Alan B. Cash - Real Estate Direct - Secure Rental Application

Click Here For a BRIEF Printable Application That You Can Fill Out and Mail or Fax

Or Fill Out the Form Below and Submit it Directly to Us on Our Secure Web Server.

Or Just Call Us at
817-238-0000 .

Renter's Information

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Renter's First and Last Name:

Renter's Address

City, State and Zip Code:

E-mail Address:

Daytime Phone with Area Code:

Evening Phone with Area Code:

Cell Phone with Area Code:

Do you Currently Own or Rent?

Own
Rent

How Long at Your Current Address?

How Long On Your Current Job?

Total Monthly Income Before Taxes

Please Note: Alimony, child support, or separate maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this obligation.

If You Know Your Credit Score Enter It Here

Date of Birth

Social Security Number

Co-Rneter's Information (Husband, Wife, Friend or Relative)

Co-Renter's First and Last Name:

Co-Rneter'ss Address

City, State and Zip Code:

E-mail Address:

Daytime Phone with Area Code:

Evening Phone with Area Code:

Cell Phone with Area Code:

Do you Currently Own or Rent?

Own
Rent

How Long at Your Current Address?

How Long On Your Current Job?

Total Monthly Income Before Taxes

Please Note: Alimony, child support, or separate maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this obligation.

If You Know Your Credit Score Enter It Here

Date of Birth

Social Security Number

Authorization

Thank you for choosing Alan B. Cash - Real Estate Direct for your real estate needs. Please read and agree to the following before you click on "Submit". I/we hereby authorize Alan B. Cash - Real Estate Direct, or designee, to obtain a consumer credit report for the purpose of pre-qualifying me/us for a mortgage loan. I/we further authorize Alan B. Cash to release the contents of my/our credit report to possible lenders for the purpose of determining the best possible loan program available. This information is to determine if I/we qualify as a prospective homebuyer with no warranty of approval guaranteed or implied. To obtain formal, written, unconditional approval, a formal, written loan application must be completed with the lender and the loan must be processed and underwritten to FHA/VA/FNMA or FHLMC guidelines. Privacy Act Notice: The information to be obtained will be used by Alan B. Cash, the lender and any federal agency insuring, guaranteeing, or purchasing the mortgage to determine whether you qualify as a prospective homebuyer under the lender's and the agency's underwriting standards. The information will not be disclosed outside the lender and the federal agency without your consent except for the person or company verifying the information including, but not limited to, employer, bank lender, and any other credit reference as needed to verify other credit information as permitted by law. You do not have to give us this information, but if you elect not to, your application may be delayed or rejected for lack of information. The information we will obtain is authorized by title 38, U.S.C. Chapter 37 (if VA) ; and 12 U.S.C. , Section 701 e.g.seq. (if HUD/FHA). You may fill in this form on line and then print the form to send by mail or fax. (Please call 817-238-0000 for our fax number or mailing address) ---- OR ---- You may electronically sign the form and submit it directly via E-Mail by clicking on the "Submit" button below This information will be delivered by our 128 bit encrypted secure web server.

Borrower Signature (enter name if online)	Co-Borrower Signature (enter name if online)

Borrower Signature Date	Co-Borrower Signature Date

Other Notes or Comments
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