First Name:
Last Name:
SSN:
Date Of Birth:
Present Address:
City:
How Long At Present Address:
Monthly Rent:
Reason For Moving:
Name Landlord:
Phone Landlord:
Present Employer:
Position:
Address:
City State Zip:
Phone:
How Long Have You Worked Here:
Annual Income:
Previous Employer:
Vehicle:Make Year License Number:
Have You Ever Filed For Bankruptcy:
Do You Have Any Liens Judgments Recorded Against You:
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Co-Applicant Information
Contact Information
Daytime Phone:
Evening Phone:
Email:
Reference Relative Phone 1:
Reference Relative Phone 2:
Reference Non-Relative Ph 1:
Reference Non-Relative Ph 2:
Previous Address
Previous Address:
Previous Landlord:
How Long At That Address:
Have You Ever Been Evicted:
Property Wanted
Home Mobile Home Investment Property:
No.of Bedrooms:
No.of Bathrooms:
Garage Needed:
Area Location School District:
Yard Needed :
Wanted to Buy Rent To Own:
Owner Financing Required: Yes No
Amount of Down Payment Available:
Monthly Household Income:
Date Needed To Move In:
Number Of People In Household:
Pets Please list:
Other Information
How Did You Hear About Us:
Any Special Requests or Comments:
"I have contacted Denny Grove of American Advantage Mortgage Services, 2550 Kingston Road, Suite 202, York, PA 17402 at 866 755 6186 who will review my credit report and assist me in determining how to obtain financing for the property. Adamark Investments LLC
Yes No
I certify that all information given is true and correct and I hereby grant Adamark Investments, LLC permission to contact any references listed to verify accuracy of this application and to contact relatives in case of an emergency (incl. non-payment)
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