Application | Easy Haven Homes

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Application

First Name*

Last name*

Date of Birth

Phone Number*

Your email*

Current Address*

How Long Have You Lived Here?

Less than 1 Year

1 Year

2 Years

3 Years +

5 Years +

Do You Rent or Own

Rent

Own

Rent to own

Current Monthly Mortgage / Rent Payment

Multiple choice*

Individual Application — I am applying alone, and the purchase agreement will be in my name only.

Joint Application — I am applying with another person, and we both intend to be listed on the purchase agreement.

Co-Applicant First Name

Co-Applicant Last Name

Co-Applicant Date of Birth

Co-Applicant Phone Number

Co-Applicant Email

How Many People Will Live Here?*

Full Names and Ages *

Do you have any pets? *

Yes

If yes:

Do you or anyone in your household smoke? (information requested by insurance company)*

Yes

Do you have any special housing needs or accommodations?

Current Employer *

Total Monthly Household Income*

Other Income Sources

How much can you afford for a down payment today?

What can you afford monthly (including taxes & insurance)?

Would you be interested in a flexible option with higher monthly payments and a lower down payment?

Yes

Have You Ever Been Evicted?*

Yes

If Yes, please explain

Have You Ever Owned a Home before?*

Yes

Are you currently behind on rent or a mortgage?*

Yes

References (Optional but Encouraged)

Acknowledgment: By submitting this form, you acknowledge that this is not a lease or credit application, and no credit or background check will be performed. All information provided is for internal screening purposes only. We do not discriminate based on race, religion, gender, familial status, national origin, or disability. *

I confirm that all information provided is accurate to the best of my knowledge.

Easy Haven Homes Application for Seller-Financed Housing

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Helping families achieve affordable housing solutions today.

Contact

Support@easyhavenhomes.com

812.289.5940

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