www.fastnohassle.com (270) 881-2356

Please PRINT – All information must be completed – Fax to (513) 376-6756

(Note to print from your computer please click in this box and then click 'Print' or Ctrl-P

Address of house you are applying for:                                                                                                                     

When would you like to move in?                                                                                                                             

How much of a down payment can you raise?                                                                                                           

What is your monthly budget for your house payment?                                                                                              

How is your credit? (circle one)                 Good             Fair                 Ugly

Full name:                                                                         Email:                                                                           

Phone: Work Phone:                                                          Cell:                                                                              

Social Security #                -             -               Drivers License #                                        State          

Present Address                                                                          City                               State           Zip              

How long?                                                                          Current payment                                                           

Landlords Name                                                                  Phone number                                                            

Employer                                                                           Position                                    How long?                     

Gross monthly income (before deductions)                                                                                                                

Have you ever been evicted?       Yes / No                  If yes, explain                                                   

Have you ever filed bankruptcy?                                 If yes, when?              Type (Chap 7 or 13)          

Have you ever been convicted of a felony?       Yes / No         If yes, explain                                         

I declare that this information is complete, true and correct and I hereby give permission for anyone contacted to release credit or personal information to Fast No Hassle Corp., or their employees at any time, for the purposes of entering into or collecting on any agreement or credit extended. I further authorize management or their agentsto verify the application information, including, but not limited to, obtaining criminal records, contacting creditors, present or former landlords, employers, whether listed or not, at the time of application and at any time in the future, with regard to any agreement entered into with management. Any false information will constitute groundsfor rejection of this application, or management can immediately terminate any agreement entered into in reliance upon misinformation given on the application.