#1 SITE – PENNWEST, COMMODORE & COLONY HOMES!

Read Disclosure / Authorization Before Sending Application

Name
Phone Number	() -
E-mail Address
Full Address
Birthdate
Social Security Number
Home Status (Own; Rent; Lvg w/ Parents; Other)
What's your current mortgage / rent payment?
Where are you building? (Own land; Land Gift; Purchase Land; In a Park)
What’s your comfort payment & downpayment for your new home?
Occupation
Date Hired
Employer's Name
Gross Salary per Month for this Employer
List Other Income by Month (Retirement/Pension; SSI; Court Ordered Child Support; Other)
List All Debt Obligations, Monthly Payments, & Balance Owed (i.e. Charge Cards, Auto, Student/Personal Loans, Other)
List All Assets & Balance (i.e. Savings Accounts, 401K / Retirement Plans, Other Real Estate)
.
Co-Applicant Name
C/A Phone Number	() -
C/A Full Address
C/A Birthdate
C/A Social Security Number
C/A Home Status (Own; Rent; Lvg w/ Parents; Other)
C/A Mortgage / Rent Payment
C/A Occupation
C/A Date Hired
C/A Employer's Name
C/A Gross Salary per Month for this Employer
C/A Other Income by Month (Retirement/Pension; SSI; Court Ordered Child Support; Other)
C/A List All Debt Obligations, Monthly Payments, & Balance Owed (i.e. Charge Cards, Auto, Student/Personal Loans, Other)
C/A List All Assets & Balance (i.e. Savings Accounts, 401K / Retirement Plans, Other Real Estate)
Read Disclosure / Authorization below before sending application for credit.

Disclosure / Authorization

By clicking on send, I (we) hereby give Brian Park permission to check my (our) credit history in connection with the purchase of a manufactured / modular home, thru the use of various credit reporting agencies, and to submit application to various lenders for the purpose of securing a home loan. By submitting this information, I (we) certify that all the information in the above application is true and complete and given for the purposes of securing credit. I (we) understand that you may request a consumer report in connection with this application, and, if I (we) ask, I (we) will be informed whether or not such a report was requested and, if so, the name and address of the consumer reporting agency that furnished the report. I (we) also authorize you to check my (our) employment history and to exchange account and credit information about me (us) to the extent permitted by law.

Information included on this web site is provided "as is" without express or implied warranties. All descriptive representations of the products and services are believed to be correct at the time of posting. However, due to product improvements and changes in suppliers, design and production, accuracy cannot be guaranteed. We reserve the right to make changes to this web site at any time without notice. Thank you for visiting my site.

BRIAN D. PARK, Professional Home Consultant

"It's Better With Brian!" (724) 518-6934 or briandpark@zoominternet.net

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