

Monthly Income

Business Type

Primary Applicant Additional Comments

Please include any information that you feel may help us process your application.

Primary Applicant References

Name *

Phone *

Address *

City *

State *

Name *

Phone *

Address *

City *

State *

Please leave this field empty.

Rent-to-own Application Information

Individual Rent-to-own Application

Statement of consent

Your Contact Information

Unit Information

Physical Address Information

Mailing/Billing Address (If Different Than Physical)

Housing Information

Previous Residence (If less than 2 years at Current Residence)

Employer Information

Previous Employer Information (If less than 2 years at Current Employer)

Business Information

Additional Comments

References

Joint rent-to-own Application

Statement of consent

Primary Applicant Contact Information

Unit Information

Primary Applicant Physical Address Information

Primary Applicant Mailing/Billing Address (If Different Than Physical)

Primary Applicant Housing Information

Primary Applicant Previous Residence (If less than 2 years at Current Residence)

Primary Applicant Employer Information

Primary Applicant Previous Employer Information (If less than 2 years at Current Employer)

Primary Applicant Business Information

Primary Applicant Additional Comments

Primary Applicant References

Co-Applicant Contact Information

Unit Information

Co-Applicant Physical Address Information

Co-Applicant Mailing/Billing Address (If Different Than Physical)

Co-Applicant Housing Information

Co-Applicant Previous Residence (If less than 2 years at Current Residence)

Co-Applicant Employer Information

Co-Applicant Previous Employer Information (If less than 2 years at Current Employer)

Co-Applicant Business Information

Co-Applicant Additional Comments

Co-Applicant References