Home ยป Customer Info Sheet For Cash Sale Purchase Customer Info Sheet For Cash Sale Purchase Please enable JavaScript in your browser to complete this form.Application Date *How did you hear about us? *Social MediaGoogle SearchLocal CompanySignage on StreetPaper AdvertisementOtherWhich Social Media Platform? *Which Local Company - and - was it a specific person there who mentioned us? *Where was the sign located? *Which Paper Advertisement did you see? *Please Specify? *Which one of our Agents spoke to you about this property? *Paul PowersBeth AbbottScott LeeEmily AndrewsAustin FaulknerMason MeslerDon WilkinsOtherPerson's Name *What Agency are they with? *Which Property are you interested in? *--->> AN APPLICATION MUST BE FILLED OUT FOR EVERYONE AGE 19 YRS AND OLDER THAT WILL BE LIVING ON THE PROPERTYI/We Understand and Agree that I/we must submit an Application for everyone Age 19 and Older.(Our application form accepts up to 4 applicants in one submittal. If you have more than 4 applicants that are 19 Yrs and Older, then when you are finished submitting the first application form with 4 applicants, you will need to come back to this site and submit another application form for your remaining applicants)Total number of Occupants AGE 19 AND OLDER that will be living at the property: *1234======================================== ADULT # 1 ========== *FirstMiddleLastMarital Status *MarriedSingleCell Phone *Home Phone *Email Address *EmailConfirm EmailMailing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code========== ADULT # 2 ========== *FirstMiddleLastMarital Status *MarriedSingleCell Phone *Home Phone *Email Address *EmailConfirm EmailMailing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code========== ADULT # 3 ========== *FirstMiddleLastMarital Status *MarriedSingleCell Phone *Home Phone *Email Address *EmailConfirm EmailMailing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code========== ADULT # 4 ========== *FirstMiddleLastMarital Status *MarriedSingleCell Phone *Home Phone *Email Address *EmailConfirm EmailMailing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code======== HOME INFO Do you plan on putting a Home on the property? *No - Not at this timeYes - A Manufactured HomeYes - A Site-Built Home*** Some properties do not allow Manufactured Homes and some properties do not allow Site-Built Homes. Be sure to speak to our Agent to be sure you are looking at the property that best suites your needs.Do you have a Manufactured Home already or are you in the process of purchasing it? *I already own itI am going to buy itWhich dealership are you shopping and who is your contact there? *Have you looked into a Land/Home Package? Does this sound like something you would like more info about? Speak to your Contact at the Dealership or call our Agent and they can go over the process with you.Have you chosen a builder? *NoYesSome of our Agents have a working relationship with a few local builders who have already built homes in a couple of our neighborhoods. Contact our Agent for a list of these builders.Who is it? *======== PETS / ANIMALS PETS / ANIMALS *Yes - I Understand and AgreeWhether I currently have pets, or will have pets in the future - I am aware that there is a Leash Law and agree to abide by all City, County, State, Goverment Laws and Regulations pertaining to owning a pet, including but not limited to, proper vaccinations, containment, shelter, etc; as well as any Rules or Regulations dictated by any HOA that may be active in my neighborhood; so my pets do not become a nuisance or danger to my neighbors.PETS / ANIMALS - Please check all that apply *DogsCatsOtherNONE - I do not have pets at this timePlease Specify ALL Breeds *======== VEHICLES VEHICLES *No - I will not have any sort of large or commercial vehicle on the propertyYes - I Understand and AgreeOther than regular vehicles (Cars, Trucks, Motorcycles, Etc) will you have any sort of large or commercial vehicle on the property, regardless if you are the owner or if it is a work vehicle owned by your employer. ---- ** PLEASE BE AWARE THAT YOU MAY NOT PARK IT ON THE SIDE OF THE ROAD, OR ON ANOTHER PROPERTY. -- IT MUST ONLY BE PARKED ON YOUR PROPERTY. ---- You must be sure that your vehicle is not damaging the road or any culverts, etc you will be responsible for the cost of repairs. ---- For example: RV, Big-Rig, 18-Wheeler, Delivery Truck, School Bus, City or County Vehicle, Squad Car, Etc.Please specify what type of large or commercial vehicle you will have on your property. *======== LEGAL INFORMATION Have you or any member of your family or household ever been adjudicated a sex offender? *YesNoPersons Full Name *Persons Relation To You *Please Explain *Have you or any member of your family or household ever been charged with a crime (other than a traffic violation)? *YesNoPersons Full Name *Persons Relation To You *Please Explain *CLAUSE A: *I have read Clause A - I Understand and AgreeI/We, the undersigned, understand that Power Real Estate is the Sellers Agent and representative for the Owner and that the Selling Agent's fees will be paid by the Owner. The undersigned acknowledge(s) that this written notice was received prior to the undersigned receiving a deed.CLAUSE B: *I have read Clause B - I Understand and AgreeI/We, the undersigned, declare the foregoing information is complete and accurate to the best of my/our knowledge. I/We, the undersigned, understand that giving false information is a serious criminal offense and that a misrepresentation on this document can result in legal action against you.CLAUSE C: *I have read Clause C - I Understand and AgreeI/We, the undersigned, understand that failure to close on the property after the offer has been approved will result in the deposit being retained as liquidated damages. All deposits placed on the property after the offer is approved are Non-Refundable as well.ADULT # 1 - Signature *Clear SignatureADULT # 2 - Signature *Clear SignatureADULT # 3 - Signature *Clear SignatureADULT # 4 - Signature *Clear SignatureSubmit
