Davis Financial New Alternative Finance Program Application

Applicant (s)

* Applicant #1 First Name

Middle Initial

* Last Name

* Social Security Number

* Date of Birth

* Email Address

Applicant #2 First Name

Middle Initial

Last Name

Social Security Number

Date of Birth

Email Address

* Current Street Address

* City

* State

* Zip

* Home Phone Number

Applicant #1 Cell Phone Number

Applicant #2 Cell Phone Number

* Current Rent or Mortgage Payment (monthly)

* Years at Location

* At this location do you?

Rent

Own

* Marital Status?

Married

Divorced

Single

* Do you have dependents?

Yes

Age of Children (even if grown)

Dependent #1
Dependent #2
Dependent #3
Dependent #4
Dependent #5

Highest level of Education Attained

	Applicant #1	Applicant #2
Graduate Degree
College Degree
Associate Degree
Some College
High School Degree
Some High School

Property to be purchased

Property Address of Proposed Purchase (If known)

Street Address

City

State

Zip

Realtor Name

Bill Davis

Realtor Phone Number

602-971-5729

Realtor Email Address bill@billcdavis.net

* Requested Purchase Price (in dollars)

Employment & Income information

Employment

	Applicant #1	Applicant #2
Current Employer
Current Employer Address
Current Job Title
Work Phone Number
Years on Job
Years in Profession
If less than 2 years, previous Employer
Years on Job (previous employer)

* Applicant #1 Self-employed?

Yes

* Applicant #2 Self-employed?

Yes

Household Income

	Applicant #1	Applicant #2
Monthly Income (Wages)
Monthly Income (Commissions/Overtime)
Monthly Income (Investments)
Monthly Income (Rental Income)
Monthly Income (Child Support/Alimony)
Monthly Income (Other)
Monthly Income Total All Sources

Description of Source of Income

Cash/Investment/Assets information

Cash, Bank & Brokerage

	Applicant #1	Applicant #2
Name of Bank
Type of Account
Amount
Name of Bank #2
Type of Account
Amount
Name of Brokerage Account (if none, type N/A)
Amount of Marketable Securities
Real Estate Owned (if none, type N/A)
Amount
Name of Business Owned (if applicable)
Net worth of Business (if applicable)

* Automobile Owned (Make)

* Year / Model

* Market Value

Automobile Owned (Make)

Year / Model

Market Value

* Total ALL Assets

* What is your Estimated Credit Score?

* Liabilities

	Applicant #1	Applicant #2
Liability #1
Type
Amount
Liability #2
Type
Amount
Liability #3
Type
Amount
Liability #4
Type
Amount
Total All Liabilities

* Total Net Worth

Personal Reference Section

(References should be known for at least 3 years)

* Name

* Address

* City

* State

* Zip

* Phone Number

* Name

* Address

* City

* State

* Zip

* Phone Number

* Landlord Reference (Name)

* Phone Number

Applicant and Co-Applicant

* Please Declare the Following:

	Applicant		Co-Applicant
	Yes	No	Yes	No
Are there any outstanding judgements against you?
Have you been declared bankrupt in the past 7 years?
Have you had a property foreclosed on or given title or deed in lieu thereof in the past 7 years?
Are you presently delinquent on any obligation?
Have you ever had an auto repossessed or given title in lieu thereof in the past 7 years?
Are you a party to a lawsuit?
Are you a co-maker or endorser of a note or lease?
Is any portion of your earnest money deposit borrowed?
Are you a U.S. Citizen?
Are you a permanent resident alien?
Do you currently have any unpaid Federal, State or Local tax obligations?
Are you obligated to pay Alimony, Child Support or separate maintenance?

Applicant hereby authorizes verification of any and all information set forth on this application, including release of information by any bank, savings and loan, employer (present and former), landlord, and/or other lender. All such information hereon, and released as authorized above, will be kept confidential. APPLICANT REPRESENTS THAT THE INFORMATION SET FORTH ON THIS APPLICATION IS TRUE AND COMPLETE. Material misrepresentation on this Application will constitute default under the lease or Rental Agreement between parties. This Application must be signed before it can be processed by Management.

* Signature (Please re-type your name for signature)

by: ________________________________

Print Name: __________________________

Date: ____________________

Co-Applicant Signature (Please re-type your name for signature)

by: ________________________________

Print Name: __________________________

Date: ____________________

* Indicates Response Required