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  • Are you applying as an individual or with a co-applicant?
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  • Personal Information

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  • Housing Information

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  • Housing Status
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  • Employment

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  • Provide at least 2 years of current and previous employment.

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  • Are you still employed with this employer?
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  • Are you still employed with this employer?
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  • Financial Information

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  • Do you have a checking and/or savings account?
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  • *Please Note: Alimony, child suport, or maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this obligation.

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  • Submission of this form authorizes Solutions Bank to verify information provided herein, including but not limited to employment credit history.

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