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UNDER THE ADMINISTRATION OF THE NEW UNITED BAPTIST COGIC INC
A TAX DEDUCTIBLE 501 (c )(3) ORGANIZATION
1367 Highway 138 Riverdale, GA Phone: (770) 909-7337 Fax: (770) 909-6211
     

GENERAL AUTHORIZATION

I HEREBY AUTHORIZE UNITED COMMUNITY CENTER to verify my past and present employment, earnings, bank accounts, stockholdings, and any other information needed to process my housing application. I FURTHER AUTHORIZE UCC to order credit report and verify all other credit information including past and present loans, mortgages and landlord references. UCC should only use information obtained in the processing of my application.

Applicant's Full Name
Social Security No.
Street Address
City State Zip
Phone Email

Do You have a Co-Applicant? Yes No

Co-Applicant's Full Name
Social Security No.
Street Address
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Please Explain Why Your Mortgage is Behind.

By Clicking the submit button, Applicants grant authorization to United Community Center as stated above.

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UNITED COMMUNITY CENTER—Under the Administration of the New United Baptist COGIC Inc. A 501(c) (3) Tax Deductible Organization—1367 Highway 138 Riverdale, GA 30296
©COPYRIGHT1993-2006 UNITED COMMUNITY CENTER - DesignBy NWL