Secure Rent-To-Own Form

Monthly Payment Plan *

36 Months

60 Months

Shed SKU *

First Name *

Last Name *

Cell Phone *

Home Phone

Email *

Social Security Number *

Drivers License Number *

Issue Date *

Exp. Date *

Drivers License Address Line 1 *

Drivers License Address Line 2 *

Address *

Home Address

City

State

Postal code

Is delivery address the same as your home address? *

Provide Delivery Address *

City *

State *

Zip Code *

Employer *

Employer Phone *

Required Reference *

Required Reference Address *

Required Reference City/State/Zip *

Required Reference Phone *

Legal Property Owner of the property where the shed is to be located *

Property Owner Phone Number *

Property Owner Address Line 1 *

Property Owner Address Line 2 *

Property Owner Home Phone Number

Property Owner Business Phone *

Will you have a Co-renter? *

Co-Renters Name *

Co-renter Social Security Number *

Co-renter Drivers License Number *

Issue Date: *

Exp. Date: *

Co-Renters Drivers License Address Line 1 *

Co-Renters Drivers License Address Line 2 *

Co-renter Cell Phone *

Co-renter Home Phone

Co-Renters Email Address *

Co-renter Employer *

Co-renter Employer Phone *

Co-Renters Required Reference *

Co-Renters Required Reference Address Line 1 *

Co-Renters Required Reference Address Line 2 *

Co-Renters Required Reference Phone# *

How do you want us to Contact You

Call

Text

Email

I consent to receive transactional messages from Eagle Buildings of Goshen, a division of Custom BarnCraft LLC, at the phone number provided. Message & Data rates may apply. Reply HELP for Help or STOP to opt-out.

I consent to receive marketing and promotional messages from Eagle Buildings Of Goshen, a division of Custom BarnCraft LLC, at the phone number provided. Message frequency may vary. Message & Data rates may apply. Reply Help for help or STOP to opt-out.