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Credit Application
	PRIMARY APPLICANT INFORMATION First name(required) MI(required) Last Name(required) Suffix Date of Birth (mm/dd/yyyy)(required) Marital Status(required) Phone Number(required) E-Mail(valid email required) CURRENT MAILING ADDRESS Street(required) Street 2 City(required) State(required) Zip(required) Residential Status(required) Previous Address (if less than two years at current) Previous Address (if less than two years at current) City State Zip APPLICANT EMPLOYMENT Employer Address City State Zip Phone(required) Position/Title(required) Years Employed(required) Gross Monthly Income(required) Previous Employer: (if less than two years at current employer) Street Street 2 City State Zip Telephone Number Position/Title APPLICANT�S OTHER INCOME Monthly Amount CO-APPLICANT INFORMATION First Name MI Last Name Suffix Additional Surname Date of Birth (mm/dd/yyyy) Marital Status Phone Number Current Mailing Address Street Street 2 City State Zip Number of Years At Current Residence Residential Status: Previous Address (if less than 2 years at current address) Street Street 2 City State Zip CO-APPLICANT EMPLOYMENT Employer Street Street 2 City Zip Phone Position Years Employed Gross Monthly Income Previous Employer: (if less than two years at current employer) Street Street 2 City State Zip Phone Position CO-APPLICANT�S OTHER INCOME Monthly Amount Additional Info Do You Own Land? Size Approximate Land Value Need to Purchase Land? Size Approximate Value Projected Downpayment Trade in Year Make Size Interested in Are Site Improvements Needed? FINAL INFORMATION & APP SUBMISSION Fair Credit Reporting Act Notice to Consumer:This will advise you that your retail installment contract and credit application will be submitted to West Valley View Inc., for purchase and consideration as to whether you meet their credit requirements. Notice: To New York Residents. West Valley View Inc., may obtain a consumer report on you in connection with your credit application. Upon request by you, West Valley View Inc., will tell you whether or not a consumer report was obtained and the name and address of the consumer reporting agency that furnished the report. I hereby declare that all of the statements made in this application are true and correct and are made for the purpose of obtaining credit. You are authorized to investigate my credit record, to verify credit, employment and income references, to obtain such other information as West Valley deems necessary, and to give credit reporting agencies (credit bureaus) and others information regarding your credit experience with me.# Please Enter The Code Below to Submit

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Our Lenders

OWL HOMES OF ALLEGANY

3820 Route 417 West
Allegany, N.Y. 14706
716-372-2322
800-606-5402
email: Terry Daughenbaugh
Sales Manager

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OWL HOMES OF BATH

Route 54 North
Bath, N.Y. 14810
607-776-4191
800-298-2230
email: Jason Demong
Manager

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HAWK MANUFACTURED HOMES

28820 Route 6
Youngsville, PA 16371
814-563-3535
800-588-8626
email: Shawn Finefrock
Manager

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WELCOME HOME CENTERS

6083 Route 219
Brockway, PA 15824
814-371-7273
800-763-6383
email: Patty Iorfida
Manager

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Credit Application

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