Purchase Application Purchase Application 0% Complete1 of 7 PRIME APPLICATION Office use only For Office Use ONLY Date Received Income Review Employment Reviewed Application Status Approved Denied Application Start Property Address: Please complete all requested information on this form. Thank you for your interest in our company. Date of Application Desired Date of Occupancy I have $ to put down today in: Money Orders / Certified Funds ONLY APPLICANTS Information PERSONAL INFORMATION APPLICANTS FULL NAME Date of Birth Social Security # Driver’s License No. & State CO-APPLICANTS Information CO-APPLICANTS FULL NAME Date of Birth Social Security # Driver’s License No. & State Sample Questions Have you or co-applicant ever filed for Bankruptcy? Yes No Do you have any family or friends that are customers of Prime? Yes No If so, who? Have you ever rented or leased a Prime house? Yes No If so, which one? Do you have any pets? Yes No If so, how many? What kind of pet, breed, weight and age? How did you hear about the property? (newspaper, internet, sign, referral) APPLICATIONS WILL NOT BE PROCESSED WITHOUT THE APPLICATION FEE AND REQUESTED DOCUMENTS. YOU MUST BE ABLE TO PROVIDE PROOF OF RENTAL HISTORY PAYMENTS IN THE FORM OF MONEY ORDERS OR CLEARED CHECKS. YOU MUST HAVE A DEPOSIT IN THE FORM OF MONEY ORDER OR CERTIFIED CHECK FOR US TO HOLD THE PROPERTY IN YOUR NAME UNTIL CLOSING. If you are human, leave this field blank. Next