Professional Documents
Culture Documents
The gray shaded fields on this form are only to be completed by the applicant.
APPLICANT INFORMATION
Use the form below to assist us in better understanding the following credit report information for the applicant listed.
Mortgage application with Guild Mortgage with Builder’s Lender. No Loan taken
Citi Bank of North America, credit limit increased to $14000, no credit utilized
1
ADDRESS VARIATIONS
Please provide an explanation as to why the following address (es) is appearing on your credit report.
Address 1:
51 HUEMMER TE
CLIFTON, NJ 07013-3329
I/We have ownership in this property? □YES □NO If ownership in property, provide the percent of ownership: _____ %
(If Yes, provide comments below)
Comments (if more space is needed, attach another page):
I stayed at this address with my relatives while pursuing my masters at Stevens Institute of Technology before moving to California.
Address 2:
I/We have ownership in this property? □YES □NO If ownership in property, provide the percent of ownership: _____ %
(If Yes, provide comments below)
Comments (if more space is needed, attach another page):
Address 3:
I/We have ownership in this property? □YES □NO If ownership in property, provide the percent of ownership: _____ %
(If Yes, provide comments below)
Comments (if more space is needed, attach another page):
Address 4:
I/We have ownership in this property? □YES □NO If ownership in property, provide the percent of ownership: _____ %
(If Yes, provide comments below)
Comments (if more space is needed, attach another page):
Address 5:
I/We have ownership in this property? □YES □NO If ownership in property, provide the percent of ownership: _____ %
(If Yes, provide comments below)
Comments (if more space is needed, attach another page):
NAME VARIATIONS
Please provide an explanation as to why the following name(s) is appearing on your credit report.
Explain:
Name 1: MODI,HARDIK This is the name that I prefer to use during communication.
Explain:
Name 2: MODI,HARDIKKUMMAR This is my legal name on all my legal document and my passport
Explain:
Name 3:
Explain:
Name 4:
Explain:
Name 5:
2
OTHER INFORMATION
The following creditor(s) is reporting a status other than satisfactory for the required review period.
Creditor 1: Explain:
Creditor 2: Explain:
Creditor 3: Explain:
Creditor 4: Explain:
Creditor 5: Explain:
SIGNATURE
I hereby certify that the information provided above is accurate regarding the information on the credit report referenced.