Primary or Co-Applicant
Name
SSN
Phone
Address
Residential Status
Time at Address (Years/Months)
Rent/Mortgage per Month
Previous Address (Only if you are at your current address for less than 2 years)
Time at Previous Address (Years)
Driver's License State
Employment Type
EmployedUnemployedSelf EmployedMilitaryRetiredOther
Employer Phone Number
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