{"id":128,"date":"2014-04-16T16:26:08","date_gmt":"2014-04-16T16:26:08","guid":{"rendered":"http:\/\/www.lepageholdings.com\/mobile\/?page_id=128"},"modified":"2021-04-21T14:54:46","modified_gmt":"2021-04-21T14:54:46","slug":"application","status":"publish","type":"page","link":"http:\/\/www.lepageholdings.com\/mobile\/application\/","title":{"rendered":"Application"},"content":{"rendered":"<p style=\"text-align: center;\"><img loading=\"lazy\" class=\"size-full wp-image-54 alignnone\" src=\"http:\/\/www.lepageholdings.com\/wp-content\/uploads\/2014\/12\/LepageHoldingsLogo@4x.png\" alt=\"LepageHoldingsLogo@4x\" width=\"800\" height=\"160\" \/><\/p>\n<h5 style=\"text-align: center;\">Get approved today for your Lease To Own!<\/h5>\n<hr \/>\n<p style=\"text-align: center;\">We value Integrity, Service and treat all of our clients with the Highest Level of Professionalism and Respect. All information will be kept confidential.\u00a0Thank you for choosing us! We will be in touch shortly.<\/p>\n<hr \/>\n<p style=\"text-align: center;\"><em>All Fields with ( * ) are Required<\/em><\/p>\n<p style=\"text-align: center;\"><div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f127-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/mobile\/wp-json\/wp\/v2\/pages\/128#wpcf7-f127-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"127\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f127-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<h5 style=\"font-style:strong \">Applicant Personal Information<\/h5>\n<div class=\"row-3\">\n<div class=\"col-4\">\n<label>Full Name *<\/label> <br\/> <span class=\"wpcf7-form-control-wrap full-name\"><input type=\"text\" name=\"full-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-lp\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"col-4\">\n<label>Email * <\/label> <br\/><span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"col-4\">\n<label>Phone Number *<\/label> <br\/><span class=\"wpcf7-form-control-wrap tel-212\"><input type=\"tel\" name=\"tel-212\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"col-4\">\n<label>Date of Birth <em>(yyyy-mm-dd)<\/em> *<\/label> <br\/><span class=\"wpcf7-form-control-wrap birth\"><input type=\"date\" name=\"birth\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<\/div>\n<div class=\"row-3\">\n<div class=\"col-4\">\n<label>Second Applicant Full Name<\/label> <br\/> <span class=\"wpcf7-form-control-wrap second-app\"><input type=\"text\" name=\"second-app\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/div>\n<div class=\"col-4\">\n<label>Second Applicant Email<\/label> <br\/> <span class=\"wpcf7-form-control-wrap secemail\"><input type=\"email\" name=\"secemail\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email\" aria-invalid=\"false\" \/><\/span><\/div>\n<div class=\"col-4\">\n<label>Second Applicant Phone Number<\/label> <br\/> <span class=\"wpcf7-form-control-wrap sec-phone\"><input type=\"tel\" name=\"sec-phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span> <\/div>\n<div class=\"col-4\">\n<label>Second Date of Birth <em>(yyyy-mm-dd)<\/em><\/label>  <br\/> <span class=\"wpcf7-form-control-wrap secbirth\"><input type=\"date\" name=\"secbirth\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<\/div>\n<div class=\"row-3 rlast\">\n<div class=\"col-3\"><label>Household Income *<\/label>  <br \/>  <span class=\"wpcf7-form-control-wrap menu-income\"><select name=\"menu-income\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"less than 25000$\">less than 25000$<\/option><option value=\"25000$ - 35000$\">25000$ - 35000$<\/option><option value=\"35000$ - 45000$\">35000$ - 45000$<\/option><option value=\"45000$ - 55000$\">45000$ - 55000$<\/option><option value=\"55000$ - 65000$\">55000$ - 65000$<\/option><option value=\"65000$ - 75000$\">65000$ - 75000$<\/option><option value=\"75000$ - 100000$\">75000$ - 100000$<\/option><option value=\"more than 100 000$\">more than 100 000$<\/option><\/select><\/span> <\/div>\n<div class=\"col-3\"><label>Do you have Pets? *<\/label>  <br \/> <span class=\"wpcf7-form-control-wrap pets\"><select name=\"pets\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><\/div>\n<div class=\"col-3\"><label>Special Preferences <\/label><br \/><span class=\"wpcf7-form-control-wrap special\"><textarea name=\"special\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span> <\/div>\n<\/div>\n<h5>Property Preferences<\/h5>\n<div class=\"row-3\">\n<div class=\"col-4\"><label>Interested in? *<\/label><br \/><span class=\"wpcf7-form-control-wrap interest\"><select name=\"interest\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Lease to Own\">Lease to Own<\/option><option value=\"Rental\">Rental<\/option><\/select><\/span> <\/div>\n<div class=\"col-4\"><label>Monthly Rent Budget *<\/label>  <br \/> <span class=\"wpcf7-form-control-wrap menu-rent\"><select name=\"menu-rent\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"1400$ or less\">1400$ or less<\/option><option value=\"1500$\">1500$<\/option><option value=\"1600$\">1600$<\/option><option value=\"1700$\">1700$<\/option><option value=\"1800$\">1800$<\/option><option value=\"1900$\">1900$<\/option><option value=\"2000$\">2000$<\/option><option value=\"2100$\">2100$<\/option><option value=\"2200$\">2200$<\/option><option value=\"2300$\">2300$<\/option><option value=\"2400$ or more\">2400$ or more<\/option><\/select><\/span>  <\/div>\n<div class=\"col-4\"><label>Area *<\/label>  <br \/> <span class=\"wpcf7-form-control-wrap area\"><select name=\"area\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Moncton\">Moncton<\/option><option value=\"Dieppe\">Dieppe<\/option><option value=\"Riverview\">Riverview<\/option><option value=\"Rural\">Rural<\/option><\/select><\/span><\/div>\n<div class=\"col-4\"><label>Lease Length*<\/label>  <br \/> <span class=\"wpcf7-form-control-wrap lease-lenght\"><select name=\"lease-lenght\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><\/select><\/span><\/div>\n<\/div>\n<div class=\"row-3 rlast\">\n<div class=\"col-3\"><label>Bedroom(s) *<\/label>  <br \/> <span class=\"wpcf7-form-control-wrap menu-bedrooms\"><select name=\"menu-bedrooms\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5 or more\">5 or more<\/option><\/select><\/span> <\/div>\n<div class=\"col-3\"><label>Desire moving date?  <em>(yyyy-mm-dd)<\/em>*<\/label><br \/> <span class=\"wpcf7-form-control-wrap moving\"><input type=\"date\" name=\"moving\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/div>\n<div class=\"col-3\"><label>Deposit Available *<\/label> <br \/> <span class=\"wpcf7-form-control-wrap menu-deposit\"><select name=\"menu-deposit\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"less than 4000$\">less than 4000$<\/option><option value=\"5000$\">5000$<\/option><option value=\"6000$\">6000$<\/option><option value=\"7000$\">7000$<\/option><option value=\"8000$\">8000$<\/option><option value=\"9000$\">9000$<\/option><option value=\"10 000$\">10 000$<\/option><option value=\"11 000$\">11 000$<\/option><option value=\"more than 12 000$\">more than 12 000$<\/option><\/select><\/span>  <\/div>\n<\/div>\n<h5>Residential History<\/h5>\n<div class=\"row-3\">\n<div class=\"col-4\"><label>Present Full Address*<\/label><br \/> <span class=\"wpcf7-form-control-wrap address\"><input type=\"text\" name=\"address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/div>\n<div class=\"col-4\"><label>How long at this address?*<\/label><br \/> <span class=\"wpcf7-form-control-wrap howlong\"><input type=\"text\" name=\"howlong\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/div>\n<div class=\"col-4\"><label>Landlord Name *<\/label><br \/> <span class=\"wpcf7-form-control-wrap landlor\"><input type=\"text\" name=\"landlor\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/div>\n<div class=\"col-4\"><label>Landlord Phone # *<\/label><br \/> <span class=\"wpcf7-form-control-wrap landlord-number\"><input type=\"tel\" name=\"landlord-number\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span><\/div>\n<\/div>\n<div class=\"row-3 rlast\">\n<p><em>(If present address is less than 2 years, please provide previous address.)<\/em><\/p>\n<div class=\"col-4\"><label>Previous Full Address 1<\/label><br \/><span class=\"wpcf7-form-control-wrap address2\"><input type=\"text\" name=\"address2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/div>\n<div class=\"col-4\"><label>How long at this address?<\/label><br\/> <span class=\"wpcf7-form-control-wrap howlong2\"><input type=\"text\" name=\"howlong2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/div>\n<div class=\"col-4\"><label>Landlord Name<\/label><br \/><span class=\"wpcf7-form-control-wrap landlor2\"><input type=\"text\" name=\"landlor2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/div>\n<div class=\"col-4\"><label>Landlord Phone #<\/label><br \/><span class=\"wpcf7-form-control-wrap landlord-number2\"><input type=\"tel\" name=\"landlord-number2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span> <\/div>\n<\/div>\n<h5>Details of Employment<\/h5>\n<div class=\"row-3\">\n<div class=\"col-4\"><label>Employer \/ Position *<\/label><br \/><span class=\"wpcf7-form-control-wrap employer\"><input type=\"text\" name=\"employer\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/div>\n<div class=\"col-4\"><label>How long at this job? *<\/label><br \/> <span class=\"wpcf7-form-control-wrap job-lenght\"><input type=\"text\" name=\"job-lenght\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/div>\n<div class=\"col-4\"><label>Supervisor Phone # *<\/label><br \/><span class=\"wpcf7-form-control-wrap supervisor-phone\"><input type=\"tel\" name=\"supervisor-phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span> <\/div>\n<div class=\"col-4\"><label>Salary *<\/label><br \/><span class=\"wpcf7-form-control-wrap salary\"><input type=\"text\" name=\"salary\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/div>\n<\/div>\n<div class=\"row-3 rlast\">\n<p><em>(If employed less than one year with present employer, please provide previous employer.)<\/em><\/p>\n<div class=\"col-4\"><label>Previous Employer \/ Position  <\/label><br \/> <span class=\"wpcf7-form-control-wrap employer2\"><input type=\"text\" name=\"employer2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/div>\n<div class=\"col-4\"><label>How long at this job? <\/label><br \/> <span class=\"wpcf7-form-control-wrap job-lenght2\"><input type=\"text\" name=\"job-lenght2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/div>\n<div class=\"col-4\"><label>Previous Supervisor Phone # <\/label><br \/><span class=\"wpcf7-form-control-wrap supervisor-phone2\"><input type=\"tel\" name=\"supervisor-phone2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span> <\/div>\n<div class=\"col-4\"><label>Previous Salary <\/label><br \/><span class=\"wpcf7-form-control-wrap salary2\"><input type=\"text\" name=\"salary2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/div>\n<\/div>\n<h5>Other Source of Income<\/h5>\n<div class=\"row-3 rlast\">\n<div class=\"col-3\"><label>Do you receive? *<\/label><br \/> <span class=\"wpcf7-form-control-wrap othersource\"><select name=\"othersource\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Student Loans\">Student Loans<\/option><option value=\"Pension Benefits\">Pension Benefits<\/option><option value=\"Social Assistance\">Social Assistance<\/option><option value=\"Other\">Other<\/option><option value=\"No other Source\">No other Source<\/option><\/select><\/span><\/div>\n<div class=\"col-3\"><label>How much? <\/label><br \/> <span class=\"wpcf7-form-control-wrap source-income\"><input type=\"text\" name=\"source-income\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/div>\n<\/div>\n<h5>References<\/h5>\n<div class=\"row-3\">\n<div class=\"col-3\"><label>Name *<\/label><br \/> <span class=\"wpcf7-form-control-wrap reference\"><input type=\"text\" name=\"reference\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/div>\n<div class=\"col-3\"><label>Phone # *<\/label><br \/> <span class=\"wpcf7-form-control-wrap reference-tel\"><input type=\"tel\" name=\"reference-tel\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span><\/div>\n<\/div>\n<div class=\"row-3 rlast\">\n<div class=\"col-3\"><label>Name 2 *<\/label><br \/> <span class=\"wpcf7-form-control-wrap reference2\"><input type=\"text\" name=\"reference2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/div>\n<div class=\"col-3\"><label>Phone # 2 *<\/label><br \/><span class=\"wpcf7-form-control-wrap reference-tel2\"><input type=\"tel\" name=\"reference-tel2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span> <\/div>\n<\/div>\n<\/div>\n<div class=\"row-3 rlast\">\n<p class=\"col-12\"><em>I declare that the information I have provided is accurate. I authorize the individual or organization to whom this application is submitted to: (a) contact my references and all other persons that I have named in this application; and (b) perform a checks to assess my suitability as a tenant\/lessee. <\/em><\/p>\n<\/div>\n<div class=\"row-3\" style=\"text-align: center;\"><input type=\"submit\" value=\"Send\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/div>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n<p class=\"space\"><a class=\"Buttonorange\" href=\"http:\/\/www.lepageholdings.com\">Return to Homepage<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Get approved today for your Lease To Own! We value Integrity, Service and treat all of our clients with the Highest Level of Professionalism and Respect. All information will be kept confidential.\u00a0Thank you for choosing us! We will be in touch shortly. All Fields with ( * ) are Required Return to Homepage<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"page-no-title.php","meta":[],"_links":{"self":[{"href":"http:\/\/www.lepageholdings.com\/mobile\/wp-json\/wp\/v2\/pages\/128"}],"collection":[{"href":"http:\/\/www.lepageholdings.com\/mobile\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.lepageholdings.com\/mobile\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.lepageholdings.com\/mobile\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.lepageholdings.com\/mobile\/wp-json\/wp\/v2\/comments?post=128"}],"version-history":[{"count":0,"href":"http:\/\/www.lepageholdings.com\/mobile\/wp-json\/wp\/v2\/pages\/128\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.lepageholdings.com\/mobile\/wp-json\/wp\/v2\/media?parent=128"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}