Meadowlark Investment Group, LLC

Vendor Testimonials Contractor Testimonials Private Lender Testimonials

Date: / /

*Primary Owner's Name:

Social Security Number:
- -

*Date of Birth:
/ /

*Secondary Owner's Name:

Social Security Number:
- -

*Date of Birth:
/ /

Address:

City:

State: Zip:

*Home Phone:

*Work Phone:

Best Time to Call:

AM PM

EMPLOYMENT HISTORY

EMPLOYER	LENGTH OF EMPLOYMENT	PAY RATE	MIN. HOURS (per week)	OT AVAILABLE?
		$		Yes No
		$		Yes No
		$		Yes No
		$		Yes No

RENTAL HISTORY

Monthly Rent: $ Paid by: Cash Check Money Order

Have receipts/documentation for the past 12 months? Yes No

FINANCIAL INFORMATION

Mark each box for all of the following that apply to you:
Taxes filed in the last 2 years
Owe child support or alimony
Receive child support or alimony
First-time homebuyer
Will use a co-signer if needed
Have credit issues (such as late payments and outstanding balances)

CONTRIBUTING FUNDS FOR HOME PURCHASING

Mark each box for all of the following that apply to you and provide an estimated amount:

Savings: $	401K: $
Checking: $	Gift: $

INTERESTED IN A SPECIFIC PROPERTY

Source: Address: City:

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