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Seller Finance Application
Important Notes
This application is for preliminary assessment purposes only and does not guarantee approval of seller financing.
All information will be kept confidential.
Personal Information
Full Name
*
Phone number
*
Email
*
Property Information
Land Parcel Number
Financial Information
Available Funds for Down Payment
Yes
No
What is your approximate monthly income?
*
Other Monthly Credit Obligations (e.g., car loans, credit cards)
Yes
No
Other Monthly Credit Obligations (Total amount):
If you answered Yes above, input the total payments here. Specify N/A if you answered No.
Are there any outstanding liens or judgments on your credit report?
Yes
No
Borrower Questions
Have you been current on all rent or housing payments over the past 12 months?
*
Yes
No
How do you earn income, and can it be verified? (Check all that apply)
*
Self-Employed: Provide 2 years of tax returns or 12 months of bank deposits
W-2 Employee: Provide last year’s W-2 and 2 current pay stubs
Pension/SSI/Disability: Provide last year’s 1099 or current award letter
How do you earn income, and can it be verified? (Others)
If above answers are not applicable, input the details here. Specify N/A if not needed.
Are you currently in foreclosure, forbearance, or bankruptcy?
*
Yes
No
Do all borrowers have a valid SSN or ITIN?
Yes
No
Authorization and Certification
Copies of Any Identification
*
Date
*
Month
/
Day
/
Year
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