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) PAID ON: ( MO YR W-2 1099 SELF EMPL PREVIOUS EMPLOYER/PART TIME EMPLOYMENT INFO: __________________________________________________ _______________________________________________________________________________________________________ REVOLVING DEBT/MONTHLY OBLIGATIONS: Majority of this information will be obtained via the credit report. DO YOU PAY CHILD SUPPORT OR ALIMONY?: Y / N N Y AMOUNT/MO: $ ________________________ Y REAL ESTATE TAXES: Y / N N YEARLY: $ ___________ MO (IF KNO.

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  2. Complete the necessary boxes which are colored in yellow.
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