Credit Application

Authorization is hereby granted to Prosperous Holdings, LLC to obtain a standard factual data credit report from a reporting agency chosen by Prosperous Holdings, LLC.

My signature below authorizes the release to the credit reporting agency, a copy of my credit application, and authorizes the credit reporting agency to obtain information regarding my employment, bank accounts, prior rental history, background check and any outstanding credit accounts (mortgages, auto loans, personal loans, charge cards, credit unions, etc.). Authorization is further granted to the reporting agency to use a photostatic reproduction of this authorization if necessary to obtain any information regarding the above mentioned information.

If applicants request a copy of the credit report obtained with any possible derogatory information be sent to the address of present residence, applicants will hold Prosperous Holdings, LLC and any credit reporting organization harmless in so mailing the copy requested.

Any reproduction of this credit report authorization and release made by reliable means (for example, photocopy or facsimile) is considered original. Authorization is also granted for Prosperous Holdings, LLC to release any information to the Landlord/Optionor for qualification purposes.

Upon completion of this form you will be redirected to PayPal.com in order to make a secure payment of $25.00 per applicant.

First Name*

Last name*

Date Of Birth*

VA Eligible:*

Yes

No

SSN*

Driver's License Number*

Driver's License State*

Home Phone No.*

Cell Phone Number*

Email Address*

Present Address:*

City*

State*

Zip Code*

How Long*

1 year 2 years 3 years 4 years 5 years 6 or more years

Own or Rent?*

Own Rent

Current monthly rent or house payment*

If Renting, Landlord's Name*

Landlord's Phone Number*

If less than two years, previous address*

Door No: Street: City: State: Zip:

How long at previous address*

1 year 2 years 3 years 4 years 5 years 6 or more years

Own or Rent House*

Own

Rent

Landlord's Name*

Landlord's Phone*

Present Employer*

Employer's Address*

City Where You Employed*

State Where You Employed*

ZipCode*

Employer's Phone Number*

Your Position*

Gross Monthly Income*

How Long Employed?*

1 Year 2 Years 3 Years 4 Years 5 Years 6 or More Years

If less than two years, previous employer*

Do you have any pets?

Yes

No

If Yes, what kind and how many?

Applicant Debts

Accounts: Monthly Payment: Accounts: Monthly Payment: Accounts: Monthly Payment: Accounts: Monthly Payment: