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Park State Bank
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Mortgage Application

By submitting this application, I (we) certify that everything I (we) have stated in this application is correct. You may keep this application whether or not it is approved. I (we) also authorize you to check my (our) credit and employment history and to answer questions others may ask you about my (our) credit record with you. I (we) understand that I (we) must update credit information at your request if my (our) financial condition changes.
* Required
Primary or Secondary Residence *
Borrower
Marital Status *
Preferred Method Of Contact *
Do you have a Co-Borrower? *
Co-Borrower
Marital Status
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