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      Applicant, Please Tell Us About Yourself

      Current Employment Information

      Please list your assets: (Provide current balance information.)

      Checking Account(s) Savings Account(s) Gift Funds Retirement (401K, etc.) Other
      $

      $

      $

      $

      $

      Tell us about your credit:

      Are your credit obligations paid as agreed?:

      What is your estimated down payment?

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