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N.E.R.P.H.R.A

Underwritten by the  National Electronic Residential Payment History Recording Agency

Consumer Residential Real Estate Credit Reporting

 

                                                                             PARTICIPATING MEMBERSHIP APPLICATION

PHOTO & TEX APPLICATION TO NERPHRACORP@GMAIL.COM

 
 
DATE ____/____/____

PLEASE PRINT BELOW.

Owner’s Name(s)_______________________________________________________________

 

Owner of Record_______________________________________________________________

 

Mailing Address__________________________________Phone________________________

   

 FAX __________________________________ Cell___________________________________  

 

 EMAIL___________________________________ @ _________________________________

 

SUBJECT PROPERTY ADDRESS _____________________________________________Unit#____

 

CITY___________________ STATE____ ZIP_______ COUNTY________________________

 

Type of structure:_____ Number of Units____ , # of Vacant Units_____

Accepting Section 8 funding YES / NO Rent amount $_____mo.        

  

 

___•MORE THAN ONE (1) TENANT UNIT BEING RECORDED #____

___•ONLY ONE (1) TENANT UNIT BEING RECORDED

Please check ONE

 

VERIFICATION: A copy of these articles are required to be faxed accompanied with this application:

  • RESPA /HUD 1/ TRID Closing statement.(proof of ownership.)

  • Tenant’s completed Rental Application.(consent of interest)  

  • The Lease, Riders and other additional contractual agreements.(Rent to Own, Land installments, Lease Option.)

  • Renter’s Insurance (Declaration page) Pet information

(if applicable). processing within eight hours (8hrs.)

 

Following your completion of the steps listed above, the RECORDATION SHEET will be faxed to you, allowing you to record your past and present Tenants’ actives of the subject property.

  

YOUR E MAIL ADDRESS.__________________________________

To report your Tenant(s) you may choose to pay :

•$6.00 monthly per dwelling

•A one-year payment of $50.00 per dwelling

NOTE: Payment of one (1) membership enrollment fee covers all properties under your membership until the 28th day of this following month of the following year. (Ex: If membership was excepted January 1, 2007 Expiration Date: February 28th, 2008.) (Copy Application; one per property.)

 

NOTERY:_____________________  SIGNATURE x___________________________

 

• YES, I WOULD LIKE MY NAME TO BE PLACED ON THE HISTORY REPORT AS THE PROVIDER OF THIS INFORMATION

• NO, I WOULD NOT LIKE MY NAME TO BE PLACED ON THE HISTORY REPORT AS THE PROVIDER OF THIS INFORMATION

 

 

TRACE NUMBER FROM PAYMENT #___________________________________________________

 

 

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photo tex to NERPHRACORP@GMAIL.COM

 

 

 

 

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