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<br />e <br /> <br />e <br /> <br />Bond's <br /> <br />Other <br /> <br />Property <br /> <br />(Appraised Value) <br /> <br />(Less Mortgage Debt) = (Equity) <br /> <br />Address of the property you intend to purchase (note: must have street or road address, post <br />office box numbers or rural route numbers are not sufficient): <br /> <br />.- <br /> <br />Please provide the following information ifknown at this time: <br /> <br />Realtor <br /> <br />Telephone # <br /> <br />Lender <br /> <br />Telephone # <br /> <br />Builder (if any) <br /> <br />Telephone # <br /> <br />The willful falsification of any of the above information may subject the applicant(s) to denial of <br />participation in this program, and may subject the applicant(s) to civil or criminal prosecution. <br />Any misrepresentations or false statements may also cause the second lien to be callable and due <br />upon demand <br /> <br />Print Name of Applicant <br /> <br />Print Name of Co-applicant <br /> <br />Signature of Applicant <br /> <br />Signature of Applicant <br />