Rent to Home Program Pre-qualification Complete this application as completely and honestly as possible and a we will contact you within two business days. Applicant Name*Co-applicant nameEmail* Co-applicant Email Phone #*Co-applicant Phone #Will you be applying with a Co-applicant?*YesNoHow did you hear about the Rent to Home Program?*Is there a specific Rent to Home Property you are interested in?*Are you a first time homebuyer?*YesNoDo you currently have a bank account?*Checking and SavingsJust CheckingJust SavingsNoHave you worked full time in the past 12 months?*Yes, at the same jobYes, at different jobsNoWhere do you work?*What is your gross (before taxes) monthly income from your job?*Do you have income from any other sources (i.e. child support/alimony/retirement/social security) and what is the amount?*Have you filed for bankruptcy in the past 24 months?*NoChapter 7Chapter 13Have you made late payments on any account in the last 12 months?*YesNoDo you have any accounts in collections, civil judgements, or tax liens? Please check all that apply.* No Accounts in Collections Civil Judgement Tax Liens Please list your credit cards, loans (car, mortgage, school) and debts and the current balance for each.*Do you have any idea what your credit score might be?*YesNoIf yes, please enter score.