Free Application

This is NOT an application for a loan. The following is a basic personal and financial profile. The information submitted will help us assist you in securing your housing needs. Completing this application in no way obligates you to use our services and there is no charge for this application. You can submit your application online by:

completing the fields in the below form (by typing your information below and pressing the “Submit Application” button, you are attesting to the fact that you are the person named in the application data contained in the fields below and that the information you have submitted is true and accurate to the best of your knowledge); OR
PRINT THIS PAGE (click the following icon)

Complete the information manually, then scan/email to us at Info@MiRent2ownHomes.com or fax it in to us at 248-380-8200

*Indicates Required Field

Contact Information:

Which Rent-To-Own home(s) are you interested in?

First Name*: Middle Initial*:
Last Name*: Maiden/Former Names*:

Cell Phone*: Day Phone*: Night Phone*:
(123-456-7890 format)

Email Address*:

Personal Information:

Driver's License Number*: State Issued*:

Date of Birth (format 12/21/2012)*:

Desired move-in date or time frame* [?] :

What is the Maximum DOWN PAYMENT you will have? (numbers only)* [?]:

What is the Highest MONTHLY Payment you are comfortable paying? (numbers only)*:

Home Requirements [?]:

How would you describe your credit?*

Are you willing to enroll in credit repair if the results were guaranteed or your money back?* [?]

How did you hear about us?*

Rental History:

Current Home Address * (Street Address, City, State, Zip Code)

How long at this address?*: Current monthly payment (numbers only)*:

Landlord/Manager's:
Name*: Phone*:

Ok to call Landlord to verify Rental History?*

Why are you moving from your current home?*

# Adults over 18 in Household*: # Children under 18*:

List ages of all children (comma separated):

# of Pets*:

Description of Any Pets (Type, Breed, Age & Weight - one pet per line):

Prior Rental Address if you have been at your current address for less than two years (Street Address, City, State, Zip Code):

Prior monthly rent (numbers only):

Prior landlord:
Name: Phone #:

Employment History:

Current Employer's:
Name*: Address*:

Current Position/Job Title*:

Gross Monthly Salary (US dollars) (numbers only)*: $

How long at present job?*:

How long in present line of work/industry?*:

Employer Contact # to Verify Employment*:

Other Monthly Income (US dollars) (numbers only): $

Describe Source of Additional Income:

Background:

Have you ever been summoned to court for failure to pay rent?*

Have you ever been evicted?*

Have you ever been in foreclosure?*

Have you ever had your wages garnished?*

Have you ever declared bankruptcy?*

Have you ever been convicted of a sex crime?*

***If Yes to any of the above, please list dates, details*:

Credit History:

Credit Cards
Total credit card(s) balance: Total Card Monthly Payment(s):

Auto Loans
Car loan balance #1: Car loan monthly payment #1:
Car loan balance #2 Car loan monthly payment #2:

Mortgage
Total mortgage(s) balance: Mortgage monthly payment(s):

Student Loans
Total student loan balance: Student Loan monthly payments:

Child Support
Describe any child support payments you have to pay*(If none, type none):

Other
Other debts? (Besides lending institutions)*:
If Yes, please explain:

References
Personal reference #1:
Name* Relationship* Phone #*

List any other personal references you would like to provide (One per line):

Additional comments or questions:

Digital Signature

By typing your name you are attesting to the fact that you are the person named in the application data contained in the fields below and that the information you have submitted is true and accurate to the best of your knowledge.

Digital Signature*:

By pressing the “Submit Application” button, you hereby authorize Graylon J. Prophet & Jamie L. Prophet of SPS Management Group, LLC and/or its partners to conduct employment verification, rental verification, back ground check, and to verify personal references. All information on this application is held strictly confidential and will not be shared outside of mirent2ownhomes.com and those listed on this document as references or verification contacts. This does not apply to any information submitted that is found to be false, purposefully incorrect, fraudulent, dishonest or misleading. Should any application require a credit check, there is a $30.00 (single report) OR $50.00 (2 individuals) credit report fee. Upon submitting payment for any credit report fee, you grant authorization for said credit report(s) to be pulled.
I Agree

Enter the characters you see into this box: