REGISTRATION AND PRELIMINARY CREDIT FORM
EMPLOYMENT INFORMATION

  Buyer Information
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Social Security #
 
Home Phone #
Work Phone #
Employer:
Position:
How Long:
Gross Monthly Income:
Other Income Which Can Be Verified:
 

  Co-Buyer Information
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Social Security #
 
Home Phone #
Work Phone #
Employer:
Position:
How Long:
Gross Monthly Income:
Other Income Which Can Be Verified:
 
       
SOURCE OF DOWN PAYMENT AND CASH RESERVES
Amount of Down Payment:
 $    
Is the source of downpayment contingent upon the sale of real estate?
 Yes No    
Value of Real Estate to be Sold:
 $    
Equity:
 $    
Is real estate to be sold currently listed? Yes No    
Source of Down Payment:      

 
Description:
  
Balance:
  
Bank Account 1:
 
Bank Account 2:
 
   
 
Description:
  
Current Market Value:
  
Stocks/Bonds:
 
Investments:
 
Other:
 
 
 
DEBT INFORMATION
Long Term Obligations (Over 6 Months)
Payable To
Purpose of Loan
  
Monthly Payment
Current Balance
 
$
$
 
$
$
 
$
$
 
$
$
 
     
Current Mortgage:
$
 
$
$
 

AUTHORIZATION TO RELEASE INFORMATION

The undersigned is in the process of purchasing a home from Manning Homes, and will be applying for a real estate loan. is hereby authorized to release any information required to complete the processing of such loan to Manning Homes. Necessary information may include, but not limited to, employment history, savings deposit, checking accounts, consumer credit balances, payments and history, including mortgage payment records and balances.

You may accept a photocopy of this authorization in lieu of the original.

BY CLICKING "SUBMIT" THE UNDERSIGNED AUTHORIZED RELEASE OF INFORMATION AND REPRESENTS THAT ALL INFORMATION PROVIDED HEREIN IS TRUE AND CORRECT.

   Date: 7/6/2008

   Date: 7/6/2008