- Continental Home Center

Information and requirments:
(Proof of income, residency verification, 5 local references minimum of 2 family, Valid ID with your current address.)

Pick a Store*

Renter's Housing and Personal Information

Income

How Long There?*

How Often Paid?*

Type of Income*

Source of Additional Income

How Often Paid?

Temporary Income

Yes
No

How Long There?

Housing Information

Type of Residence*

Vehicle Information

Co-renter's Personal Information

Co-renter's Source of Income

How Long There?

How Often Paid?

Type of Income

5 Local References, Minimum of 2 Family Please.

What product(s) are you Interested In?

Other Info

Have you Rented to Own before?

YesNo

Marital status*

How To Contact You

Phone
Text
Email

Best Time To Contact

9am - 12pm
12pm - 5pm
After 5pm

- Thank you from the Continental Team -

Please read:*

I certify the information given by me on the form is true and correct.  I authorize verification of the truthfulness of all information, including contact with any person or firm listed above and fully release all parties from all liability for any damage that may result.  Any false statement made above shall be sufficient basis for rejection of this order

I agree