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<div class=3DSection1>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;line-height:=
12.0pt;
mso-line-height-rule:exactly'><b style=3D'mso-bidi-font-weight:normal'>RUMA=
RCO
Homes</b><b style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:=
8.5pt;
font-family:Tahoma'><o:p></o:p></span></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;line-height:=
12.0pt;
mso-line-height-rule:exactly'><b style=3D'mso-bidi-font-weight:normal'>Loan
Pre-Qualification<o:p></o:p></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;line-height:=
12.0pt;
mso-line-height-rule:exactly'>583 N. Joshua <span class=3DGramE>Tree</span>=
, <st1:address
w:st=3D"on"><st1:Street w:st=3D"on">P.O. Box 741</st1:Street>, <st1:City w:=
st=3D"on">Littlefield</st1:City>,
 <st1:State w:st=3D"on">AZ</st1:State> <st1:PostalCode w:st=3D"on">86432</s=
t1:PostalCode></st1:address><br>
FAX: (928) 347-6180</p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;line-height:=
12.0pt;
mso-line-height-rule:exactly'><b style=3D'mso-bidi-font-weight:normal'>1-88=
8-462-3974<o:p></o:p></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;line-height:=
12.0pt;
mso-line-height-rule:exactly'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;line-height:=
12.0pt;
mso-line-height-rule:exactly'><b><u><span style=3D'color:black'>BORROWER
INFORMATION</span></u></b><span style=3D'color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;line-height:=
12.0pt;
mso-line-height-rule:exactly'><b><span style=3D'color:black'>&nbsp;</span><=
/b><span
style=3D'color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:12.0pt;mso-line-height-rule:exact=
ly;
tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-family:"A=
rial Narrow";
color:black'>Borrower&#8217;s Name<u>:<span style=3D'mso-tab-count:1'>&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Co-Borrower&#8217;s
Name: <u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u></span><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:12.0pt;mso-line-height-rule:exact=
ly;
tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-family:"A=
rial Narrow";
color:black'>Social Security Number:<u><span style=3D'mso-tab-count:1'>&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Soci=
al
Security Number:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u></span><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:12.0pt;mso-line-height-rule:exact=
ly;
tab-stops:99.0pt 2.5in 3.5in 351.0pt 441.0pt 7.0in 8.0in'><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow";color:black'>DOB:<u><s=
pan
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></u>#
of Dependents:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp; </span></u>Ages<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp; </span></u>DOB:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></u>#
of Dependents <u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Ages<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></=
u></span><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:12.0pt;mso-line-height-rule:exact=
ly;
tab-stops:2.25in 3.5in 6.0in 7.0in 8.0in'><span style=3D'font-size:10.0pt;
font-family:"Arial Narrow";color:black'>Marital Status:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span></u>Yrs
of School<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p; </span></u>Marital
Status:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp; </span></u>
Yrs of School<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u></span><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:12.0pt;mso-line-height-rule:exact=
ly;
tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-family:"A=
rial Narrow";
color:black'>Current Address:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Current
Address:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp; </span></u></span><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:12.0pt;mso-line-height-rule:exact=
ly;
tab-stops:153.0pt 189.0pt 3.5in 5.75in 459.0pt 7.0in 8.0in'><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow";color:black'>City:<u><=
span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></u>State:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u> =
Zip:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </s=
pan></u>City:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>State:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></u>
Zip:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u></span><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:12.0pt;mso-line-height-rule:exact=
ly;
tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-family:"A=
rial Narrow";
color:black'>County:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>County:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span></u></span><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:12.0pt;mso-line-height-rule:exact=
ly;
tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-family:"A=
rial Narrow";
color:black'>Home Phone Number:<u><span style=3D'mso-tab-count:1'>&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </=
span></u>Home
Phone Number:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u></span><s=
pan
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>

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tab-stops:189.0pt 3.5in 6.0in 7.0in 8.0in'><a name=3DCheck1></a><!--[if sup=
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style=3D'mso-bookmark:Check1'></span><span style=3D'mso-element:field-begin=
'></span><span
style=3D'mso-bookmark:Check1'><span style=3D'font-size:10.0pt;font-family:"=
Arial Narrow";
color:black'><span style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </s=
pan></span><![endif]--><span
style=3D'mso-bookmark:Check1'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400060043006800650063006B003100000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check1'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check1'></span><span style=3D'mso-bookmark:Check1'></span><span style=3D'fo=
nt-size:
10.0pt;font-family:"Arial Narrow";color:black'>Rent<span class=3DGramE>&nbs=
p; </span></span><a
name=3DCheck2></a><!--[if supportFields]><span style=3D'mso-bookmark:Check2=
'></span><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check2=
'><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow";color:black'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![endif=
]--><span
style=3D'mso-bookmark:Check2'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400060043006800650063006B003200000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check2'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check2'></span><span style=3D'mso-bookmark:Check2'></span><span style=3D'fo=
nt-size:
10.0pt;font-family:"Arial Narrow";color:black'>Own&nbsp; Monthly Payment:<u=
><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>How
Long?<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp; </span></u></span><a
name=3DCheck3></a><!--[if supportFields]><span style=3D'mso-bookmark:Check3=
'></span><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check3=
'><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow";color:black'> FORMCHEC=
KBOX </span></span><![endif]--><span
style=3D'mso-bookmark:Check3'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400060043006800650063006B003300000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check3'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check3'></span><span style=3D'mso-bookmark:Check3'></span><span style=3D'fo=
nt-size:
10.0pt;font-family:"Arial Narrow";color:black'>Rent<span class=3DGramE>&nbs=
p; </span></span><a
name=3DCheck4></a><!--[if supportFields]><span style=3D'mso-bookmark:Check4=
'></span><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check4=
'><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow";color:black'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![endif=
]--><span
style=3D'mso-bookmark:Check4'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400060043006800650063006B003400000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check4'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check4'></span><span style=3D'mso-bookmark:Check4'></span><span style=3D'fo=
nt-size:
10.0pt;font-family:"Arial Narrow";color:black'>Own&nbsp; Monthly Payment:<u=
><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp; </span></u>How
Long?<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u></span><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;line-height:=
12.0pt;
mso-line-height-rule:exactly'><b><i><span style=3D'font-size:11.0pt;font-fa=
mily:
"Arial Narrow";color:black'>If less than 2 years at current address:</span>=
</i></b><span
style=3D'color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:12.0pt;mso-line-height-rule:exact=
ly;
tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:11.0pt;font-family:"A=
rial Narrow";
color:black'>Previous Address:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp; </span></u>Previous
Address:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>=
</u></span><u><span
style=3D'color:black'><o:p></o:p></span></u></p>

<p class=3DMsoNormal style=3D'line-height:12.0pt;mso-line-height-rule:exact=
ly;
tab-stops:2.0in 2.5in 3.5in 387.0pt 423.0pt 7.0in 8.0in'><span
style=3D'font-size:11.0pt;font-family:"Arial Narrow";color:black'>City:<u><=
span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>State<u=
>:<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span> </u>Zip<u>=
:<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp; </span></u>City:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>State:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Zip<u>:=
<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u></span><span
style=3D'color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:12.0pt;mso-line-height-rule:exact=
ly;
tab-stops:171.0pt 3.5in 441.0pt 7.0in 8.0in'><a name=3DCheck5></a><!--[if s=
upportFields]><span
style=3D'mso-bookmark:Check5'></span><span style=3D'mso-element:field-begin=
'></span><span
style=3D'mso-bookmark:Check5'><span style=3D'font-size:10.0pt;font-family:"=
Arial Narrow";
color:black'><span style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </s=
pan></span><![endif]--><span
style=3D'mso-bookmark:Check5'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400060043006800650063006B003500000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check5'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check5'></span><span style=3D'mso-bookmark:Check5'></span><span style=3D'fo=
nt-size:
10.0pt;font-family:"Arial Narrow";color:black'>Rent&nbsp;</span><a name=3DC=
heck6></a><!--[if supportFields]><span
style=3D'mso-bookmark:Check6'></span><span style=3D'mso-element:field-begin=
'></span><span
style=3D'mso-bookmark:Check6'><span style=3D'font-size:10.0pt;font-family:"=
Arial Narrow";
color:black'> FORMCHECKBOX </span></span><![endif]--><span style=3D'mso-boo=
kmark:
Check6'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400060043006800650063006B003600000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check6'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check6'></span><span style=3D'mso-bookmark:Check6'></span><span style=3D'fo=
nt-size:
10.0pt;font-family:"Arial Narrow";color:black'>Own<span class=3DGramE>&nbsp;
Monthly</span> Payment:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp; </span></u>How
Long?<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>=
</u></span><a
name=3DCheck7></a><!--[if supportFields]><span style=3D'mso-bookmark:Check7=
'></span><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check7=
'><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow";color:black'> FORMCHEC=
KBOX </span></span><![endif]--><span
style=3D'mso-bookmark:Check7'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400060043006800650063006B003700000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check7'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check7'></span><span style=3D'mso-bookmark:Check7'></span><span style=3D'fo=
nt-size:
10.0pt;font-family:"Arial Narrow";color:black'>Rent<span class=3DGramE>&nbs=
p; </span></span><a
name=3DCheck8></a><!--[if supportFields]><span style=3D'mso-bookmark:Check8=
'></span><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check8=
'><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow";color:black'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![endif=
]--><span
style=3D'mso-bookmark:Check8'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400060043006800650063006B003800000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check8'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check8'></span><span style=3D'mso-bookmark:Check8'></span><span style=3D'fo=
nt-size:
10.0pt;font-family:"Arial Narrow";color:black'>Own&nbsp; Monthly Payment:<u=
><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>How
Long?<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp; </span></u></span><u><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></u></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;line-height:=
12.0pt;
mso-line-height-rule:exactly'><b><u><span style=3D'font-family:"Arial Narro=
w";
color:black'>EMPLOYMENT INFORMATION</span></u></b><span style=3D'color:blac=
k'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:12.0pt;mso-line-height-rule:exact=
ly;
tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-family:"A=
rial Narrow";
color:black'>Borrower&#8217;s Employer:<u><span style=3D'mso-tab-count:1'>&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></u>Co-Borrower&#8217;s
Employer:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span></u></span><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:12.0pt;mso-line-height-rule:exact=
ly;
tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-family:"A=
rial Narrow";
color:black'>Address:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Address:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp; </span></u></span><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:12.0pt;mso-line-height-rule:exact=
ly;
tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-family:"A=
rial Narrow";
color:black'>Contact for Employment Verification:<u><span style=3D'mso-tab-=
count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Contact
for Employment Verification:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp; </span></u></span><u><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></u></p>

<p class=3DMsoNormal style=3D'text-align:justify;line-height:12.0pt;mso-lin=
e-height-rule:
exactly;tab-stops:2.0in 3.5in 5.5in 7.0in 8.0in'><span style=3D'font-size:1=
0.0pt;
font-family:"Arial Narrow";color:black'>Salary:<u><span style=3D'mso-tab-co=
unt:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span></u>Date
of Hire:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Salary:<=
u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Date
of Hire<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u></s=
pan><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify;line-height:12.0pt;mso-lin=
e-height-rule:
exactly;tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-f=
amily:
"Arial Narrow";color:black'>Work Phone Number:<u><span style=3D'mso-tab-cou=
nt:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span></u>Work
Phone Number:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u></s=
pan><u><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></u></p>

<p class=3DMsoNormal style=3D'text-align:justify;line-height:12.0pt;mso-lin=
e-height-rule:
exactly;tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-f=
amily:
"Arial Narrow";color:black'>Position:<u><span style=3D'mso-tab-count:1'>&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Pos=
ition:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp; </span></u></span><u><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></u></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;line-height:=
12.0pt;
mso-line-height-rule:exactly'><b><i><span style=3D'font-size:11.0pt;font-fa=
mily:
"Arial Narrow";color:black'>If less than 2 years at current employer:</span=
></i></b><span
style=3D'color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify;line-height:12.0pt;mso-lin=
e-height-rule:
exactly;tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-f=
amily:
"Arial Narrow";color:black'>Borrower&#8217;s Previous Employer:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp; </span></u>Co-Borrower&#8217;s
Employer:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span></u></span><u><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></u></p>

<p class=3DMsoNormal style=3D'text-align:justify;line-height:12.0pt;mso-lin=
e-height-rule:
exactly;tab-stops:81.0pt 2.25in 3.5in 333.0pt 5.75in 7.0in 8.0in'><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow";color:black'>Salary:<u=
><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span></u>Start
Date:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp; </span></u>Finish
Date:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp; </span></u>Salary:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span></u>Start
Date:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp; </span>
</u>Finish Date:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span></u></span><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;line-height:=
12.0pt;
mso-line-height-rule:exactly'><b><u><span style=3D'font-family:"Arial Narro=
w";
color:black'>ASSET INFORMATION</span></u></b><span style=3D'color:black'><o=
:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify;line-height:12.0pt;mso-lin=
e-height-rule:
exactly;tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-f=
amily:
"Arial Narrow";color:black'>Bank:<u><span style=3D'mso-tab-count:1'>&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></u>Balance:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp; </span></u></span><u><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></u></p>

<p class=3DMsoNormal style=3D'text-align:justify;line-height:12.0pt;mso-lin=
e-height-rule:
exactly;tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-f=
amily:
"Arial Narrow";color:black'>Bank:<u><span style=3D'mso-tab-count:1'>&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></u>Balance:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp; </span></u></span><u><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></u></p>

<p class=3DMsoNormal style=3D'text-align:justify;line-height:12.0pt;mso-lin=
e-height-rule:
exactly;tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-f=
amily:
"Arial Narrow";color:black'>Retirement Accounts:<u><span style=3D'mso-tab-c=
ount:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp; </span></u>Balance:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp; </span></u></span><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify;line-height:12.0pt;mso-lin=
e-height-rule:
exactly;tab-stops:3.5in 7.0in 8.0in'><span style=3D'font-size:10.0pt;font-f=
amily:
"Arial Narrow";color:black'>Other Assets:<u><span style=3D'mso-tab-count:1'=
>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp; </span></u>Balance:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp; </span></u></span><u><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></u></p>

<p class=3DMsoNormal style=3D'text-align:justify;line-height:12.0pt;mso-lin=
e-height-rule:
exactly'><u><span style=3D'font-size:10.0pt;font-family:"Arial Narrow";
color:black'>&nbsp;</span></u><span style=3D'color:black'><o:p></o:p></span=
></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;line-height:=
12.0pt;
mso-line-height-rule:exactly'><b><u><span style=3D'font-family:"Arial Narro=
w";
color:black'>LIABILITY INFORMATION</span></u></b><span style=3D'color:black=
'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'text-align:justify;line-height:12.0pt;mso-lin=
e-height-rule:
exactly;tab-stops:3.75in 5.25in 7.0in 8.0in'><span style=3D'font-size:10.0p=
t;
font-family:"Arial Narrow";color:black'>Creditor:<u><span style=3D'mso-tab-=
count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Payment:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span=
></u>Balance:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u></span><u><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></u></p>

<p class=3DMsoNormal style=3D'text-align:justify;line-height:12.0pt;mso-lin=
e-height-rule:
exactly;tab-stops:3.75in 5.25in 7.0in 8.0in'><span style=3D'font-size:10.0p=
t;
font-family:"Arial Narrow";color:black'>Creditor:<u><span style=3D'mso-tab-=
count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Payment:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span=
></u>Balance:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u></span><u><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></u></p>

<p class=3DMsoNormal style=3D'text-align:justify;line-height:12.0pt;mso-lin=
e-height-rule:
exactly;tab-stops:3.75in 5.25in 7.0in 8.0in'><span style=3D'font-size:10.0p=
t;
font-family:"Arial Narrow";color:black'>Creditor:<u><span style=3D'mso-tab-=
count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Payment:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span=
></u>Balance:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u></span><u><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></u></p>

<p class=3DMsoNormal style=3D'text-align:justify;line-height:12.0pt;mso-lin=
e-height-rule:
exactly;tab-stops:3.75in 5.25in 7.0in 8.0in'><span style=3D'font-size:10.0p=
t;
font-family:"Arial Narrow";color:black'>Creditor:<u><span style=3D'mso-tab-=
count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Payment:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span=
></u>Balance:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u></span><u><span
style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></u></p>

<b><u><span style=3D'font-size:12.0pt;font-family:"Arial Narrow";mso-fareas=
t-font-family:
"Times New Roman";mso-bidi-font-family:"Times New Roman";color:black;
mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'=
><br
clear=3Dall style=3D'page-break-before:always'>
</span></u></b>

<p class=3DMsoNormal align=3Dcenter style=3D'mso-margin-top-alt:auto;mso-ma=
rgin-bottom-alt:
auto;text-align:center'><b><u><span style=3D'font-family:"Arial Narrow";
color:black'>HOME CONSTRUCTION INFORMATION</span></u></b><span
style=3D'color:black'><o:p></o:p></span></p>

<table class=3DMsoNormalTable border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-padding-alt:0in 0in 0in 0in;mso-border-insideh:.5pt solid windowtext;
 mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=3D439 valign=3Dtop style=3D'width:329.4pt;border:solid windowte=
xt 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal><span style=3D'font-size:10.0pt'>(A) Home Info: <o:p=
></o:p></span></p>
  <p class=3DMsoNormal><a name=3DCheck9></a><!--[if supportFields]><span
  style=3D'mso-bookmark:Check9'></span><span style=3D'mso-element:field-beg=
in'></span><span
  style=3D'mso-bookmark:Check9'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check9'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400060043006800650063006B0039000000000000000000=
00000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check9'></span><span style=3D'mso-element:field-end'></span><![endif]--><=
span
  style=3D'mso-bookmark:Check9'></span><span style=3D'font-size:10.0pt'><sp=
an
  style=3D'mso-spacerun:yes'>&nbsp;</span>Manufactured (HUD)<span
  style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span> </span><a name=3DChe=
ck10></a><!--[if supportFields]><span
  style=3D'mso-bookmark:Check10'></span><span style=3D'mso-element:field-be=
gin'></span><span
  style=3D'mso-bookmark:Check10'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check10'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0031003000000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check10'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check10'></span><span style=3D'font-size:10.0pt'><s=
pan
  style=3D'mso-spacerun:yes'>&nbsp;</span>Modular<o:p></o:p></span></p>
  <p class=3DMsoNormal style=3D'tab-stops:1.5in 207.0pt'><a name=3DCheck11>=
</a><!--[if supportFields]><span
  style=3D'mso-bookmark:Check11'></span><span style=3D'mso-element:field-be=
gin'></span><span
  style=3D'mso-bookmark:Check11'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check11'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0031003100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check11'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check11'></span><span style=3D'font-size:10.0pt'><s=
pan
  style=3D'mso-spacerun:yes'>&nbsp;</span>Ranch<span style=3D'mso-tab-count=
:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
  </span><a name=3DCheck12></a><!--[if supportFields]><span style=3D'mso-bo=
okmark:
  Check12'></span><span style=3D'mso-element:field-begin'></span><span
  style=3D'mso-bookmark:Check12'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check12'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0031003200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check12'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check12'></span><span style=3D'font-size:10.0pt'><s=
pan
  style=3D'mso-spacerun:yes'>&nbsp;</span><st1:place w:st=3D"on">Cape Cod</=
st1:place><span
  style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>=
</span><a
  name=3DCheck13></a><!--[if supportFields]><span style=3D'mso-bookmark:Che=
ck13'></span><span
  style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Chec=
k13'><span
  style=3D'font-size:10.0pt'> FORMCHECKBOX </span></span><![endif]--><span
  style=3D'mso-bookmark:Check13'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0031003300000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check13'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check13'></span><span style=3D'font-size:10.0pt'><s=
pan
  style=3D'mso-spacerun:yes'>&nbsp;</span>Two Story<o:p></o:p></span></p>
  <p class=3DMsoNormal style=3D'tab-stops:72.75pt 153.0pt'><span style=3D'f=
ont-size:
  10.0pt'>Length:<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp; </span>Width:<span
  style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp; </span>Square
  Footage: <span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span><o:p></o:p></span></p>
  </td>
  <td width=3D252 valign=3Dbottom style=3D'width:189.0pt;border:solid windo=
wtext 1.0pt;
  border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:
  solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-margin-top-alt:auto;mso-margin-bottom-a=
lt:auto;
  tab-stops:155.85pt'><span style=3D'font-size:10.0pt;font-family:"Arial Na=
rrow";
  color:black'>$<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </spa=
n>(A)</span><span
  style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:1'>
  <td width=3D439 valign=3Dtop style=3D'width:329.4pt;border:solid windowte=
xt 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
  style=3D'font-size:10.0pt'>(B) Land Info</span></b><span style=3D'font-si=
ze:10.0pt'>:<o:p></o:p></span></p>
  <p class=3DMsoNormal style=3D'tab-stops:2.0in'><a name=3DCheck14></a><!--=
[if supportFields]><span
  style=3D'mso-bookmark:Check14'></span><span style=3D'mso-element:field-be=
gin'></span><span
  style=3D'mso-bookmark:Check14'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check14'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0031003400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check14'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check14'></span><span style=3D'font-size:10.0pt'><s=
pan
  style=3D'mso-spacerun:yes'>&nbsp;</span>Purchase&nbsp;<a name=3DCheck15><=
span
  style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
  </a></span><span style=3D'mso-bookmark:Check15'></span><!--[if supportFie=
lds]><span
  style=3D'mso-bookmark:Check15'></span><span style=3D'mso-element:field-be=
gin'></span><span
  style=3D'mso-bookmark:Check15'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check15'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0031003500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check15'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check15'></span><span style=3D'font-size:10.0pt'>Pa=
yoff of
  balance owed<o:p></o:p></span></p>
  <p class=3DMsoNormal><a name=3DCheck16></a><!--[if supportFields]><span
  style=3D'mso-bookmark:Check16'></span><span style=3D'mso-element:field-be=
gin'></span><span
  style=3D'mso-bookmark:Check16'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check16'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0031003600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check16'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check16'></span><span style=3D'font-size:10.0pt'><s=
pan
  style=3D'mso-spacerun:yes'>&nbsp;</span>Owned Free &amp; Clear<span
  style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span> </span><a
  name=3DCheck17></a><!--[if supportFields]><span style=3D'mso-bookmark:Che=
ck17'></span><span
  style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Chec=
k17'><span
  style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check17'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0031003700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check17'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check17'></span><span style=3D'font-size:10.0pt'>Gi=
ft<o:p></o:p></span></p>
  <p class=3DMsoNormal style=3D'tab-stops:4.25in'><span style=3D'font-size:=
10.0pt'>Property
  Address:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p=
></u></span></p>
  <p class=3DMsoNormal style=3D'tab-stops:4.25in'><u><span style=3D'font-si=
ze:10.0pt'><span
  style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp; </span></span></u><span
  style=3D'font-size:10.0pt'><o:p></o:p></span></p>
  <p class=3DMsoNormal style=3D'tab-stops:171.0pt 4.25in'><span style=3D'fo=
nt-size:
  10.0pt'>Date Acquired:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Acreage:<u><span
  style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p><=
/o:p></u></span></p>
  <p class=3DMsoNormal style=3D'tab-stops:144.75pt 4.25in'><span style=3D'f=
ont-size:
  10.0pt'>Purchase Price:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Estimated
  Value:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:=
p></o:p></u></span></p>
  <p class=3DMsoNormal style=3D'tab-stops:307.5pt'><span style=3D'font-size=
:10.0pt'>Balance
  Owed:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp; </span></u><o:p></o:p></span></p>
  </td>
  <td width=3D252 valign=3Dbottom style=3D'width:189.0pt;border-top:none;bo=
rder-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-margin-top-alt:auto;mso-margin-bottom-a=
lt:auto;
  tab-stops:157.35pt'><span style=3D'font-size:10.0pt;font-family:"Arial Na=
rrow";
  color:black'>$<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
 </span>(B)</span><span
  style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:2'>
  <td width=3D439 valign=3Dtop style=3D'width:329.4pt;border:solid windowte=
xt 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
  style=3D'font-size:10.0pt'>(C) Construction Info:<o:p></o:p></span></b></=
p>
  <p class=3DMsoNormal style=3D'tab-stops:1.25in 189.0pt'><a name=3DCheck18=
></a><!--[if supportFields]><span
  style=3D'mso-bookmark:Check18'></span><span style=3D'mso-element:field-be=
gin'></span><span
  style=3D'mso-bookmark:Check18'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check18'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0031003800000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check18'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check18'></span><span style=3D'font-size:10.0pt'><s=
pan
  style=3D'mso-spacerun:yes'>&nbsp;</span>Basement<span style=3D'mso-tab-co=
unt:
  1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp; </span>
  </span><a name=3DCheck19></a><!--[if supportFields]><span style=3D'mso-bo=
okmark:
  Check19'></span><span style=3D'mso-element:field-begin'></span><span
  style=3D'mso-bookmark:Check19'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check19'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0031003900000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check19'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check19'></span><span style=3D'font-size:10.0pt'><s=
pan
  style=3D'mso-spacerun:yes'>&nbsp;</span>Crawlspace<span style=3D'mso-tab-=
count:
  1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp; </span>
  </span><a name=3DCheck20></a><!--[if supportFields]><span style=3D'mso-bo=
okmark:
  Check20'></span><span style=3D'mso-element:field-begin'></span><span
  style=3D'mso-bookmark:Check20'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check20'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003000000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check20'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check20'></span><span style=3D'font-size:10.0pt'><s=
pan
  style=3D'mso-spacerun:yes'>&nbsp;</span>Piers/Skirting<o:p></o:p></span><=
/p>
  <p class=3DMsoNormal style=3D'tab-stops:1.25in 189.0pt'><a name=3DCheck21=
></a><!--[if supportFields]><span
  style=3D'mso-bookmark:Check21'></span><span style=3D'mso-element:field-be=
gin'></span><span
  style=3D'mso-bookmark:Check21'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check21'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003100000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check21'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check21'></span><span style=3D'font-size:10.0pt'><s=
pan
  style=3D'mso-spacerun:yes'>&nbsp;</span>Well<span style=3D'mso-tab-count:=
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp; </span>
  </span><a name=3DCheck22></a><!--[if supportFields]><span style=3D'mso-bo=
okmark:
  Check22'></span><span style=3D'mso-element:field-begin'></span><span
  style=3D'mso-bookmark:Check22'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check22'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003200000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check22'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check22'></span><span style=3D'font-size:10.0pt'><s=
pan
  style=3D'mso-spacerun:yes'>&nbsp;</span>Septic<span style=3D'mso-tab-coun=
t:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span>
  </span><a name=3DCheck23></a><!--[if supportFields]><span style=3D'mso-bo=
okmark:
  Check23'></span><span style=3D'mso-element:field-begin'></span><span
  style=3D'mso-bookmark:Check23'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check23'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003300000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check23'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check23'></span><span style=3D'font-size:10.0pt'><s=
pan
  style=3D'mso-spacerun:yes'>&nbsp;</span>Electrical<o:p></o:p></span></p>
  <p class=3DMsoNormal style=3D'tab-stops:1.25in 305.25pt'><a name=3DCheck2=
4></a><!--[if supportFields]><span
  style=3D'mso-bookmark:Check24'></span><span style=3D'mso-element:field-be=
gin'></span><span
  style=3D'mso-bookmark:Check24'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check24'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003400000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check24'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check24'></span><span style=3D'font-size:10.0pt'><s=
pan
  style=3D'mso-spacerun:yes'>&nbsp;</span>Driveway<span style=3D'mso-tab-co=
unt:
  1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp; </span>
  </span><a name=3DCheck25></a><!--[if supportFields]><span style=3D'mso-bo=
okmark:
  Check25'></span><span style=3D'mso-element:field-begin'></span><span
  style=3D'mso-bookmark:Check25'><span style=3D'font-size:10.0pt'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><![end=
if]--><span
  style=3D'mso-bookmark:Check25'><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003500000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check25'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check25'></span><span style=3D'font-size:10.0pt'><s=
pan
  style=3D'mso-spacerun:yes'>&nbsp;</span>Other:<u><span style=3D'mso-tab-c=
ount:
  1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp; </span></u>
  &nbsp;<o:p></o:p></span></p>
  </td>
  <td width=3D252 valign=3Dbottom style=3D'width:189.0pt;border-top:none;bo=
rder-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-margin-top-alt:auto;mso-margin-bottom-a=
lt:auto;
  tab-stops:157.35pt'><span style=3D'font-size:10.0pt;font-family:"Arial Na=
rrow";
  color:black'>$<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
 </span>(C)</span><span
  style=3D'font-size:10.0pt;color:black'><o:p></o:p></span></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:3;mso-yfti-lastrow:yes'>
  <td width=3D439 valign=3Dtop style=3D'width:329.4pt;border:solid windowte=
xt 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
  style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></span></b></p>
  <p class=3DMsoNormal align=3Dright style=3D'text-align:right'><span
  style=3D'font-size:10.0pt'>Total Cost of Construction (A) + (B) + (C)<o:p=
></o:p></span></p>
  </td>
  <td width=3D252 valign=3Dbottom style=3D'width:189.0pt;border-top:none;bo=
rder-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-margin-top-alt:auto;mso-margin-bottom-a=
lt:auto;
  tab-stops:157.35pt'><span style=3D'font-size:10.0pt;font-family:"Arial Na=
rrow";
  color:black'>$<o:p></o:p></span></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><b><u><o:p><span style=3D'text-decoration:none'>&nbsp;=
</span></o:p></u></b></p>

<p class=3DMsoNormal style=3D'tab-stops:2.5in 4.5in'><b><span style=3D'font=
-size:
10.0pt'>Down Payment</span></b><u><span style=3D'font-size:10.0pt;mso-bidi-=
font-weight:
bold'>:</span></u><u><span style=3D'font-size:10.0pt'><span style=3D'mso-ta=
b-count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp; </span></span></u><span
style=3D'font-size:10.0pt'> Maximum cash<u><span style=3D'mso-tab-count:1'>=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><=
/u>
Trade equity to be <o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:2.5in 4.5in'><span class=3DGramE><s=
pan
style=3D'font-size:10.0pt'>desired</span></span><u><span style=3D'font-size=
:10.0pt'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></u><span
style=3D'font-size:10.0pt'> reserve for<u><span style=3D'mso-tab-count:1'>&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>
applied toward&nbsp; <o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:2.5in 4.5in 7.0in'><span style=3D'f=
ont-size:
10.0pt'>Down payment<span class=3DGramE>:<u>$</u></span><u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span></u>
Down payment:<u>$<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp; </span></u>
Down payment:<u>$<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u><o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'>&nbsp;<o:p></o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'tab-stops:5.0in'><span style=3D'font-size:10.=
0pt'>Desired
Monthly Payment (Principal + Interest):<u>$<span style=3D'mso-tab-count:1'>=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
+ escrows</u><o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'>&nbsp;</span></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0
 style=3D'border-collapse:collapse;border:none;mso-border-alt:solid windowt=
ext .5pt;
 mso-yfti-tbllook:480;mso-padding-alt:0in 5.4pt 0in 5.4pt;mso-border-inside=
h:
 .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=3D463 valign=3Dtop style=3D'width:347.4pt;border:solid windowte=
xt 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal><b>Please answer the following:</b></p>
  </td>
  <td width=3D120 style=3D'width:1.25in;border:solid windowtext 1.0pt;borde=
r-left:
  none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windo=
wtext .5pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'>Borrower<=
/p>
  </td>
  <td width=3D113 style=3D'width:84.6pt;border:solid windowtext 1.0pt;borde=
r-left:
  none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windo=
wtext .5pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'>Co-Borrow=
er</p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:1'>
  <td width=3D463 valign=3Dtop style=3D'width:347.4pt;border:solid windowte=
xt 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal><span style=3D'font-size:10.0pt'>Have you been decla=
red
  bankrupt within the last 7 years?</span></p>
  </td>
  <td width=3D120 style=3D'width:1.25in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><!--[if s=
upportFields]><span
  style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Chec=
k26'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span><![endif]--><=
span
  style=3D'mso-bookmark:Check26'><![if !supportNestedAnchors]><a name=3DChe=
ck26></a><![endif]><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check26'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check26'></span>Yes<span style=3D'mso-spacerun:yes'=
>&nbsp;
  </span><!--[if supportFields]><span style=3D'mso-element:field-begin'></s=
pan><span
  style=3D'mso-bookmark:Check27'><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span><![endif]--><=
span
  style=3D'mso-bookmark:Check27'><![if !supportNestedAnchors]><a name=3DChe=
ck27></a><![endif]><!--[if gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookma=
rk:
  Check27'></span><span style=3D'mso-element:field-end'></span><![endif]-->=
<span
  style=3D'mso-bookmark:Check27'></span>No</p>
  </td>
  <td width=3D113 style=3D'width:84.6pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><!--[if s=
upportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->Yes<span
  style=3D'mso-spacerun:yes'>&nbsp; </span><!--[if supportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->No</p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:2'>
  <td width=3D463 valign=3Dtop style=3D'width:347.4pt;border:solid windowte=
xt 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal><span style=3D'font-size:10.0pt'>Have you had proper=
ty
  foreclosed upon or given title or deed in lieu thereof in the last 7 year=
s?</span></p>
  </td>
  <td width=3D120 style=3D'width:1.25in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><!--[if s=
upportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->Yes<span
  style=3D'mso-spacerun:yes'>&nbsp; </span><!--[if supportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->No</p>
  </td>
  <td width=3D113 style=3D'width:84.6pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><!--[if s=
upportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->Yes<span
  style=3D'mso-spacerun:yes'>&nbsp; </span><!--[if supportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->No</p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:3'>
  <td width=3D463 valign=3Dtop style=3D'width:347.4pt;border:solid windowte=
xt 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal><span style=3D'font-size:10.0pt'>Are you obligated t=
o pay
  alimony, child support, or separate maintenance?</span></p>
  </td>
  <td width=3D120 style=3D'width:1.25in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><!--[if s=
upportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->Yes<span
  style=3D'mso-spacerun:yes'>&nbsp; </span><!--[if supportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->No</p>
  </td>
  <td width=3D113 style=3D'width:84.6pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><!--[if s=
upportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->Yes<span
  style=3D'mso-spacerun:yes'>&nbsp; </span><!--[if supportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->No</p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:4'>
  <td width=3D463 valign=3Dtop style=3D'width:347.4pt;border:solid windowte=
xt 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal><span style=3D'font-size:10.0pt'>Are you a co-maker =
or
  endorser on a note?</span></p>
  </td>
  <td width=3D120 style=3D'width:1.25in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><!--[if s=
upportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->Yes<span
  style=3D'mso-spacerun:yes'>&nbsp; </span><!--[if supportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->No</p>
  </td>
  <td width=3D113 style=3D'width:84.6pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><!--[if s=
upportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->Yes<span
  style=3D'mso-spacerun:yes'>&nbsp; </span><!--[if supportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->No</p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:5;mso-yfti-lastrow:yes'>
  <td width=3D463 valign=3Dtop style=3D'width:347.4pt;border:solid windowte=
xt 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal><span style=3D'font-size:10.0pt'>Are you a U.S. Citi=
zen?<o:p></o:p></span></p>
  </td>
  <td width=3D120 style=3D'width:1.25in;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><!--[if s=
upportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->Yes<span
  style=3D'mso-spacerun:yes'>&nbsp; </span><!--[if supportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->No</p>
  </td>
  <td width=3D113 style=3D'width:84.6pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><!--[if s=
upportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003600000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->Yes<span
  style=3D'mso-spacerun:yes'>&nbsp; </span><!--[if supportFields]><span
  style=3D'mso-element:field-begin'></span><span
  style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX <![endif]--><!--[if =
gte mso 9]><xml>
   <w:data>FFFFFFFF650000001400070043006800650063006B0032003700000000000000=
000000000000000000000000000000000000</w:data>
  </xml><![endif]--><!--[if supportFields]><span style=3D'mso-element:field=
-end'></span><![endif]-->No<b
  style=3D'mso-bidi-font-weight:normal'><o:p></o:p></b></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'>Information for Government Monitoring Purposes<o:p></o:p></b></p>

<p class=3DMsoNormal style=3D'line-height:10.0pt;mso-line-height-rule:exact=
ly'><span
style=3D'font-size:9.0pt;color:black'>The following information is requeste=
d by
the Federal Government for certain types of loans related to a dwelling in
order to monitor the lender&#8217;s compliance with equal credit opportunit=
y,
fair housing and home mortgage disclosure laws.&nbsp; You are not required =
to
furnish this information, but are encouraged to do so.&nbsp; The law provid=
es
that a lender may discriminate neither on the basis of this information, no=
r on
whether you choose to furnish it.&nbsp; If you furnish the information, ple=
ase
provide both ethnicity and race.&nbsp; For race, you may check more than one
designation.&nbsp; If you do not furnish ethnicity, race, or sex, under Fed=
eral
regulations, this lender is required to note the information on the basis of
visual observation or surname.&nbsp; If you do not wish to furnish the
information, please check the box below.&nbsp; (Lender must review the above
material to assure that the disclosures satisfy all requirements to which t=
he
lender is subject under applicable state law for the particular type of loan
applied for.)<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:10.0pt;mso-line-height-rule:exact=
ly'><span
style=3D'font-size:10.0pt;color:black'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:1.0in 3.5in'><b><span style=3D'font=
-size:
10.0pt;font-family:"Arial Narrow"'>Borrower</span></b><span style=3D'font-s=
ize:
10.0pt;font-family:"Arial Narrow"'>: <u><span style=3D'mso-tab-count:1'>&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
 </span></u>&nbsp;I
do not wish to furnish this information<span style=3D'mso-tab-count:1'>&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b>Co-Borrower</b>:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span></u>
I do not wish to furnish this information<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:3.5in'><b><span style=3D'font-size:=
10.0pt;
font-family:"Arial Narrow"'>Ethnicity:</span></b><span style=3D'font-size:1=
0.0pt;
font-family:"Arial Narrow"'> _____Hispanic or Latino&nbsp;&nbsp; _____Not
Hispanic or Latino<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp; </span><b>Ethnicity:</b>
_____Hispanic or Latino&nbsp;&nbsp; _____Not Hispanic or Latino<o:p></o:p><=
/span></p>

<p class=3DMsoNormal style=3D'tab-stops:.25in 3.5in'><b><span style=3D'font=
-size:
10.0pt;font-family:"Arial Narrow"'>Race:</span></b><span style=3D'font-size=
:10.0pt;
font-family:"Arial Narrow"'> &nbsp;&nbsp;&nbsp; _____&nbsp;American
Indian&nbsp;&nbsp;&nbsp; _____Asian _____ Black<span style=3D'mso-tab-count=
:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b>Race:</b><span
style=3D'mso-spacerun:yes'>&nbsp; </span>_____American
Indian&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
_____Asian&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; _____Black<o:p></o:p><=
/span></p>

<p class=3DMsoNormal style=3D'tab-stops:.25in 1.25in 171.0pt 3.5in 3.75in 4=
.75in 5.75in'><u><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow"'>.<span style=3D'mso-t=
ab-count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></u><st1:place w:st=
=3D"on"><st1:State
 w:st=3D"on"><span class=3DGramE><span style=3D'font-size:10.0pt;font-famil=
y:"Arial Narrow"'>Alaska</span></span></st1:State></st1:place><span
class=3DGramE><span style=3D'font-size:10.0pt;font-family:"Arial Narrow"'>
Native<span style=3D'mso-spacerun:yes'>&nbsp; </span><u><span style=3D'mso-=
tab-count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Native Hawai=
ian <u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span></u>Other
Pacific Islander<span style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span><u>.</u=
></span></span><u><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow"'><span style=3D'mso-ta=
b-count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></u><st1:State w:st=
=3D"on"><st1:place
 w:st=3D"on"><span style=3D'font-size:10.0pt;font-family:"Arial Narrow"'>Al=
aska</span></st1:place></st1:State><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow"'> Native<span
style=3D'mso-spacerun:yes'>&nbsp; </span><u><span style=3D'mso-tab-count:1'=
>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>Native
Hawaiian <u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span=
></u>Other
Pacific Islander<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:3.5in'><span style=3D'font-size:10.=
0pt;
font-family:"Arial Narrow"'>_____White<span style=3D'mso-tab-count:1'>&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>_____White<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:3.5in'><b><span style=3D'font-size:=
10.0pt;
font-family:"Arial Narrow"'>Sex:</span></b><span style=3D'font-size:10.0pt;
font-family:"Arial Narrow"'> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; _____Male
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;
_____Female<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b>Sex:</b>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;
_____Male
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;
_____Female&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p; <o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'mso-margin-top-alt:auto;mso-margin-bottom-alt=
:auto;
text-align:justify'><b><span style=3D'font-size:11.0pt;font-family:"Arial N=
arrow";
color:black'>CONSENT</span></b><span style=3D'font-size:11.0pt;font-family:=
"Arial Narrow";
color:black'>: I, the undersigned consumer, direct ________________________=
____________
to obtain a copy of my credit report.&nbsp; This consent shall automatically
expire thirty (30) days from the date of my signature below.</span><span
style=3D'color:black'><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:3.5in'>Borrower<span style=3D'mso-t=
ab-count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Co-Borrower</p>

<p class=3DMsoNormal style=3D'tab-stops:171.0pt 3.5in 423.0pt 7.0in'>Signat=
ure:<u><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
Date:<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
</u>Signature:<u><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Dat=
e<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></=
u></p>

</div>

</body>

</html>
