8789 Gull Road, Richland, MI 49083
Fax:(269)629-9595

Please print a copy of this application, fill it out completely and mail or fax to New Path Homes

EACH APPLICANT MUST COMPLETE A SEPARATE APPLICATION

PLEASE PRINT - ALL information must be completed.

How did you hear about us?: ____________________________________________________________
Address you are applying for: ___________________________________________________________
Date of desired occupancy: ______________________________________________________________
Do you have pets? If dog(s), please list breed: _________________________________________________
How much of a down payment can you raise? ______________________________________________
What monthly budget are you trying to work within for your house payment? ___________________
Is your credit, good, fair, or ugly? ________________________________________________________

YOUR PERSONAL INFORMATION
Full Name ________________________________________
E-Mail address:______________________________________
Phone (_______)_____________________
Work Phone ( _______)_________________________
Cell Phone (______) ___________
Social Security Number ________-_____-_________
Driver's License #_______________________________ State: _________
Present Address ___________________________________________________________________________________________
City ___________________________________________________State: ____________Zip: __________________________
How Long? __________
If renting, Apartment name/location ______________________________Current Payment: $ _______
Landlord/mgr's name _______________________________________________________________
Phone: (_____)_______________________________
Previous Landlord/mgr's name _______________________________________________________________
Phone: (_____)_______________________________
Employer #1: _______________________________________ Position: __________________________
How Long? _____________________
Address ______________________________________________________________________
Phone: (_____)_______________
Gross Monthly Income before deductions: $______________

I declare that the application is complete, true and correct and I herewith give my permission for anyone contacted to release the credit or personal information of the undersigned applicant to Management or their authorized agents, at any time, for the purposes of entering into and continuing to offer or collect on any agreement and/or credit extended. I further authorize Management or their Authorized Agents to verify the application information including but not limited to obtaining criminal records, contacting creditors, present or former landlords, employers and personal references, whether listed or not, at the time of the application and at any time in the future, with regard to any agreement entered into with Management. Any false information will constitute grounds for rejection of this application, or Management may at any time immediately terminate any agreement entered into in reliance upon misinformation given on the application.
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