Application

PLEASE FILL OUT THE ENTIRE APPLICATION BELOW

Step 1 of 9 - Personal

Personal Information
Applicant's Name*
Date of Birth*
Phone Number*
Email*
Marital Status*
Number of Dependents*
Dependent Ages*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of Years at Current Residence*
Previous Address (If at current address less than 2 years)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Current Living Arrangement*
Current Rent or Mortgage Payment (Monthly)*
Landlord Name/Mortgage Company*

Employment Information
Employer*
Position*
Rate of Pay*
Number of Years Employed*
Employer Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Work Phone
Can you be contacted at work?*
Work Email*
Previous Employer (If current is less than 2 years)
Position
Rate of Pay
Number of Years Employed
Other Income Sources (2nd Job, Child Support, Social Security, Etc.)
How Long?
Amount Per Month

Spouse Information (If Applicable)
Name
First Last
Date of Birth
Phone
Email
Employer
Position
Rate of Pay
Number of Years
Spouse Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Work Phone
Can you be contacted at work?
Work Email
Previous Employer (If at current job less than 2 years)
Position
Rate of Pay
Number of Years
Other Income or 2nd Job
How Long?
Amount Per Month

Assets
Checking Amount*
Savings Amount*
401K Amount*
IRA Amount*
Stocks/Bonds/Funds Amount*

Creditor and Alternative Credit Checklist
PLEASE PROVIDE A LIST OF ALL ACCOUNTS THAT YOU ARE CURRENTLY PAYING AND/OR IN YOUR NAME. PLEASE INCLUDE CAR LOANS, CREDIT AND CHARGE CARDS, PERSONAL LOANS, STUDENT LOANS, MORTGAGE PAYMENTS, BANKRUPTCY OR TAX PAYMENTS, CHILD SUPPORT AND ALIMONY.
Bills / Accounts In Your Name (Enter Amount / Month)*
Phone Gas Water Cable Internet Cell Electric Day Care Health Insurance Other

I ACKNOWLEDGE THAT THE ABOVE LISTED ACCOUNTS ARE A FULL DISCLOSURE OF THE MONTHLY BILLS THAT I AM CURRENTLY PAYING. I UNDERSTAND THAT WITHOUT FULL DISCLOSURE THE C4D CREW CANNOT MAKE A CORRECT DETERMINATION OF MY APPROVAL STATUS.
Creditor List*
Creditor Amount

Add Minimum Monthly Payment + Estimated Balance

Credit Questionnaire
If you rent, when does your lease end?
What are your monthly payments?
Have you paid mortgage or rent on time for last 12 months?*
Do you owe any student loans?*
If yes, what is the status. If no, select no.*
Explain your student loan issues, if you have any.
If owed, what is your total student loan balance owed?
If paying, what is your monthly student loan payment?
Are you obligated to pay child support?*
If yes, how much per month?
Are the payments at the agreed amount and on time?
Have you ever filed bankruptcy?
If yes, was it chapter 7 (liquidation) or chapter 13 (repayment)?
Has it been discharged?
If yes, when?
Was it dismissed or cancelled?
Are you currently participating in a debt management program?*
If yes, please provide the name of the company and your payment amount each month.
How would you refinance your loan from us?*
What is your refinance timeframe?*
Do you have any outstanding judgements?
Do you have any tax liens?*

Pay Stubs and Bank Statements (Last Two Months)
Pay Stub 1*
Max. file size: 50 MB.
Pay Stub 2*
Max. file size: 50 MB.
Bank Statement 1*
Max. file size: 50 MB.
Bank Statement 2*
Max. file size: 50 MB.
Driver's License (Front)
Max. file size: 50 MB.
Driver's License (Back)
Max. file size: 50 MB.

References
Name*
First Last
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name*
First Last
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Property Preferences
Are you currently working with a real estate agent?*
If yes, please provide name and phone number. If no, type no.*
How did you hear about us?*
What areas do you want to live in?
How much money do you have for a down payment?*
Please state what amount of house payment would be comfortable for your budget.*
How long have you been trying to purchase a home?*
Why have you not been able to purchase a home?*
Have you attempted to purchase a home or apply for a mortgage in the past year?*
If yes, what were the results? If no, type no.*
Please add any additional comments you would like for us to know.
Arbitration Agreement and Electronic Signature
Dispute Resolution. IN CONSIDERATION OF C4D CREW ACCEPTING AND EVALUATING THIS APPLICATION, APPLICANT AGREES THAT ANY DISPUTE, CLAIM OR CONTROVERSY (EXCEPT THOSE SPECIFIED BELOW IN THE NEXT FOLLOWING SENTENCE) ARISING OUT OF OR RELATED IN ANY WAY TO THIS APPLICATION OR ANY REAL PROPERTY PURCHASE AGREEMENT OR CONTRACT FOR DEED BETWEEN APPLICANT AND HOMES BY WITT LLC, D/B/A C4D CREW, RESULTING FROM THIS APPLICATION, SHALL BE RESOLVED BY BINDING ARBITRATION INSTEAD OF IN A COURT OF GENERAL JURISDICTION. Applicant agrees and understands that if applicant defaults on a contract for deed between applicant and C4D CREW, C4D CREW shall have the right to pursue rights and remedies in non-judicial or judicial contract for deed cancellation proceedings that are not subject to, and do not involve, arbitration. This arbitration agreement is made pursuant to an transaction involving interstate commerce and shall be governed by the Federal Arbitration Act, Title 9 of the United States Code, as amended or supplemented. Judgment upon any arbitration award rendered may be entered in any court having jurisdiction. Applicant acknowledges and understands that arbitration is more informal than a lawsuit in court. Applicant further acknowledges and agrees that the arbitration shall use a neutral arbitrator instead of a judge or jury, allow for more limited discovery than in court, and be subject to very limited review by courts. Applicant also understands and agrees that the arbitrator can award the same damages and relief that a court can award. APPLICANT AGREES THAT, BY ENTERING INTO THIS AGREEMENT, APPLICANT IS VOLUNTARILY AND KNOWINGLY WAIVING THE RIGHT TO A TRIAL BY JURY OR TO PARTICIPATE IN A CLASS ACTION. This arbitration provision shall survive termination of any purchase agreement or contract for deed transaction resulting from this Application. The arbitration will be governed by the Commercial Arbitration Rules and, if appropriate, the Supplementary Procedures for Consumer Related Disputes (collectively, “AAA Rules”) of the American Arbitration Association (“AAA”). The arbitrator shall decide any issues relating to the enforceability and/or applicability of the arbitration provisions of this Application to the dispute, claim or controversy. If either party fails to submit to arbitration following a proper demand to do so, that party shall bear all costs and expenses, including reasonable attorney’s fees, incurred by the other party compelling arbitration. Any arbitration hearing at which an applicant appears will take place at a location near applicant’s residence. The arbitrator may award declaratory or injunctive relief only in favor of the individual party seeking relief and only to the extent necessary to provide relief warranted by that party’s individual claim. Class Action Waiver. APPLICANT VOLUNTARILY AND KNOWINGLY WAIVES THE RIGHT TO ARBITRATE ANY DISPUTE WITH, OR CLAIM OR CONTROVERSY AGAINST, C4D AS A CLASS ACTION, EITHER AS A MEMBER OF A CLASS OR AS A REPRESENTATIVE, OR TO ACT AS A PRIVATE ATTORNEY GENERAL. Applicant agrees that (i) no arbitration proceeding hereunder shall be certified as a class action or proceed as a class action, or on a basis involving claims brought in a purported representative capacity as a private attorney general or on behalf of the general public, other customers or potential customers or persons similarly situated, and (ii) no arbitration proceeding shall be consolidated with, or joined in any way with, any other arbitration proceeding. If this specific provision is found to be unenforceable, then the entirety of the dispute resolution provision in the preceding paragraph shall be null and void.
Select "Yes, I agree" if you agree to the terms above.*
Please type your name in the box below. This will be used as your electronic signature for the entire application.*

Phone	Gas	Water	Cable	Internet	Cell	Electric	Day Care	Health Insurance	Other

Creditor	Amount

Enter your email Address

Application

PLEASE FILL OUT THE ENTIRE APPLICATION BELOW

Step 1 of 9 - Personal

Personal Information

Employment Information

Spouse Information (If Applicable)

Assets

Creditor and Alternative Credit Checklist

Credit Questionnaire

Pay Stubs and Bank Statements (Last Two Months)

References

Property Preferences

Arbitration Agreement and Electronic Signature