BUYER APPLICATION
(Last) (First) (Middle Initial)
1. Name of Applicant:____________________________________________________DOB:_______
Co-Applicant Name: ___________________________________________________DOB________
Relationship ___________________________________
Residents Name(s) other than Applicant(s):
(1)___________________________________________________(Age)_______
(2)___________________________________________________(Age)_______
2. Present Address:__________________________________________________________
City:_____________________________State_______Zip Code__________
Day Phone No.:_____________________________________
Evening Phone No:__________________________________
Previous Address:__________________________________________________________
City:_____________________________State_______Zip Code__________
Rent $ amount:__________________
Reason for Moving:_____________________________________________________________
Agent/Owner Name:____________________________________________________________
Phone No.:_____________________________________
3. Social Security No.:__________________________________
Co-Applicant SS No.:_________________________________
4. Occupation: (applicant)__________________________________________________________
Employed by:_________________________________________________________________
Employer Address:_____________________________________________________________
City:_____________________________State_______Zip Code___________
Employer Phone No.:______________________________
Supervisor:___________________________
Annual Income:____________________Bi-Weekly Income:________________
Occupation: (co-applicant)__________________________________________________________
Employed by:_________________________________________________________________
Employer Address:_____________________________________________________________
City:_____________________________State_______Zip Code___________
Employer Phone No.:______________________________
Supervisor:___________________________
Annual Income:____________________Bi-Weekly Income:________________
5. Emergency Contact:_______________________________________
Phone No.:__________________________
Address:___________________________________________________________________
City:_____________________________State________Zip Code___________
____________________________________________________________________________________
Potential cooperator's (buyer) are required to meet with Membership Committee of the Friends Housing Cooperative to make a final determination regarding apartment pruchase approval.
To facilitate investigation im connection with the processing of this application the undersigned has furnished the name(s) of references, and authorizes and directs said person(s) to give information concerning me, hereby assuming full responsibility for same and waiving all rights for any consequences as a result of each investigation.
The $35.00 charge for processing this application is non-refundable.
APPLICANT SIGNATURE:__________________________________________DATE:____________
APPLICANT SIGNATURE__________________________________________ DATE_____________
FOR MANAGEMENT OFFICE USE ONLY:
Apt. No. Interested in:____________BDRM No._________Projected Move-in Date:_______________
Apt. Listed Shares:___________Par Value $ Amt.:________________CARC_________________