Question: give with this application is true and complete. You authorize us to verify all your statements with any source, obtain credit and employment history, and


give with this application is true and complete. You authorize us to verify all your statements with any source, obtain credit and employment history, and exchange Information with others about your credit and account experience with us. You agree to provide additional information that we may require to process this application, Including but not limited to true and complete Federal income tax returns, employment verification and income verification.You acknowledge receipt of the "Disclosures About Home Equity Loans and Lines of Credit" and "What You Should Know About Equity Lines of Credit"Douglas Clark _06/01/13 Susan Clark_06/01/13 YOUR SIGNATURE DATE CO-APPLICANTS SIGNATURE DATEINFORMATION FOR GOVERNMENT MONITORING PURPOSES The following information is requested by the Federal Government for certain types of loans related to a dwelling, In order to monitor this bank's compliance with equal credit opportunity fair housing and mortgage disclosure laws. APPLICANT: I do not wish to furnish this Information (initials)_RACE/ American Indian or Alaskan Native __ _Asian or Pacific Islander NATIONAL __Black, not of Hispanic Origin _HispanicORIGIN X_White, not of Hispanic Origin _Other (specify) __ SEX_Female _X_MaleCO-APPLICANT: I do not wish to furnish this Information (initials)_ RACE/ _American Indian or Alaskan Native _Asian or Pacific Islander NATIONAL Black, not of Hispanic Origin _ _HispanicORIGIN X_White, not of Hispanic Origin _Other (specify) _SEX_X_Female _ _MaleBANK USE ONLY: Verification of applicant identity by. Type Res. #Mktg. Code Rx2407 S/U #X374Sales Officer_J. Smith__Social Security 000-00-8884 7 DOUGLAS AND SUSAN CLARK CASE STUDYITEM 5 -SIERRA RV/ INVOICESOLD TO:Douglas Clark1234 Mckenry LaneLos Angeles, California 89511 213-688-0000Delivered:2-2-15DATE:2-2-15ORDER# 875421SALESMAN:GreeneDESCRIPTION OF MOTOR VEHICLE . MAKE MODELYEARCOLOR SERIAL #SterlingPhoenix2015 White/Gold9864RT67Y7U7788OPTIONAL_EQUIPMENTAIR CONDITIONING
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