Please print and fax to: (404) 252-8228

Or mail to: P. O. Box 76192, Atlanta, GA 30358

Capital Mortgage Corporation

Application for Owner Financing/Lease/Rent

Name(s):__________________________________________________________            

Phone Number:   Home:______________Office:______________Cell:______________    

Property you are interested in:______________________________________________

How many people will be living there?___________Adults______Children__________

Do you have any pets?_________    What are they? ______________________________

Current Employer:_____________________________ Manager’s Name:_____________

Current Job Description: ___________________________________________________ _______________________________________________________________________

How long have you worked there?____________

Do you currently own or rent?_____________

What is your current monthly payment?______________

How long have you lived there?_________________

Why are you moving?______________________________________________________

Your current address: ______________________________________________________

________________________________________________________________________

Your previous/current landlord or mortgage holder:   Name:_____________________

            Number:____________________

Do we have your permission to ask your previous/current landlord or mortgage holder the following questions?

• How many people lived with the applicant?
• What was the applicant’s monthly payment?
• What was the applicant’s payment history?
• What condition did the applicant leave the property in?
• Would you rent to this person again in the future?

Yes, you have my permission.   Sign _______________________      Date______________