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Return to Financing Finance Dept. 14022 Hempstead Hwy. Houston, Texas 77040 713-463-5988 Toll Free 866-463-3988 Fax 713-463-6994 Financing Application Option 1 Option 2 12 months 0% Interest Low Interest Amount $ Consultant Applicant Address City State Zip How long at this address? Phone (home) Phone (work) Married ................ Unmarried ( Single Divorced Widowed ) ................ Separated Applicant SS# Cellular Date of Birth Email Co-applicant Address City State Zip How long at this address? Phone (home) Phone (work) Co-applicant SS# Cellular Date of Birth Email ...Subject Property   Subject Property Address County City State Zip Residency Owner Occupied Non owner Occupied Estimated Home Value $ County Tax Value $ Purchase Price $ When Balance Owing $ House Payment (amount) $ Does this include taxes & insurance? Yes No Current Rate % Name of Mortgage / Land contract holder? ...Employment Applicant Employed Self-employed Other Income Full-time Part-time Name of Employer Position Address City State Zip Length of Employment If less than 3 yrs. Previous employment Earnings before taxes$ weekly monthly yearly Do you receive W2/ 1099 W2 1099 Co-Applicant Employed Self-employed Other Income Full-time Part-time Name of Employer Position Address City State Zip Length of Employment If less than 3 yrs. Previous employment Earnings before taxes$ weekly monthly yearly Do you receive W2/ 1099 W2 1099 ...Authorization I Agree I Disagree to authorize Brown Foundation to obtain information from credit reporting agencies and other sources to verify the credit and employment information shown. Date: / /