Atlas

Table of Contents

Buying and Selling a Mobile Home

Mobile Home Directory

Mobile Home Loan Application

Name

Address

State

Zip Code

City

Birthdate

Soc.Sec.#

Home Phone #

Employer

Work Phone #

Length of Employment

Monthly Income

Previous Employer

Length of Employment

Co-Applicant’s Information

Name

Birthdate

Soc.Sec.#

Employer

Work Phone #

Monthly Income

Phone #

Information on home you want to purchase

Manufacturer

Year

Size of home

Model

Type of loan request.

Finance a Repo

Purchasing  New Home

Debt Consolidation

New Land/Home

Purchasing Older Home

Older Land/Home

Refinance to Lower Rate

Refinance to Shorter Terms

Requested Loan Amount

Payoff of  Home (if applicable)

Current Monthly Payment

Current Interest Rate

Current Lender

Current Lot Rent

I certify that the information I have provided is true and correct. I authorize Atlas Mobile Home Directory and lending affiliates to verify any information included in this application or in other documents required to obtain the loan I am requesting. I also authorize any party named in this application to provide any and all information to Atlas Mobile Home Directory and lending affiliates.

 Also, I am authorizing  Atlas Mobile Home Directory and lending affiliates to retrieve my credit reports along with my co-applicant (If needed).

Application may be printed if you feel uncomfortable about sending it over the Internet. Fax completed application to (910) 763-0176

Applicant Signature:_________________________________

Co-Applicant Signature:_____________________________

Date:________________199___

Or mail application to Atlas Mobile Home Directory 2010 Shirley Rd., Wilmington, NC 28405