Pre-Acceptance Application
First Name :
Last Name :
	Contact Information
Home Phone :
Cell Phone :
Work Phone (will not call unless you ask us to) :
Email :
Gross Monthly Income (before taxes) : *Include: Child Support, SSI, Disability, Social Security
Total Amount of Monthly Installment Debt : Add Monthly: Credit Cards, Loans, Furniture Accts., Car Loan Do Not Include: Utilities, Cell phone, Rent
Employers in last 24 Months & Dates Employed :
W2 Employee :
1099 Employee :
	Housing Interest
Did you see and have interest in one of our properties? If so, which one? :
Area of Interest :	Select One East Laurens West Laurens North Laurens South Laurens Tennille Sandersville Laurens (any) Washington (any) Other Not yet known Not Applicable
Bedrooms Preference :
Current Monthly Housing Expense (rent or mortgage payment) :
Do you Own your home :
Do you Rent your home :
How do you pay? :	Select One Bank Check Cash Money Order Credit/Debit Card
Landlord Type :	Select One Private Property Mgmt. Company Parents/Family I own home
Your Current Address (Street):
City :
State :
Zip Code :
If you lived there less than 2 years, previous address :
	Banking & Reserves
Bank Account Status :	Select One Have Bank Account Need to Open
Current Reserves (savings in account) :
	Credit Information
Bankruptcy History (Yes/No/Status/Date Finished) :
What do you think is your current credit score? :
Are there Credit issues you think you have? :
Have you Applied for mortgage in last 2 years? :
What was lender's response/outcome? :
How did you hear about us? :	Select One Newspaper Advertisement Google or Online Search Property Signs (Lawn sign) Referral / Friend / Relative Online Advertisement Television Advertisement Direct Mailer Trade Show Affiliate Business Referral
Referral Agent   :
Comments and Other information :

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