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applicant information
first
middle
last
birthdate
social security
   
maritial status
sex
number of dependents
address
 
city
state
county
how long at present address

years
months

phone number
   
previous address
   
city
state
zip
applicant's nearest living relative
first
last
 
relationship
phone number
   
applicant's employment and income
employer's name
job title or occupation
   
address
   
city
state
zip
hire date
       
gross income
per
   
work number
       
previous employer
period employed
phone number
address
   
city
state
zip
source of other income
monthy amount
   
proceeds of this loan will be used to improve the described property
property to be improved
address
   
city
state
zip
name (s) property is vested in (owned by)
first
middle
last
new residential structure? yes
no
if yes, has it been completed and occupied for 90 days or longer
yes
no
current market value
date of purchase
purchase price
down payment
being bought on
type
mortgage holder
first
middle
last
address
   
city
state
zip
loan number
phone number
   
balance owing
monthy payment
   
credit references
checking account
yes
no
       
account number
bank name
   
city
state
   
savings account
yes
no
       
account number
bank name
   
city
state
   

 

Information is requested by the federal government (of certain types of loans refilling to a derailing in order to monitor the lender 9 compliance with equal opportunity, fair housing. and home mortgage disclosure laws. You are not required to furnish this Information, but t encouraged to do so. The law provides Thai any lender may not discriminate on the basis of This Information of on whether you choose to furnish It However if you choose not to furnish the information and you have made this application In person, under federal regulations the lender is required to not, race or national origin and sex (under (a) and (b) above) on the basis of visual boslallon or surname Lender pies" designate by parenthesis I.)

ALL OF THE STATEMENTS MADE IN THIS APPLICATION ARE TRUE AND CORRECT AND ARE MADE FOR THE PURPOSE OF OBTAINING CREDIT 017 PLEASE DOCUMENT AND ATTACH TO THIS APPLICATION ANY UNUSUAL CI CIRCUMSTANCES SUCH A AS, , ILLNESSSS. INJURY, STRIKE OR LOSS OF EMPLOYMENT THAT CAN EXPLAIN IN WRITING ANY BANKRUPTCIES. LATE PAYMENT To CREDITORS. ETC

YOU ARE AUTHORIZED TO INVESTIGATE MY CREDIT RECORD, TO VERIFY MY CREDIT, EMPLOYMENT AND INCOME REFERENCES AND TO OBTAIN SUCH OTHER INFORMATION AS YOU DEEM NECESSARY AND TO GIVE CREDIT REPORTING AGENCIES AND OTHERS INFORMATION REGARDING YOUR CREDIT EXPERIENCE WITH ME THE SELECTION OF A CONTRACTOR OR DEALER ACCEPTANCE OF MATERIALS USED AND WORK PERFORMED IS MY RESPONSIBILITY, MEGO MORTGAGE CORP. DOES NOT GUARANTEE THE MATERIAL OR WORKMANSHIP THIS APPLICATION SHALL L RE REMAIN THE PROPERTY OF THE LENDING INSTITUTION TO WHICH I (WE) HEREBY CONSENT TO AND AUTHORIZE MEGO MORTGAGE CORP TO USE THESE SIGNATURES OR THEIR FACSIMILE FOP THE PURPOSE OF OBTAINING CREDIT HISTORY AND ANY OTHER ~s INFORMATION NECESSARY FOR THE PURPOSE OF OBTAINING A LOAN.

 

 

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