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Name*: |
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Email : |
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Home Phone*: |
(i.e.
913-555-1111) |
Cell
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Best
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Mailing
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First Mortgage |
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Bank:
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Last Payment Date: DD-MM-YYYY
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Balance |
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Second Mortgage |
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Bank:
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Last Payment Date: DD-MM-YYYY
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Balance |
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Type of Mortgage |
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Are you currently in bankruptcy
Yes
No If Yes What Type
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Other Liens,
Judgments, Unpaid Taxes etc..
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Please
download/print and complete The Authorization to Release Information form
and return to our office.
Authorization to Release Information form: |
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By submitting this
form you authorize Easy to Own Homes incorporated. to verify the
information presented above, and understand that final considerations
will be made contingent upon full application. |
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