Application for Rent – To – Own or Outright Purchase

Date _________________    Address of home toured________________________________
                      (Once you apply your are considered for all homes in your range. You do not need to apply each time)
                                                                       Please put an X in the appropriate space
I (We) are interested in your rent-to-own program __________      I (We) are interested in an outright purchase ___________

Your Name_____________________________________________________________Family Size ______
Spouse's Name _________________________________________________________
Address______________________________________________City____________State_____Zip_______
Phone: Home_________________________ Cell________________________ - ______________________
His Work:___________________________  Her Work____________________________

What’s the biggest issue on your credit? (Don’t worry, we are here to help.)
_______________________________________________________________________________________
________________________________________________________________________________________

Employer (his)____________________________________Years on the job____   Hourly______ Annual____________

Employer (hers)___________________________________Years on the job____   Hourly______ Annual____________

                                                                                                                                                         Total Income_________________
Type of home you want: Bedrooms _____Baths _____ Garage ______________
Other criteria:____________________________________________________________________________

Maximum monthly payment you are able to pay: $______________

Maximum down payment you have available now or soon: $______________ (Example: $2000, $4000, $6000)

                                   - -- -SIGN BELOW FOR A NO OBLIGATION OPPORTUNITY TO OWN YOUR OWN HOME- - -  

By signing below, I authorize Alternative Investments to obtain my credit report, police report, and authorize Alternative Investments to
verify employment and current rental history.  I understand that I can obtain this report from a credit reporting agency in accordance with
the Fair Credit Reporting Act.  I also understand that if I have any questions, disputes, or comments about the information on my credit
report, I must contact the credit reporting agency to address these issues.

_________________________                                          _____________________________
Print Name               Date of Birth                                          Print Name                        Date of Birth

_________________________                                           ____________________________
Signature                                                                                   Signature

_________________________                                          ____________________________
Social Security Number                                                          Social Security Number

Alternative Investments
PO Box 340243
Dayton, OH 45434
(937)572-0381 or (937)829-0650
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