Fill Out This Form and Be On Your Way to Home Ownership!

First Name :
Last Name :
Address :
City :
State :	Select State/Province Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Iowa Indiana Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Washington, D.C. --------------------- Alberta British Columbia Manitoba Newfoundland New Brunswick Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
Zip Code :
Email Address :
Phone :	(format 123-555-5555)
Fax :
Address of Desired Home or Property :
How much money for a down payment today? :
Additional money for Down Payment this year :
What date do you want to move in? :
Monthly payments to stay under this amount :
My Credit Is  :	Good
My Credit Is :	Bad
My Credit Is :	Ugly
My Credit Score Is :
How Long in Present Job? :
Employer's Name :
Employer's Address :
Employer Phone Number :
Gross Monthly Salary :
Other Monthly Income :
Source :
Comments :
By my signature below, I hereby give my permission for the lender to investigate my credit and employment history and I authorize release of all credit related information to them :
*Electronic Signature: By typing your name you agree to have signed this document electronically. :
Date :
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You can return an application to us three ways: 1. Obtain a paper copy, fill out and Fax it to us at 423-929-7214 (No cover sheet needed [info secure] and if you do not have a fax, most grocery stores will send it for you.) Please call us to verify we received all the pages. 2. Mail it to us at Better Home Solutions, P.O. Box 733, Johnson City, TN 37605 3. Call 423-218-1886 with the information. You may even read the filled in form as a message if we don’t answer right away. Please be aware faxing is preferable because we accept applications on a 1st come 1st served basis. We can usually let you know if your offer is accepted within 24 hours of receiving it. Thank you so much for your interest in this home. We look forward to overcoming any obstacle standing in the way of you and your new home.