Fast Approvals - Low Down Payments

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Thank you for your intrest in our lease purchase program. You may apply for a lease purchase online, by mail, or by fax. Before submitting an application, please note that you will need to submit the following information to complete your application:

  • A copy of Driver’s license or State ID card for all applicants.

  • A copy of Social Security Card for all applicants.

  • Minimum 2 month proof of income: Pay Stubs, Financial Award Letter, etc.


You may fax the additional documentation to (678) 884-1792 or mail to our office at 1900 The Exchange, Suite 410, Atlanta, GA 30339.


Please complete the application as thoroughly and accurately as possible, any incomplete applications will be discarded. If you have difficulties using the online application, you should see other Ways to Apply.


Property Information
Property you are applying for: * Desired Move-In Date: *
Applicant Information
First Name: * Current Address: *
Last Name: * City: *
Previous Name or Alias: State: *
Social Security #: * Zip Code: *
Birth Date: * Landlord Name: *
Driver's License #: * Landlord Phone: *
Driver's License State: * Payment Amount: *
Email Address: At this address since? *
Home Phone: * Is Rent Current?
Cell Phone: Reason for Leaving?
Previous Residence Information
Address: Landlord Name:
City: Landlord Phone:
State: Rent Amount:
Zip Code: Move In Date:
    Move Out Date:
    Reason for Leaving?
Current Employment Information
Employer Name: * Monthly Income: *
Employer Phone: * Name of Supervisor:
Employer Address: * Start Date: *
Occupation: *    
Previous Employment Information
Employer Name: Monthly Income:
Employer Phone: Name of Supervisor:
Employer Address: Start Date:
Occupation: End Date:
Other Sources of Income
Source of Income: Source of Income:
Monthly Income: Monthly Income:
Personal References
Reference #1 Name: Nearest Relative Living Elsewhere Name:
Reference #1 Address: Nearest Relative Living Elsewhere Address:
Reference #1 Phone: Nearest Relative Living Elsewhere Phone:
Reference #2 Name:    
Reference #2 Address:    
Reference #2 Phone:    
Credit History
Do you have a credit card balance? If so, please provide amount.
Do you have an auto loan balance? If so, please provide amount.
Do you have any other loans or debts? If so, please provide amount.
Have you ever been served a late rent notice?
Have you ever filed for Bankruptcy? If so, when?
Have you had any reoccurring problems with your current apartment or landlord? If so, please explain.
Have you ever been covicted of a felony? If so, please explain.
If you were to run into financial difficulty in the future and couldn't come up with the money to pay rent, do you know someone that would loan you the money? Please provide contact information Name:
Zip Code:


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Cash Offer Disclaimer

If a buyer is using our lease purchase program, and has not met ALL the following conditions:

  1. Option Fee received
  2. 1st month's lease payment
  3. Completed signed and returned contract
We have the right to accept a chase offer for the said property.


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Option Fee Deposit

Once your application has been approved, you will need to quickly send the Option Fee amount. Until the full amount is received, we will not send the property contract package.


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Electronic Signature and Electronic Delivery of Disclosures and Notices

By initialing in the box marked “Initial Here” to the right of this paragraph, you consent to use electronic communications, electronic records, and electronic signatures rather than paper documents for the the application on this site.

You understand that your electronic signature is legally binding, just as if you had signed a paper document. Your consent to use electronic signatures and documents applies only to materials related to your loan application with Homes Direct, Inc.


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Agreement & Authorization Signature

The undersigned Applicant declares that all statements made in this application are true, correct, and complete. The Applicant herely authorized Homes Direct, Inc. to verify any information contained in this application, which verification may include, but not limited to, a criminal background check, containing one or more credit agencies in order to run a credit check, and/or contacting other individual's described in this application. The Applicant hereby authorizes any agency or individual contacted by Homes Direct, Inc. to release information requested and described herein and releases and holds harmless any such party from any damages for providing such information in good faith. This authorization to verify data and conduct one or more credit and/or background checks shall continue though and after the expiration of any lease of the Applicant may enter into and may be used to assist the in collection of amounts due and owing under said lease.

Failure of Applicant to provide thorough and accurate information in this application may result in a rejection of this application and may be grounds for termination of any lease Applicant may enter into.

SHARING YOUR PERSONAL INFORMATION: Your personal information is held strictly and confidently by Homes Direct, Inc.

Please type the letters as the appear in the box above.

Digital Signature (Type Full Name): *