CREDIT INVESTIGATION STIPUL TATION CHECKLIST DATE

J
CREDIT INVESTIGATION
STIPUL TATION CHECKLIST
Application Number:
DATE:
Customer Name:
-------------------
Address
Home Phone#
_
---------------------
Address
Verified by:
_
o
Utility bill copy included
or other proof of residence
References:
1.
2.
Name
Phone#:
Address
Relationship
Name
Phone#:
----------------------
Relationship
Address
3.
---------------------------------
Name
Phone #:
Address
Relationship
_
-------------------------------
D
Phone Employment
Verification
Pay stub copy included
Contact:
Contact Name:
Position:
Phone #:
Fax completed checklist with application to DSSO.
Include completed checklist with the contract package
TFS office use only
3 References in deal
Pay stub received/reviewed
Phone bill received/reviewed
Utility bill received/reviewed
Verified by:
o
o
o
o
0
No
3 Verification Flags Checked
YesO
No
POI Verified:
YesO
No
POE Verified:
YesO
No
Residence Verified:
Yes
Date:
0
0
Yes
0
0
0
Yes
0
Yes
No
No
No