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Name*
First Middle Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email*
Enter Email Confirm Email
Social Security Number*
Date of Birth*
Income & Debt
Monthly Income (Gross)*

INCOME: [Child support counts as income if receiving as well as misc forms of revenue / dividends etc.]
Monthly Expenses (Gross)*

DEBT: [include cars, student loans, child support, rents, credit cards etc anything 10mo or longer due]
Co-Borrower
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Email
Enter Email Confirm Email
Social Security Number
Income & Debt
Monthly Income (Gross)

INCOME: [Child support counts as income if receiving as well as misc forms of revenue / dividends etc.]
Monthly Expenses (Gross)

DEBT: [include cars, student loans, child support, rents, credit cards etc anything 10mo or longer due]
MAX Initial investment*
Please enter a number greater than or equal to 0.
(How much money down do you have)
MAX Monthly Investment*
Please enter a number greater than or equal to 0.
(What is your maximum monthly payment wanted)
MAX Total Purchase Price*
Please enter a number greater than or equal to 0.
(What purchase price are you looking for)
What type(s) of property are you looking for?*
Comments
Consent to Obtain Credit Information:*
- I/We authorize SCHUPP Real Estate to investigate my/our credit qualifications and hereby release, in any manner, all of the information obtained by you.
- I/We further release all persons, agencies, or firms from any liabilities resulting from providing such information.
- I/We declare under penalty of perjury that the information listed in this application is true and correct.
- I/We declare that by submitting the information above we consent to all of the above
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Income & Debt

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