Credit Application

Please complete this application and, either:
1) Print it & Fax it to OPP; or 2) Email it to OPP
Fields marked in yellow are required.

Personal Information:

Name 
Address 
City    State    Zip Code
Work Phone 

  Home Phone

 Mobile Phone     Email    
Date of Birth     Age    Social Security Number  

Have you declared bankruptcy in the past 10 years.  If so, give details

Employment Information:

Employer 

  How Long

Annual Salary 

   You are Paid

What Are You Requesting Financing For:

Description 

   Property ID # (if any)

Financing Options:

1. Individual Credit - Applying for credit in your own name and relying on your own income or assets
         and not the income or assets of another person as the basis for repayment of the credit requested.

2. Joint Credit - Applying for joint credit with another person.
        *  If you selected "
JOINT" from above, please fill out the following co-applicant information:

      Full Name
      Social Security Number   Date of Birth

Authorization:

I hereby authorize Other Peoples Properties, LLC or its Agents to investigate my credit history, obtain information from
others concerning my credit standing, and other relevant information impacting on this application.  I hereby certify, and
represent that all the above information is accurate and complete, and that I am competent to enter into contracts.

YES     No     Date

 Applicants
 Signature(s):

    

 Copyrighted 2003-2008 by Other Peoples Properties, LLC - All Rights Reserved
 P.O. Box 1724, Indianapolis, IN 46206 USA |
(317) 547-0600 Voice (317) 547-0700 Fax
OPP's Form #21 (Revised 26Sep07 at 19:15)