Skip to main content
Skip to footer
0% Complete
Credit Application
Start your credit application.
Amount Requested
Loan Purpose
Please select one...
Purchase Mobile Home – Mobile Home Community
Purchase Mobile Home – Broker
Private Party Sale
Refinance
Buying from a Retailer
Are you applying individually or with a joint applicant?
I am applying for INDIVIDUAL credit
We are applying for JOINT credit
Applicant Initials
Joint Applicant Initials
Next
Applicant(s) Information
Complete your personal information.
Applicant Information
Full Name
Cell Phone
Email Address
Date of Birth
Social Security #
Street Address
Apt / Suite
City
State
ZIP
Years at Current Address
Joint Applicant Information
Full Name
Cell Phone
Email Address
Date of Birth
Social Security #
Street Address
Apt / Suite
City
State
ZIP
Years at Current Address
Previous
Next
Employment Information
Complete your employment information.
Applicant Information
Employer Name
Employer City & State
Employer Phone Number
Position / Title
Years There
Months There
Gross Monthly Income
Do you have additional employment history? (2 years total required)
Yes
No
Additional Employment History (2 Yrs Required)
Employer Name
Employer City & State
Employer Phone
Position / Title
Years There
Months There
Gross Monthly Income
Please explain any job gaps greater than 30 days
Other Income Sources
Income from alimony, child support or separate maintenance need not be revealed if you do not choose to have it considered for repaying this obligation.
Source of Income
Monthly Amount
Joint Applicant Information
Employer Name
Employer City & State
Employer Phone Number
Position / Title
Years There
Months There
Gross Monthly Income
Do you have additional employment history? (2 years total required)
Yes
No
Additional Employment History (2 Yrs Required)
Employer Name
Employer City & State
Employer Phone
Position / Title
Years There
Months There
Gross Monthly Income
Please explain any job gaps greater than 30 days
Other Income Sources
Income from alimony, child support or separate maintenance need not be revealed if you do not choose to have it considered for repaying this obligation.
Source of Income
Monthly Amount
Previous
Next
Marital Status
Complete only if applying for joint or secured credit.
Applicant Information
Marital Status
Married
Legally Separated
Unmarried (including single, divorced and widowed)
Joint Applicant Information
Marital Status
Married
Legally Separated
Unmarried (including single, divorced and widowed)
Previous
Next
Residence Information
Complete your residence information.
Residence
Rents
Lives with Parents or Relative(s)
Owns
Landlord Name
Landlord Phone Number
Monthly Rent Payment
Mortgage Holder Name
Monthly Mortgage Payment
Plans for the home you own
Source of Down Payment
Personal Bank Account
401K
Gift
Cash On Hand
Are you obligated to pay alimony, child support, or separate maintenance payments?
Yes
No
Monthly Obligation Amount
Have you ever filed Chapter 7 or 13 bankruptcy?
Yes
No
Please explain why you filed for bankruptcy
Debts Owed
Creditor Name
Balance Owed
Monthly Payment
Applicant's Signature
Date of Signature
Joint Applicant's Signature
Date of Signature (Joint)
Applicant's Signature – Communications Disclosure
Date – Communications Disclosure
Joint Applicant's Signature – Communications Disclosure
Date – Communications Disclosure (Joint)
Ethnicity – Check one or more:
Hispanic or Latino
Mexican
Puerto Rican
Cuban
Other Hispanic or Latino Origin
Not Hispanic or Latino
I do not wish to provide this information
Enter other ethnicity origin
Race – Check one or more:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
Native Hawaiian
Guamanian or Chamorro
Samoan
Other Pacific Islander
White
I do not wish to provide this information
You selected Asian – please select one or more:
Asian Indian
Japanese
Chinese
Filipino
Korean
Vietnamese
Other Asian
Enter Pacific Islander Race
Name of enrolled or principal tribe
Sex
Female
Male
I do not wish to provide this information
Joint Applicant Ethnicity – Check one or more:
Hispanic or Latino
Mexican
Puerto Rican
Cuban
Other Hispanic or Latino Origin
Not Hispanic or Latino
I do not wish to provide this information
Enter other ethnicity origin (Joint)
Joint Applicant Race – Check one or more:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
Native Hawaiian
Guamanian or Chamorro
Samoan
Other Pacific Islander
White
I do not wish to provide this information
You selected Asian – please select one or more (Joint):
Asian Indian
Japanese
Chinese
Filipino
Korean
Vietnamese
Other Asian
Enter Pacific Islander Race (Joint)
Name of enrolled or principal tribe (Joint)
Joint Applicant Sex
Female
Male
I do not wish to provide this information
Sold by:
Broker
Community
Retailer
Broker or Retailer Name
Broker or Retailer Phone Number
Community Name
Community Phone Number
Community Sales Agent Name
Property Street Address
Property Apt / Suite
City
State
ZIP
Lot #
Lot Rent
Year of Home
Size
Make / Manufacturer
Selling Price
Down Payment
Condition of the manufactured home:
New
Used
Is the home ready for occupancy?
Yes
No
When will the home be ready?
Additional Comments
Document Upload
Submit Application
© 2026
Performance Equity Partners, Inc
General NMLS
Lic. #296804
Privacy Policy
