APPLICANT(S) is/are interested in purchasing property through STERN PROPERTIES, INC. (hereinafter referred to as STERN) through an Article of Agreement. APPLICANT(S) agree(s) that STERN will complete a credit check and criminal background check as part of the application process. STERN reserves the right to charge a $15.00 application fee per person if the APPLICANT(S) does not purchase the property from STERN.

Subject Property:

Please Complete Every Section Below, For Each Applicant.

APPLICANT INFORMATION:

Applicant 1:	Name:

Copy of identification card is attached.	Current Address:

Length of Time:

Home Number:	Cell Phone:

E-mail:

Yes No	Contact Preference: Text E-mail Home Phone Cell

Previous Address:

Length of Time:

Social Security Number:	DOB:

Driver’s License Number:

Applicant 2:	Name:

Copy of identification card is attached.	Current Address:	Length of Time:

Home Number:	Cell Phone:

E-mail:

Yes No	Contact Preference: Text E-mail Home Phone Cell

Previous Address:

Length of Time:

Social Security Number:	DOB:

Driver’s License Number:

PET INFORMATION: Will any pets be living with you? If so, please provide information:

# Dogs:	Breed of Each:

# Cats:	Any other animals, if so, describe:

_____________

Date	Applicant 1

_____________

Stern Properties, Inc. 221 W. Main St., Lock Haven, PA 17745 (814) 571-4928 * (570) 660-5272 www.Sage-Property.com Date	Applicant 2

REFERENCES References 1 and 2 should be previous landlords or the equivalent. Reference 3 should be a relative.
Reference 1 (Previous Landlord)	Name Relationship to Applicant
Address Phone
Reference 2 (Previous Landlord)	Name Relationship to Applicant
Address Phone
Reference 3 (RELATIVE)	Name Relationship to Applicant
Address Phone
EMPLOYER
Applicant 1	Employer Employer Phone #
Length of Employment Monthly Income
Applicant 2	Employer Employer Phone #
Length of Employment Monthly Income
BANK INFO
Checking Acct	Balance
Contact person Phone #
Name of Bank Location of Bank
Savings Acct	Balance
Contact person Phone #
Name of Bank Location of Bank
Please provide Any and All current payment obligations, including, but not limited to, car payments, child support, credit cards, personal loans, rents, mortgages, utilities, etc.
PAYMENTS
Credit Cards	Card Name Balance Monthly Payment
Card Name Balance Monthly Payment
Card Name Balance Monthly Payment
Mortgages	Company Monthly Amount
or Rents	Company Monthly Amount
MONTHLY	Water Bill Amount Electric Bill Amount
Utility Bills	Sewer Bill Amount Gas or Oil Bill Amount
Other	Type/Company Monthly Amount
Payments	Type/Company Monthly Amount
Child Support / Alimony Monthly Amount