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Application for a house
Valugistics Corp.
The Bristol Group, Inc.
Marcan Mortgage
Contact: valugistics@texoma.net
Please fill in the blanks. Fields marked with * are Required.
Name: *
  Primary Applicant
SS #: *
  Social Security Number
Phone: *
  Area Code and Home Phone
Address: *
  Include apt. #
City: *
  State and Zip
Landlord: *
  Name of current landlord
Phone: *
  Include Area Code
Rent: *
  Monthly
Length: *
  How long at current address
Employer: *
  Name of company
Phone: *
  Main incoming line with Area Code
Length: *
  How long employed
Position: *
  Title
Income: *
  Monthly Gross before deductions
Other:  
  Source and amount of any other income
Adults: *
  Number of adults that will be living in house
Email:  
  Your email address if you have one
DOB: *
  Your date of birth
License: *
  Your car license plate number and state
Referred:  
  If someone referred you to us
House: *
  House that you are applying for

 


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Valugistics Corp.
P.O. Box 263
Merit Texas 75458-0263
USA
Voice Mail (972)558-2424
Fax (972)394-1865 or (903)776-2626

valugistics@texoma.net

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