Test - Tumbleweed Houses

[geot_filter_state state=”CA”] California [/geot_filter_state] [geot_filter_state state=”CO”] Colorado [/geot_filter_state] [geot_filter country=”DE” region=”” exclude_country=”” exclude_region=””] Germany [/geot_filter]

State: [geot_state_name default=””] City: [geot_city_name default=””]

21st Credit App

"*" indicates required fields

1Basic Info

2Applicant Info

3Residence

4Previous Residence

5Employment History

6Financial Info

7Demographic Info

8Co-Applicant Info

Basic Information

Number of Applicants

Primary Applicant*

First Middle Last

Secondary Applicant*

First Middle Last

Tiny Home Site Information

How will the home be used?*

Primary Residence

Secondary Residence

Investment/Rental

Buying For Someone Else

Site where Tumbleweed is going

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Land under the Tumbleweed is*

Name of Community/Park*

Name of Landlord*

Phone*

Is the Community/Park a co-op?*

Lot Fee (per month)

Down Payment

Down Payment Source(s)

Savings

Checking

Cash on Hand

Loan

Gift

Name of the person giving gift

Relationship of the person giving gift

Demographic Information
Are you a U.S. Citizen?*

Yes

No
Are you a permanent resident alien?*

Yes

No
Have you declared bankruptcy with the last 5 years?*

Yes

No
When did you file?
MM slash DD slash YYYY

Demographic Information - this section asks about your ethnicity, sex, and race

The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, race, and sex) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, race, and sex on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. Instructions: You may select one or more designations for "Ethnicity" and one or more designations for "Race." If you do not wish to provide some or all of this information, select the applicable check box.
Ethnicity
Hispanic or Latino
Mexican
Puerto Rican
Cuban
Other Hispanic or Latino
Not Hispanic or Latino
I do not wish to provide this information
Check one or more
Describe your origin

Race
American Indian or Alaskan Native
Asian
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian race
Black or African American
Native Hawaiian
Samoan
Guamanian or Chamorro
Other Pacific Islander
White
I do not wish to provide this information
Check one or more
Gender

Second Applicant
Email*

Phone*
SSN*

Date of Birth*
Address*
Street Address Address Line 2 City State ZIP Code

Untitled
Untitled

under modal
modal

21st Credit App

Basic Information

Tiny Home Site Information

Applicant Information

Current Residence

Previous Residence

Employment History

Current Employer

Previous Employer

Other Previous Employer

Financial Information

Bank Accounts

Debts and Loans

Other Expenses

Government Assistance

Demographic Information

Second Applicant