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Buyer's Application
First Name
*
Middle Name
*
Last Name
*
Date of Birth
*
Present Address
*
Previous Address
*
Landlord's Name
*
Landlord's Number
Seller's Name
*
Sellers Phone
*
Social Security Number
*
Phone Number
*
Employer
*
Position
*
Years
*
Monthly Income
*
Business Phone
*
Previous Employer
Position
Years
Business Phone
Additional Income
Co-Applicant's First Name
Middle Name
Last Name
Date of Birth
Social Security Number
Co-App Employer
Position
Years
Monthly Income
Business Phone
Previous Employer
Position
Years
Business Phone
Additional Income
Sale Price of Home
*
Down Payment Amount
*
Down Payment Type
*
Cash
Gift
Lieu of Payments Made
Home Currently Financed?
*
Yes
No
Make
*
Model
*
Year
*
Width
*
Length
*
Land Type
Park Name
Low Rent / Land Payment
Applicant Race
*
Do not wish to choose
American Indian
Asian, Pacific Islander
Black
Hispanic
White
Other
Applicant Marital Status
*
Married
Unmarried
Separated
Applicant Sex
*
Male
Female
Co-Applicant Race
Do not wish to choose
American Indian
Asian, Pacific Islander
Black
Hispanic
White
Other
Co-Applicant Marital Status
Married
Unmarried
Separated
Co-Applicant Sex
Male
Female
Payoff Amount
*
Thru
*
Per Diem
*
A/N
*
S/N
*
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