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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.

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Ages (separate ages by commas) :	Field not valid (required or bad value)
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City, State, Zip * :	Field not valid (required or bad value)
Home Phone * :	Field not valid (required or bad value)
Housing Status :	Field not valid (required or bad value)
Number of Years and Months at Present Address (MM/YY) :	Field not valid (required or bad value)
Name of Nearest Relative Not Living with you :	Field not valid (required or bad value)
Relationship :	Field not valid (required or bad value)
City, State, Zip :	Field not valid (required or bad value)
Phone Number :	Field not valid (required or bad value)
Employer :	Field not valid (required or bad value)
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Gross Salary :	Field not valid (required or bad value)
per :	Field not valid (required or bad value)
Previous Employer :	Field not valid (required or bad value)
City & State :	Field not valid (required or bad value)
Phone Number :	Field not valid (required or bad value)
Employed (mo/yr) :	Field not valid (required or bad value)
OTHER INCOME - Source - Note: Alimony, Child support, or separate maintenance income need not be revealed unless you want them considered as a basis for repaying this obligation. :	Field not valid (required or bad value)
OTHER INCOME - Monthly Amount :	Field not valid (required or bad value)
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Current Balance :	Field not valid (required or bad value)
Monthly Payment :	Field not valid (required or bad value)
Other Obligation :	Field not valid (required or bad value)
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Account Number :	Field not valid (required or bad value)
Current Balance :	Field not valid (required or bad value)
Monthly Payment :	Field not valid (required or bad value)
Other Obligation :	Field not valid (required or bad value)
Telephone :	Field not valid (required or bad value)
Account Number :	Field not valid (required or bad value)
Current Balance :	Field not valid (required or bad value)
Monthly Payment :	Field not valid (required or bad value)
Other Obligation :	Field not valid (required or bad value)
Telephone :	Field not valid (required or bad value)
Account Number :	Field not valid (required or bad value)
Current Balance :	Field not valid (required or bad value)
Monthly Payment :	Field not valid (required or bad value)
Co-Applicant - First Name :	Field not valid (required or bad value)
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Last Name :	Field not valid (required or bad value)
Date of Birth :	Field not valid (required or bad value)
SSN :	Field not valid (required or bad value)
Marital Status :	Field not valid (required or bad value)
Number of Dependent Children :	Field not valid (required or bad value)
Ages (separate by commas) :	Field not valid (required or bad value)
Present Address :	Field not valid (required or bad value)
City, State, Zip :	Field not valid (required or bad value)
Home Phone :	Field not valid (required or bad value)
Housing Status :	Field not valid (required or bad value)
Number of Years / Months at Present Address (MM/YY :	Field not valid (required or bad value)
Monthly Payment :	Field not valid (required or bad value)
Name of Nearest Relative Not Living with you :	Field not valid (required or bad value)
Relationship :	Field not valid (required or bad value)
City, State, Zip :	Field not valid (required or bad value)
Phone Number :	Field not valid (required or bad value)
Previous Street Address :	Field not valid (required or bad value)
City, State, Zip :	Field not valid (required or bad value)
Time at this Address (MM/YY) :	Field not valid (required or bad value)
Name of Nearest Relative NOT living with you :	Field not valid (required or bad value)
Relationship :	Field not valid (required or bad value)
City, State, Zip :	Field not valid (required or bad value)
Phone Number :	Field not valid (required or bad value)
Co-Applicant Employer :	Field not valid (required or bad value)
City, State :	Field not valid (required or bad value)
Phone Number :	Field not valid (required or bad value)
Job Title :	Field not valid (required or bad value)
Hire Date :	Field not valid (required or bad value)
Gross Salary :	Field not valid (required or bad value)
Paid By :	Field not valid (required or bad value)
Previous Employer :	Field not valid (required or bad value)
City & State :	Field not valid (required or bad value)
Phone Number :	Field not valid (required or bad value)
Employed (mo/yr) FROM :	Field not valid (required or bad value)
Employed (mo/yr) TO :	Field not valid (required or bad value)
Co-Applicant's Other Income SOURCE- Note: Alimony, Child support, or separate maintenance income need not be revealed unless you want them considered as a basis for repaying this obligation. :	Field not valid (required or bad value)
Monthly Amount :	Field not valid (required or bad value)

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Welcome Home Centers - Manufactured home dealer in Pennsylvania offers modular and mobile homes for sale in PA