Employer’s Verification on Loan Applicant

TO: Applicant_____________________

Address_______________________

City__________________________

Loan No.______________________

Escrow No.____________________

Gentlemen:

I have applied for a real estate loan to be made by Chambers Savings and Loan Association.

I shall appreciate your completing the Employer’s Verification below for their confidential use and

Forwarding it to: –

Chambers Savings and Loan Association

1304 74th Circle N.E.

St. Petersburg, Florida 33702

Thank you for your consideration and prompt reply, as it will avoid many delays.

Very truly yours,

__________________________

Applicant

EMPLOYER’S VERIFICATION

1. Entered your employ:________________________________

2. Present Position:____________________________________

3. Present Monthly Salary: Gross Monthly Salary:_____

Overtime:_________________

Bonus or Commission:______

How paid:_________________

4. If Applicant is in Military Service please report income on a monthly basis as follows:

Base Pay_________ Quarters and Subsistence___ Flight or Hazard Allowance____________

5. Probability of Continued Employment__________________

6. Does Employee have Re-employment rights for:

Sick Leave?______ Maternity Leave?_________

7. Other Remarks:_______________________________________

The above is furnished in strictest confident to your request.

Date________________ Employer_______________