INFORMATION SHEET

( Yes ( No Do you have a checking or savings account with Regions Bank or Wells Fargo Bank ( Yes ( No ... Year Make Model Date Purchased Payment Amount Balance Owed # of Pmts. Behind 1st ( Paid for ( Buying ... $ Other insurance (Not deducted from your paycheck) Specify: $ Taxes NOT deducted from wages or included in home loan payment. Specify ... ................
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