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Personal Information
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* Category
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Email address
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* First Name
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* MI
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* Last Name
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* SS#
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| (example:123-45-6789)
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* Date of Birth
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(example:12/25/1984)
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* Home Phone
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(Please include area code.)
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Current Residence Information
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* Address
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* City
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| * State
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* Zip
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Type
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* Mortgage/Rent
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| (Enter numbers only, do not enter a $ sign or commas)
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Paid to
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Time at Residence
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(years and months)
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Both years and months must have an entry of 0 or greater. If less than 2 years at current residence complete Previous
Residence information.
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| Previous Residence
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Address
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| City
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| State
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| Zip
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| Type of Resident
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Time at Residence
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(years and months)
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Employment Information
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* Employer
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Occupation
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* Address
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* City
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* State
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* Zip
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Time on Job
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(years and months)
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Both years and months must have an entry of 0 or greater.
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| * Work Phone
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(Please include area code.)
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* Income
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(Enter numbers only, do not enter a $ sign or commas)
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Income
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Source
Amount
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| If less than 2 years at current employment complete Previous
Employer information.
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Previous Employer
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Employer
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Occupation
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Address
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City
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State
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Zip
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Time on Job
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(years and months)
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Work Phone
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(Please include area code.)
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| Co-Applicant Personal Info.
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First Name
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MI
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Last Name
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SS#
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(example: 123-45-6789)
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Date of Birth
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(example: 12/25/1984)
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Home Phone
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(Please include area code.)
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| Co-Applicant Residence Info
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Current Address
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City
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State
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Zip
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Type
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Mortgage/Rent
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Paid to
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Time at Residence
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(years and months)
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If less than 2 years at current residence complete Previous Residence information
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| Co-Applicant Previous Residence
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Address
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City
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State
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Zip
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Type
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Time at Residence
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(years and months)
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Co-Applicant Current Employment Info
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Employer
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Occupation
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City
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State
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Zip
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Time on Job
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(years and months)
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Work Phone
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(example: 757-555-2024 Include area code.)
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Income
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(Enter numbers only, do not enter a $ sign or commas)
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Ready For Submission
How did you hear about us?
Please contact me by:
Phone
(Please include area code.)
Email (enter email here)
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| DISCLAIMER |
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I authorize NuHome and thier affiliates to make whatever inquiries it deems necessary in connection with this credit application an in the course of review or collection of any credit extended in reliance on this application. I further authorize any person or Consumer Reporting Agency to complete and furnish to NuHome and thier affiliates any information that it may have or obtain in response to such inquiries, and agree that such information, along with this application, shall remain NuHome and thier affiliate's property, whether or not credit is extended. All information stated in this application is declared to be a true representation of the facts and made for the purpose of obtaining the credit requested
AUTHORIZATION
I have read, understand and authorize the following:
BY CLICKING THE SUBMIT BUTTON, I CERTIFY THAT THE INFORMATION
AND STATEMENTS PROVIDED ARE TRUE. FURTHERMORE, I HEREBY CONSENT TO CONTACTING MY Employer/Personel Department AND/OR My Landlord, Mortgage Company or other creditor. IN ADDITION,
I AUTHORIZE MAC/AFPC/WGI, TO REQUEST A COPY OF MY CREDIT
HISTORY FROM CREDIT REPORTING AGENCIES. I HEREBY DECLARE I AM APPLYING FOR A SALES CONTRACT WITH Nu-Home Credit Services, Inc. UNDER THE PROVISION OF SECTION 552A(B) PUBLIC LAW 93-570, COMMONLY KNOWN AS THE PRIVACY ACT
I authorize MAC/AFPC/WGI to retain this application as its
property.
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Please submit only once. This may take a
few seconds before you get your confirmation.
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