Lease Application Form

Please use this secure form as part of your application for a lease purchase home with Pride of Ownership Partners. Please be as complete and accurate as possible. All information will be kept strictly confidential.

Lessee:

Last name First name MI

Street address
City/town
State ZIP

Phone Email address

SSN
Date of Birth
Driver's license # License state

Employer Supervisor Phone

Current position Years with company Gross Monthly Salary

Co-Lessee:

Last name First name MI

Street address
City/town
State ZIP

Phone

SSN
Date of Birth
Driver's license # License state

Employer Supervisor Phone

Current position Years with company Gross Monthly Salary

Additional information:

How soon would you like to move in?

How many adults will be living in the home?

Have you (or the co-lessee) ever been evicted? If so, in what year?

Have you (or the co-lessee) ever been subject to foreclosure? If so, in what year?

Are you currently paying your bills on time? Yes No

What is your budget for monthly lease expense?

What are you currently paying in monthly lease/rent?

How long have you lived in your current residence? years and months

Current landlord Phone

Referral source (optional):

Referral source Other source

Additional references (optional):

Name Phone

Property (optional):

Address City GA ZIP

All lessor fields are required unless indicated otherwise. Co-lessor fields should be filled in as completely as possible if applicable. Please double-check for accuracy before submitting. By submitting this application you are giving Pride of Ownership Partners, LLC permission to perform a credit check and contact your employer or other references.

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