JSC Rent To Own Homes - Buyers Choice Application

APPLICANT'S FULL NAME_____________________________________________________________________

CO-APPLICANT'S FULL NAME_________________________________________________________________

APPLICANT'S CURRENT ADDRESS_____________________________________

STATE______________    ZIP CODE______________

APPLICANT'S PHONE_________________________

WORK PHONE _________________________________

CELL PHONE _______________________________

EMAIL ADDRESS________________________________

CO APPLICANT PHONE _______________________

WORK PHONE __________________________________

CELL PHONE ________________________________

EMAIL ADDRESS ______________________________


RESIDENTIAL HISTORY:


LANDLORD'S NAME__________________________________

LANDLORD'S PHONE____________________

HOW LONG AT THIS ADDRESS?________________________

MONTHLY RENT $_____________________

REASON FOR MOVING_______________________________________________________________________


PREV ADDRESS _____________________________________________________________________________

PREV LANDLORD'S NAME____________________________

PREV LL'S PHONE______________________

HOW LONG AT THIS ADDRESS?________________________

MONTHLY RENT $_____________________

REASON FOR MOVING_______________________________________________________________________



WORK HISTORY:


OCCUPATION_____________________________________ COMPANY:____________________________

YEARLY INCOME ( W-2 / 1099 / SELF EMPLOYED)____________________________________________

SUPERVISOR'S NAME________________________________________________________________________

HOW LONG AT THIS JOB? __________________________________ PHONE________________________

PREVIOUS OCCUPATION______________________________________
HOW LONG?__________________

OTHER INCOME & AMOUNT_________________________________________________________________



SPOUSE OCCUPATION_______________________________ COMPANY:__________________________

YEARLY INCOME ( W-2 / 1099 / SELF EMPLOYED)____________________________________________

SUPERVISOR'S NAME________________________________________________________________________

HOW LONG AT THIS JOB? ___________________________ PHONE_______________________________

PREVIOUS OCCUPATION______________________________________

HOW LONG?__________________

OTHER INCOME & AMOUNT_________________________________________________________________




FINANCIAL INFORMATION:

AMOUNT AVAILABLE FOR DOWN PAYMENT:_________________________________________________

MAXIMUM MONTHLY PAYMENT:____________________________________________________________

SOURCE OF DOWNPAYMENT FUNDS_______________________________________________________

ASSETS

SAVINGS ACCOUNT: BANK__BALANCE$____________________________________________________

CHECKING ACCOUNT: BANK_BALANCE$____________________________________________________

401K BALANCE:____________________________________________________________________________

STOCKS:__________________________________________________________________________________

DIVIDENDS:_______________________________________________________________________________

TRUST/CD:_______________________________________________________________________________

OTHER:__________________________________________________________________________________


CREDIT HISTORY

OPEN CREDIT CARDS

NAME and BALANCE:____________________________________
MONTHLY PAYMENT:_____________________

NAME and BALANCE:____________________________________
MONTHLY PAYMENT:_____________________

NAME and BALANCE:____________________________________
MONTHLY PAYMENT:_____________________

NAME and BALANCE:____________________________________
MONTHLY PAYMENT:_____________________

NAME and BALANCE:____________________________________
MONTHLY PAYMENT:_____________________

ALIMONY $______________________________________________________________________________

CHILD SUPPORT ( Y / N ) … IF YES, AMOUNT PAY MONTHLY ______________________________

STUDENT LOAN $_________________________ ALIMONY $________________________________


BANKRUPTCY? ( Y / N )…

IF YES, MONTH________________ YEAR____________________ CHAPTER ( 13 / 7 )

FORECLOSURE? ( Y / N )… IF YES, MONTH______________ YEAR_________________


TOTAL MONTHLY PAYMENTS ON ALL FINANCIAL OBLIGATIONS (CAR PAYMENT,
INSURANCE, CREDIT CARDS, ALIMONY, ETC.) EXCLUDING RENT

$____________________________________________


AUTOMOBILES:
AUTO #1

MAKE(S) & MODEL(S)________________________________ YEAR_______ PLATE#_____________

DO YOU OWN IT OUTRIGHT?_________________________ IF NO, MONTHLY PMT $__________

AUTO #2

MAKE(S) & MODEL(S)________________________________ YEAR_______ PLATE#_____________

DO YOU OWN IT OUTRIGHT?______________________ IF NO, MONTHLY PMT $_____________



PERSONAL INFORMATION:


SSN#____________________________ DRIVER'S LIC#_________________ D.O.B._______________

SPOUSE SSN#____________________ DRIVER'S LIC#_________________ D.O.B._______________

NEAREST LIVING RELATIVE ________________________________ PHONE___________________

OTHER PERSONS WHO WILL LIVE WITH YOU__________________________________________

ANY PETS? ( Y / N ) TYPE OF PET, WEIGHT & NAME___________________________________

HAVE YOU EVER REFUSED TO PAY RENT? ____________ WHY?__________________________

HAVE YOU EVER BEEN EVICTED? _____________ IF SO, WHEN?__________________________


I declare that the statements above are true and correct, and I hereby authorize verification of references and a consumer credit check. I agree to pay a NON-REFUNDABLE processing and credit check fee of $30.00. I also authorize the landlord, JSC INVESTMENTS, LLC. or its designees to obtain information about me from current and previous landlords and employers, criminal background checks and personal character references. I authorize my credit sources, current and previous landlords and employers, and personal references to disclose to JSC INVESTMENTS, LLC. or its designees such information about me as they may request. I understand that pursuant to Federal law, a may request in writing the name and address of the credit reporting agency used by the landlord. I understand that I may not receive a copy of the credit report from the landlord, but may request a copy directly from the credit bureaus.




______________________________________ _____________________________
APPLICANT'S SIGNATURE and DATE



______________________________________ _____________________________
CO-APPLICANT'S SIGNATURE and DATE

Fax your SIGNED and completed application to JSC Investments, LLC (708) 246-4329. Please send the required application with original signature and a check or money order for $30 to:

Questions? Call (773)-230-0955 or email: jscinvestments@yahoo.com