CandidHomes.com EZ Application

Please fill out all sections of the form before you click on "submit".

Applicant #1

Full name:		Telephone:
Date of birth:		Social Security Number:
Current address: City: State: Zip:
Previous address: City: State: Zip:
Marital status:		Housing status:
Years at this address:		Your part of the monthly rent/payment:

Employers name:		Employers telephone:
Employers address:		City: State: Zip:
Date hired:		Job title/description:
Current income:	every

Do you have child support obligations? If yes, how much per month?
Do you have child support income? If yes, how much per month?

Applicant #2 (if applicable)

Full name:		Telephone:
Date of birth:		Social Security Number:
Current address: City: State: Zip:
Previous address: City: State: Zip:
Marital status:		Housing status:
Years at this address:		Your part of the monthly rent/payment:

Employers name:		Employers telephone:
Employers address:		City: State: Zip:
Date hired:		Job title/description:
Current income:	every

Do you have child support obligations? If yes, how much per month?
Do you have child support income? If yes, how much per month?

Landlord/Mortgage Company

Who is your CURRENT landlord or mortgage company?

Address: City: State: Zip:

Telephone:

What kind of reference will they give you?

Who was your PREVIOUS landlord or mortgage company?

Address: City: State: Zip:

Telephone:

What kind of reference will they give you?

Date available to move:

What down payment can you make?

By clicking "submit", I authorize CandidHomes.com and/or their agents to verify the information
I am providing and to access my credit for the sole purpose of qualifying me for their purchase program.
This information is confidential and cannot be used for any other purpose.

After clicking on 'submit' a confirmation page will appear.
If you do not see a confirmation page, please resubmit, or contact your area manager.