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