Jim Rich Realty, Inc.

Important! Please Read the following requirements before you Apply!
1. Must have at least 24 months on the job or 2 years worth of steady income. (Students and Military are exceptions!)
2. Must be receiving at lease $1,200. or more income per month to qualify.
(SSI, Social Security, Disability, Child Support, Pension all COUNT towards income)
3. In some cases we CAN work with bad credit, however, any Bankruptcies must be discharged for a minimum of 24 months, all foreclosures must be out of your name for at Least 24months, and all Tax Liens and Judgments must be paid off in full.
(Unless they are less than $2,000. total)
4. If applying for "No Credit" program, you must have a blank credit report, no good or bad credit reported, in order to qualify.

Free Online Credit Application

First Name:
Middle Initial:
Last Name:
Current Address:
City:
State:
Zip Code:
Previous Address: (if less than 2 yrs at residence)
Previous State:(if less than 2 yrs at residence)
Previous Zipcode:(if less than 2 yrs at residence)
Social Security Number:
Birth Date: (Ex. MM/DD/YYYY)
Telephone Number/s:
Best Time to Call?
Email Address:
Current Employer:
Time On Job:
Hourly Rate of Pay:
Hours Per Week Worked:
If Recieving Other Income, Please Break Down Amounts:
Do you Pay Child Support or Spouse Support? if so, how much per month?
You testify you are the above applicant and authorize us (Jim Rich Realty Inc.)to run a credit application. By clicking on "YES", I acknowledge and declare and certify that I have provided complete and true information in this application.	YES NO I WILL CALL IN MY SOCIAL SECURITY NUMBER
Any Other Information You Wish To Submit:

Questions? Problems? Just Call us at: (330) 783-9300