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
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