Application
ATTENTION LAND CONTRACT and RENTAL CUSTOMERS: You will need to pass a background check and pay $50 to quality for our land contract or rental agreements. Requirements include 1) employment 2) no eviction in 3 years 3) no drug related felony in the last 3 years. 
Sign in to Google to save your progress. Learn more
Email *
What is the full address of the property you are interested in? (Street Address, City) *
What is the primary purpose you want to purchase the  property? 
Clear selection
Please provide your phone number, full name and current address? *
If wanting to purchase the property with a land contract, do you currently have the 20% down payment?   *
What is your source of income and how much do you make each month? What is the source of the downpayment? *
What is the source of the downpayment? *
Who is your current employer and how long have you worked there? Please answer this question for any co-applicant also.  *
Have you had an eviction filed against you or a drug related felony in the last 3 years? If yes, please provide the dates and relevant background.  (You will need to pay a non-refundable $50 fee and pass a background check to quality for our land contract agreements) *
I affirm that the foregoing is true and correct. I further agree to pay the $50 application fee at www.villageindiana.com upon completion of this form. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report