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Personal information

Please fill out all required fields below.

• First:*
• Middle:*
• Last:*

• Email:*
• Phone number:*
• Date of birth:*

• Social security number:*
• Your SS# is required to properly process your information to get you pre-qualified.
  This is a secure form and your information is confidential.
• How did you hear about Kings Mobile Homes?* Search Engine (google, yahoo, bing, etc.) Online Online Advertising Print Publication Social Media (facebook, twitter, linkedin, etc.) Event Referral Signage

Current Residence

• Street address:*
• Address line 2:

• City:*
• State:* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Postal/Zip code:*
• Current housing expense:* $0-$300 $301-$500 $501-$700 $701-$900 $901-$1100 $1101-$1300 $1301-$1500 $1500+

Desired monthly payment*

• $0-$300 $301-$500 $501-$700 $701-$900 $901-$1100 $1101-$1300 $1301-$1500 $1500+

Employment

• Current employer:*
• Time on job:* Less than 1 year 1-3 years 3-5 years 5-7 years 7-10 years More than 10 years
• Monthly gross income:*

References

Please provide 2 references (include current landlord and phone number, if any).
Please do not include a relative as a reference:

• Name:
• Phone number:

• Name:
• Phone number:

• I have a co-applicant:
  •  Yes
  •  No

• Check the box to authorize and submit your application.
• By submitting this information, I agree that I received and read the Financial Privacy Notice