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` .S ! .S / tS t� <br />, <br />• VPPLA <br />ti . <br />DATE G/S/90 <br />� APPLICANT <br />� <br />LJ <br />VILLA PARK <br />LOAN APPLICATION FORri <br />Name; 1TT�TIFRFn RRTCK <br />Spouse: n�nP <br />Address5�n GvP�t ('niintv�'An�rl u #��R <br />�------�-.. <br />C�.ty:_R�sPv; i � ., r�rN <br />State:_MN. Zip Code:�S113 <br />Telephone:( ) 646-0947 <br />Birthdate: ��-��-�Q '� <br />BENEi� �CIARY <br />Name : (;rPQ Rri rk � <br />Rela�ionship;son <br />Address: 4679 Parkridge Dr. <br />City; Eagan, A4inn. 55123 <br />State: MN. <br />Zip Code: 55123 <br />Home Telephone: 681-9072 <br />Bus. Phone: 432-3000 <br />Do qou currently own or rent: rent <br />List all occupants of unit and relationship: Winnfred Brick <br />FINANCTAL INFORMATION: <br />Grass Annual Income: �17 700 <br />Net proceeds received or expecCed in the sale oE tormer <br />residence: �64 5U0 <br />Net Liquid Assets: <br />Amount of �oan being applied for: $20,000 <br />Desired Ur.�lt number; 3 <br />Purchase price: <br />Down payment: ' <br />2 <br />Now did you hear about �he availability.of financing? Sales office <br />n� <br />�1���C ����cn a copy or the two most recent income tax return�, a <br />personal Einancial statemenC, and income veriEication. <br />_ <br />�l � ✓ � .,� <br />Loen pplicant's Signature <br />Loan Applicant's Signature <br />1 <br />� <br />