Form STH-1
I have read and understand the following disclosures:
I am 18 years of age or older. I am a citizen or a permanent resident alien of the United States or any of its territories. Furthermore, I have been domiciled in the City of New York for at least 1 year prior to my planned departure from the City of New York. Furthermore, I know that I am not required to complete this form if they are not needed for the intent of obtaining credit. Furthermore, I have a valid driver s license, valid identification card, or valid other form of acceptable identification that contains my name, date of birth, residence and photograph.
Name and Address
Telephone number and email address
Borrower Name Date of birth Address
I want my money back.
The borrower(s) has not received payment.
Credit Bureau Notification(s)
We notify the credit bureaus if there have been no credit applied for by the borrower or if there have been over 30 unsuccessful applications during the prior 12-month period.
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Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender s assistance. Applicants should complete this form as Borrower or Co-Borrower,
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