PAYMENT BY CHECK

directions

  1. Print this form
  2. Fill it out
  3. Attach your signed personal check
  4. FAX form and check to:   417-932-4080
  5. DO NOT mail us the paper check.  It only confuses us.

    6. We will confirm by phone or email.

I would like to purchase Woods & Waters' Parcel _______ from your _______________________ location
(example: Parcel 83 at Cherry Creek).    I understand that the total price of this property is
$____________________  and that I may pay $____________ per month which will include 9% simple
interest charged only on the remaining balance.  I attach my check to act as the first month's payment.
NAME ONE ________________________________________
NAME TWO ________________________________________
MARITAL STATUS ________________________________________
Please note:  You MUST give your marital status and, if married, both spouses must take part.
STREET ADDRESS ________________________________________
CITY ________________________________________
STATE ________________________________________
ZIP CODE __________________
SSN 1 ________________________________________
SSN 2 ________________________________________
OCCUPATION 1 ________________________________________
OCCUPATION 2 ________________________________________
DATE OF BIRTH 1 ___________ DATE OF BIRTH 2 ___________
DAY PHONE ________________________________________
HOME PHONE ________________________________________
EMAIL ________________________________________
ANNUAL HOUSEHOLD INCOME ________________________________________
WHERE DID YOU HEAR ABOUT US? ________________________________________

ATTACH YOUR CHECK HERE, OR SEND IT AS A SECOND PAGE