Georgia Homes Now - We create Real Estate solutions when traditional solutions hit the wall!

Buyer Application

INSTRUCTIONS :
If you are interested in buying one of our available homes, please fill out and submit this form. If you would like to receive information about new homes as soon as they become available, please review VIP BUYERS LIST information below.

Please use (yyyy/mm/dd) for all dates on this application.

Home Buyer Information
Address you are applying for: *
When are you interested in moving into a home? *
Would you like to take advantage of our owner financing or lease purchase programs? *
Realistically, how much of a down payment can you raise? *
What is the most you feel comfortable paying for your monthly payment? *
Is your credit good, fair, or ugly? *

Home Buyer Personal Information
First Name : *
Last Name : *
Daytime Phone Number : *	- -
Evening Phone Number : *	- -
Fax Number :	- -
Email Address : *
Verify your Email Address : *
Social Security # : *	- -
Date of birth * (e.g. 1954/03/17)
Drivers License # *
Drivers License is from which state? *
Present Address : *

City : *
State : *
Zip Code : *
How long at present address?: *
If renting Apartment name/location:
Current Monthly Rent/Mortgage : *
Landlord/Mortgage Company: *
Landlord/Mortgage Phone Number: *	- -
Employer's Name : *
Position : *
How long with current employer? : *
Employer's Address : *
Employer's Phone : *	- -
Gross monthly income before deductions : *

home buyer application submittal

I declare that the application is complete, true and correct and I herwith 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 purpose 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.
	I agree to the above terms and conditions *

By typing your name in this field and the date in the date field below and pressing the submit information button below, you are attesting to the fact that you are the person named in the application data contained in the fields above and that the information you have submitted is true and accurate to the best of your knowledge.
Signature : *
Date (e.g. 2007/02/01) : *


For security purposes please verify all information before proceeding as all information on this page will reset if you try to return.

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