Platinum Rental Rent To Own Application

All sales orders are not complete until approved by the Corporate office. Merchant and its agents are not responsible for ground conditions, permits, setbacks, restrictions, or covenants that may affect, limit, or prohibit the placement of the Property at Consumer's desired location. Merchant is not responsible for yard or driveway damage. CANCELLATION/CHANGE ORDER POLICY: $100.00 minimum cancellation/change order fee, plus expenses as explained in Purchase Agreement. ALL CHECKS ARE SUBJECT TO ACH PROCESSING. ALL BUILDING SIZES ARE APPROXIMATE AND MEASURED FROM EAVE TO EAVE. I have read and agree to the terms and conditions explained above and in the Purchase Agreement:

By signing below, I (we) certify the information supplied by me on this form is true and correct and hereby authorize the release of any information, deemed necessary by lessor, relating to employment, income, and existing or prior leases. I (we) authorize lessor to use numbers/e-mails listed when making contact about account. Any false statement can be sufficient basis for rejection of this order. I (we) have read and understand this statement. I understand my credit will not be pulled to qualify for this rent to own agreement.