Buyer Application

This is a basic personal financial application. The information submitted will help us to assist you in securing your housing needs. Completing this application in no way obligates you to use our services. All information submitted is held strictly confidential.

By typing your information below and pressing the “Send” button, 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. You also hereby authorize Metrolina Realty Holdings, LLC and/or its partners to conduct employment verification, current and prior rental verification, personal references verification, a background check, and credit check to be approved for our credit repair program.


Contact Information

Applicant

Co-Applicant

Full Name (First Middle Last)
Married Name or Aliases
Primary Phone
Work Phone
Your Email
Date of Birth
Driver's License Number
Social Security Number
Referred by ***

Employment Information

Applicant

Co-Applicant

Employer's Name

Employer's Address
Current Position/Job Title
How long at present job
Gross Monthly Income (before taxes)
Employer Contact Phone # for Employment Verification
Other Monthly Income
Source of Additional Income


Current Information

Combined

Desired Move-In Date:
How long of a term are you interested in?
What is the Maximum Down Payment you can afford?
What is the Highest Monthly Payment you feel comfortable paying?
How would you rate your credit?
List names and ages of all children under 18 that will be living with you
Description of any pets (type, breed, age & weight)
Current Address
How long have you been at this address?
Current Monthly Payment
Landlord/Manager Name
Landlord/Manager Phone
Is your current lease complete? YesNoNot Applicable
When does your current lease expire?
Why are you moving from your current home?


History and Finance

Combined

Prior Address
How Long at Prior Address
Prior Address Monthly Rent
Prior Address Landlord/Manager Name
Prior Address Landlord/Manager Phone #
Have you ever had your wages garnished? YesNo
Have you ever declared bankruptcy? YesNo
Have you ever been summoned to court for failure to pay rent? YesNo
Have you ever been evicted? YesNo
Have you ever been in foreclosure? YesNo
If "Yes" to any of the above, please list dates, details & comments
Total Current Credit Card(s) Balance
Total Credit Card Monthly Payments
Car Loan Balance(s)
Car Monthly Payment(s)
Do you owe anyone else money? (other than lending institutions) YesNo
If "Yes", please explain:


Personal Reference Information

Combined

Please provide the Name, Phone # and Relationship of
at least 3 References:
How did you hear about us?
Use the space below to let us know what you are looking
for in a new home


Type Letters into the box:

captcha