Select if there is Co-Buyer/Tenant

BUYER/TENANT INFORMATION Buyer/Tenant Name Current Address Address line 2{optional} City State Zip Social Security No  -  - Home Phone Cell Phone No  -  - Email Address     Co-BUYER/TENANT INFORMATION Buyer/Tenant Name Current Address Address line 2{optional} City State Zip Social Security No  -  - Home Phone Cell Phone No  -  - Email Address

EMPLOYMENT INFORMATION Employer's Name Hire Date Address City State Zip Position/Title Phone No.  -  - Annual Income, Last Year Year to Date Income, This Year          EMPLOYMENT INFORMATION Employer's Name Hire Date Address City State Zip Position/Title Phone No.  -  - Annual Income, Last Year Year to Date Income, This Year

PREVIOUS EMPLOYMENT INFORMATION, IF ABOVE IS LESS THAN TWO YEARS Complete this page if current employment is less than 2 years. Employer's Name Hire Date Address City State Zip Position/Title Phone No.  -  - Annual Income, Last Year Year to Date Income, This Year          PREVIOUS EMPLOYMENT INFORMATION, IF ABOVE IS LESS THAN TWO YEARS Complete this page if current employment is less than 2 years. Employer's Name Hire Date Current Address City State Zip Position/Title Phone No.  -  - Annual Income, Last Year Year to Date Income, This Year

CURRENT LANDLORD INFORMATION Landlord Name Address (house/apartment you lived in) How long at Present Address Select Year 1 2 3 4 5 More than 5 City State Zip Rent/Mo Landlord's Phone No  -  - Date From Date To          CURRENT LANDLORD INFORMATION Landlord Name Address (house/apartment you lived in) How long at Present Address Select Year 1 2 3 4 5 More than 5 City State Zip Rent/Mo Landlord's Phone No  -  - Date From Date To

PREVIOUS LANDLORD INFORMATION, IF ABOVE IS LESS THAN TWO YEARS Landlord Name Address (house/apartment you lived in) City State Zip Rent/Mo Landlord's Phone No  -  - Date From Date To PREVIOUS LANDLORD INFORMATION, IF ABOVE IS LESS THAN TWO YEARS Landlord Name Address (house/apartment you lived in) City State Zip Rent/Mo Landlord's Phone No  -  - Date From Date To By clicking this box; I/We hereby authorize Equity Gateway P1, LLC and/or a third party provider contracted by Equity Gateway, LLC (i.e. Credit Company of choice) to obtain my/our credit report from all or one of the three major credit repositories, for credit review. By clicking this box; I/We authorize Equity Gateway, LLC to obtain information pertaining to income and employment history.