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USA Lease  Properties

Lease to Own Application

 Please print and complete
fax to 310 861-0789. You will be contacted by phone for an interview.
Or Use Our E-Form Here

  PRIMARY APPLICANT

NAME__________________________________________________


ADDRESS_______________________________________________

PHONE (HOUSE) __________ (WORK) ____________
(CELL)___________

SS#_________________________ BIRTH DATE________________

OCCUPATION____________________________________________

OCCUPATION ADDRESS___________________________________

SUPERVISOR_____________________ PHONE #_______________

PREVIOUS OCCUPATION_________________________________

MONTHLY INCOME___________________

CHILD SUPPORT______________________
 

ALIMONY ____________________________

CURRENT RENT_______________________

YEARS AT CURRENT ADDRESS_________

CURRENT LANDLORD__________________ LANDLORD PHONE #________________

PREVIOUS ADDRESS_________________________________________________________

PREVIOUS LANDLORD__________________ PREV. LANDLORD PHONE #__________

YEARS AT PREVIOUS ADDRESS_________

 

  CO APPLICANT INFO:

NAME__________________________________________________


ADDRESS_______________________________________________

PHONE (HOUSE) ________ (WORK)______________
(CELL)___________

SS#_________________________ BIRTH DATE________________

OCCUPATION____________________________________________

OCCUPATION ADDRESS___________________________________

SUPERVISOR_____________________ PHONE #_______________

OTHER INFORMATION FOR CONSIDERATION___________________________________________

____________________________________________________________

____________________________________________________________

   I hereby authorize Joe DeAngelis, USA Lease and Valbodil, Inc to obtain credit reports and other pertinent information as part of the application process.

_______________________________________________       __________
APPLICANT SIGNATURE / DATE
_______________________________________________       ___________
CO APPLICANT SIGNATURE / DATE

 

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Last modified: 05/26/08