Loan/Rental Application

STAR Realty Services, Inc.

Affordable Family Living

Home Loan/Rental Application

This is a very basic personal financial application. We will use this information to assist you in securing financing to meet your needs. Completing this application in no way obligates you to use our services, but it does obligate us to help you carefully consider your options to determine the best course of action for you to pursue.

Applicant Information
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Email:
Home phone:
Cell phone:
SSN:
How long at this address:
Date of birth:
Employer name:
Employer address:
Employer city:
Employer state:
Employer zip:
Employer phone:
Monthly salary:
How long at present job?:
Co-Applicant Information
First Name:
Last Name:
Email:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
SSN:
Date of Birth:
Employer name:
Employer address:
Employer city:
Employer state:
Employer zip:
Employer phone:
Monthly salary:
How long at present job?:
Financial Information
Loan Type:
Loan Amount Requested:	(USD)
Total credit card balance?:	(USD)
Car loans?:	(USD)

Property Information
Property Type:
Occupancy:
How many bedrooms?:
How many baths?:
Mortgage Amount Requested:	(USD if applicable)
Other Information
Comments:	Enter comments here!
How did you hear about us?:
	I authorize STAR Realty Services, Inc. verify my credit and employment history.
	*Information deemed reliable, but not guaranteed!