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NT NUMBER - APPLICANT ACCOUNT NUMBER - CO-APPLICANT DATE Spouse/Co-Applicant Information PRINT OR TYPE ALL INFORMATION 5. Complete Spouse/Co-Applicant Information only if: 1. If You live in a community property state, are You: a. This is for joint credit with Your Spouse or other Co-Applicant. Married Separated Unmarried (Includes Single, Divorced and Widowed) b. Your Spouse will use Your Account. c. You are relying on Your Spouse's income as a source of repayment for the credit requested.

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