•  Address of the property of which you are interested & Purchase Price:
  (Or the area /cities in which you are interested in finding a home)

  
  

  How did you find out about All Credit Considered?
  
  Type of House you desire  (# of bedrooms & baths)
  

• Applicant Information:

  First Name
  Last Name
  Middle Initial
  Date of Birth
  Social Security #
  Current Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  Home Phone
  Mobile Phone
  FAX
  E-mail	** Required information if  you have email **

• Employment History:

  Current Employer
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  How Many Years?
  Previous Employer
  Address
  Work Phone
  How Many Years?

• Income and Liabilities:

  Gross Income (Per Month)	(Before Taxes)
  Other Income & its source
  Mortgage/Rent (Per Month)
  Vehicle #1 (Per Month)
  Child Support (Per Month)
  Credit Card #1 (Per Month)
  Balance:
  Credit Card #2 (Per Month)
  Balance
  Other Debts (Per Month)
  Balance
  Do you have funds available for a  down payment?  If so, how much?
  Have you ever filed for bankruptcy?
  If Yes, what were the circumstances and when was it discharged?

 Other notes or information:

• By Submitting this form - Authorization is hereby granted for a credit check and related inquiries to be made in reference to my interest in this property.