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Residential History

To: ___________________________
      ___________________________
      ___________________________
      ___________________________
Regarding:
___________________________
___________________________
___________________________
___________________________

The above party is in the process of applying for a home at the Ash Street Cooperative. Please complete the information below and return this form to our office as soon as possible.

A stamped, self-address envelope is enclosed for you convenience. Thank you for your cooperation.

Sincerely,

ASH STREET COOPERATIVE

Applicant's Signature______________________________________

Mortgage History Rental History
Date of Mortgage   Date of Move-In  
Present Mortgage Amount   Lease Expiration  
Monthly Payment   Monthly Rental Rate  
Present Unpaid Balance   Present Unpaid Balance  
Credit History for past 24 Months   Credit History for past 24 Months  
   
   
   

Authorized Signature ________________________________ Date ____________________