Information
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Document No.
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Audit
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Conducted on
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Mr.
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Mrs.
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Last Name
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Client Email
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Prepared by
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Location
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Personnel
HOME SURVEY
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HOME BUILT
- 1955
- 1966
- 1957
- 1958
- 1959
- 1960
- 1961
- 1962
- 1963
- 1964
- 1965
- 1966
- 1067
- 1968
- 1969
- 1970
- 1971
- 1972
- 1973
- 1974
- 1975
- 1976
- 1977
- 1978
- 1979
- 1980
- 1981
- 1982
- 1983
- 1984
- 1985
- 1986
- 1987
- 1988
- 1989
- 1990
- 1991
- 1992
- 1993
- 1994
- 1995
- 1996
- 1997
- 1998
- 1999
- 2000
- 2001
- 2002
- 2003
- 2004
- 2005
- 2006
- 2007
- 2008
- 2009
- 2010
- 2011
- 2012
- 2013
- 2014
- 2015
- 2016
- 2017
- 2018
- 2019
- 2020
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MOVED IN
- 1955
- 1966
- 1957
- 1958
- 1959
- 1960
- 1961
- 1962
- 1963
- 1964
- 1965
- 1966
- 1067
- 1968
- 1969
- 1970
- 1971
- 1972
- 1973
- 1974
- 1975
- 1976
- 1977
- 1978
- 1979
- 1980
- 1981
- 1982
- 1983
- 1984
- 1985
- 1986
- 1987
- 1988
- 1989
- 1990
- 1991
- 1992
- 1993
- 1994
- 1995
- 1996
- 1997
- 1998
- 1999
- 2000
- 2001
- 2002
- 2003
- 2004
- 2005
- 2006
- 2007
- 2008
- 2009
- 2010
- 2011
- 2012
- 2013
- 2014
- 2015
- 2016
- 2017
- 2018
- 2019
- 2020
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Concern with rising ENERGY COST
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PLANNING TO MOVE
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How many square FT is your home
- 1000-1500"SqFt
- 1500-2000 SqFt
- 2000-2500 SqFt
- 2500-3000 SqFt
- 3000-3500 SqFt
- 4000+ SqFt
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Do you use Electric or Gas
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Do you consider your HOME ENERGY EFFICIENT?
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Is your Hot Water Heater Electric or Gas
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How old is it?
- Old
- New
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
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AVERAGE MONTHLY ELECTRIC. BILL
- $100
- $150
- $200
- $250
- $300
- $350
- $400
- $450
- $500
- $550
- $600
- $650
- $700
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ADD ANY ADDITIONAL INSULATION
- No
- Yes
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Is there an area in your home , chilly, drafty, warmer...etc
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Specify......Where
- Front Living Room
- Living Room
- Dining Room 1
- Dining Room 2
- Kitchen
- Master Bedroom
- Bedroom 1
- Bedroom 2
- Bedroom 3
- Kid Room 1
- Kids Room 2
- Garage
- Office
- Others
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Any Specific Areas of concern
HOME ENERGY INSPECTION. DOE SUGGESTED. SAVINGS
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Refrigerator Energy Star/Adjust Temp. 1%
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Outlet Covers. Insulation. 1%
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Front Door. Energy Star/Storm Door/Weather Stripping. 1%
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Windows. Double Pane/Energy Film. 1%
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Sliding Glass Doors. Energy Film. 1%
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AC Thermostat Programmable. 3%
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Light Bulbs. CFL/LED. 3%
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Pool Circulation. Variable Speed. $40-$60 per mth..
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Air Conditioning. 14 Seer. Varies
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Attic Rafters. Reflective insulation. Up to 25%
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Attic Ventilation. Solar Turbine Fan. 10-30%
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Attic Floor. R30 to R60. 10%
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Water Heater. Solar Water Heater. 20% to 40%
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Notes
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Audit Information
Mrs......HOMEOWNER REACTION REPORT
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After reviewing the Energy evaluation, I feel my electric bills are:
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In the future my electric bills will:
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Clean, renewable energy for my family is:
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The amount of money a solar system would save me per month is:
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Would you like to have Solar power in your home in the future?
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What features appeal to you most?
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Add signature
Mr......HOMEOWNER REACTION REPORT
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After reviewing the Energy evaluation, I feel my electric bills are:
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In the future my electric bills will:
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Clean, renewable energy for my family is:
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The amount of money a solar system would save me per month is:
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Would you like to have Solar power in your home in the future?
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What features appeal to you most?
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Add signature
Energy Inspection Sign-out
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Energy Representative Signature
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Sign Out
GREEN SOLUTION
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Heating & Cooling Square FT= _______________x 1.30 ________________
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Garage
Cellulose Brown Insulation
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Heating & Cooling Square FT= _______________
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Garage
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36 Compact Florescent Bulbs
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Electric Use Regulator
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Green Pack
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Estimate Time and Date for installation
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Special instructions
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I accept the terms of installation:
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DATE
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Special instructions
NEW SOLAR WATER HEATING SYSTEM
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Closet
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Garage
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Distance Tank to Elec Outlet
- 5ft
- 6ft
- 7ft
- 8ft
- 9ft
- 10ft
- 11ft
- 12ft
- 13ft
- 14ft
- 15ft
- 16ft
- 17ft
- 18ft
- 19ft
- 20ft
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Free standing panel rack
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Roof Mount The Panel
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New 80 gal tank w/. (1) - 4' x 10' panel
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New 120 gal tank w/. (2) 4' x 10' panel
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# of Users
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
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Retro Kit for Original tank
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Original Tank Size
- 40 gal
- 50 gal
- 66 gal
- 80 gal
- 120
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Original Tank
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PVC PUMP OPTION
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Roof type
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Roof Color
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Exterior wall Type
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Roof Height
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Attic Space
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Installation Diagram
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Picture of Home
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Picture of home 2
ALLSOLAR CREDIT APPLICATION
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Select date
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Contractor Phone: 407-846-7830 Contractor Fax: 407-847-5013
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Representative Name: Thomas Wootson. Representative Cell: 407-580-3554
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Is the property a house
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What county is the property located in?
- Lake
- Orange
- Seminole
- Polk
- Osceola
- Volusia
- Brevard
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Project Amount:
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Down Payment
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Amount Financed
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Planned Sold: Desired Terms:
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Est. Payment Request:
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Others:
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Is it a mobile home?
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Double or Single-wide
- Double Wide
- Single Wide
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Foundation: Brick or Block
- Brick
- Block
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Own or Rent
- Own
- Rent
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Applicant
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First Name
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Last Name
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SSN:
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DOB
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Address
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Years at Address
- 1
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City
- Orlando
- Clermont
- Kissimmee
- Leesburg
- Mt Dora
- Tavares
- Ocala
- St Cloud
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State
- Florida
- Georgia
- Alabama
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Zip Code
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Home Phone
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Driver's Lic# & State
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Cell Phone#
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Is it ok to send a text message
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Email
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Other Contact Info
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Co-Applicant
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Last Name
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First Name
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SSN
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DOB
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Address
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Years at Address
- 1
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City
- Orlando
- Clermont
- Kissimmee
- Leesburg
- Mt Dora
- Tavares
- Ocala
- St Cloud
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State
- Florida
- Georgia
- Alabama
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Zip Code
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Driver's Lic#
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Cell Number#
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Is it ok to send a text message?
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Email
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Other Contact Info
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MORTGAGE INFORMATION
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How long have you lived here?
- 1
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Is there a house payment?
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What is the interest rate on your loan?
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Who is on the title of the property?
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1st Mortgage Company:
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Monthly Payment$
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Balance$
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Present Value $
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Original Purchase Price$
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2nd Mortgage Co:
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Monthly Payment $:
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Balance $:
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EMPLOYMENT INFORMATION- Please include all income. *Please provide all income verification
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Is it ok to contact you at your job if you work?
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Co-Applicant: Contact at work?
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Employer:
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Position
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Income $:
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Years on Jobs
- 1
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Work Phone
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Co-Applicant
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Employer
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Position:
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Income $:
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Years on Job:
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
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Work Phone
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If you have worked for your current employer less than 2 years, please fill out the next section
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Employer:
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Position
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Annual Income:
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From ________________ To____________________
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Co-Applicant
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Employer
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Position:
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Annual Income$
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From________________To_____________________
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Please list two personal references:
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Reference Name 1
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City
- Orlando
- Clermont
- Kissimmee
- Leesburg
- Mt Dora
- Tavares
- Ocala
- St Cloud
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State
- Florida
- Georgia
- Alabama
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Relationship
- Mom
- Father
- Brother
- Sister
- Friend
- Relative
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Phone Number
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Reference Name 2
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Relationship 2
- Mom
- Father
- Brother
- Sister
- Friend
- Relative
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City
- Orlando
- Clermont
- Kissimmee
- Leesburg
- Mt Dora
- Tavares
- Ocala
- St Cloud
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State
- Florida
- Georgia
- Alabama
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Phone
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INFORMATION FOR GOVERNMENT MONITORING PURPOSES:
The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender’s compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discriminate in person under federal regulations the lender is required to note race or national origin and sex on the basis of visual observation or surname. If you do not wish to furnish this information, please check below. -
Applicant
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I do not want to provide this information
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Ethnicity
- Hispanic or Latino
- Not Hispanic or Latino
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Race
- American Indian, Alaskan Native
- Black or African American
- Native Hawaiian/PAC Islander
- Asian
- White
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Sex:
- Male
- Female
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Co-Applicant
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I do not wish to furnish this information
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Ethnicity
- Hispanic or Latino
- Not Hispanic or Latino
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Race
- American Indian, Alaskan Native
- Black or African American
- Native Hawaiian/PAC Islander
- Asian
- White
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Sex
- Male
- Female
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*APPLICANT(S)—IMPORTANT—READ BEFORE SIGNING*
I (we) certify that the above statements are true and that no unfavorable information known to me (us) for herein has been omitted. I authorize you to retain this application as your property whether or not a contract is consummated, and make any investigation you deem advisable before or after the contract is made. If credit is denied, you are entitled to a clear and meaningful statement in writing of the reasons. -
Checklist
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1. Are current paystubs or proof of income available if lender requires for approval?
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2. Is a copy of the mortgage statement available?
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3. Did you submit a copy of the home improvement contract with this application?
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Applicant's Signature
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Select date
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Co-Applicant's Signature
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Select date
