xt7qnk361p0s_1010 https://exploreuk.uky.edu/dips/xt7qnk361p0s/data/mets.xml https://exploreuk.uky.edu/dips/xt7qnk361p0s/data/88m6.dao.xml Inland Steel Company 185 Cubic Feet archival material 88m6 English University of Kentucky Copyright has not been assigned to the University of Kentucky  Contact the Special Collections Research Center for information regarding rights and use of this collection. Wheelwright Collection Coal miners -- Housing -- Kentucky. Coal mines and mining -- Appalachian Region -- History. Company towns -- Kentucky -- Wheelwright. Community development -- Kentucky -- Wheelwright. Coal mines and mining -- Kentucky -- Wheelwright Houses 380-396 text Houses 380-396 2016 https://exploreuk.uky.edu/dips/xt7qnk361p0s/data/88m6/Box_315/Folder_5/88m6_315_5_4270.pdf section false xt7qnk361p0s_1010 xt7qnk361p0s _ 7 ﬂ ,»1 ,
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 I" m A '(‘d
. . (I'IIII NEIEILRIIIIﬂ
VETERANS ADMINISTRATION
AND
U. Si DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
FEDERAL HOUSING ADMINISTRATION
INSTRUCTIONS: LENDER —Complete Items 1 Ihru 7. Have applicant complete Items 8 and 9. Forward directly to bank or other deposi—
tory named in Item 1.
ADDRESSEE —Please complete Items 10 thru 13 Return directly to Lender named in Item 2.
PART I — REQUEST
I. TO 'Namv and Address “1 Bank or UIITE—I'E‘IHISIZSI—S} v 2‘ FROM ’N‘ame and address Hf lender) ’
“‘1' ”A Fir-av; ym' « .
I- L at mic: . a: I ,_ 3' Samuel T. Isaac & Assoc1ates , Inc.
1“an ;-7 I ﬁt,
ma 31 an , KL, . 3320 Tates Creek Road
'I INF; f'\,"~I“ I; .’i ‘
.1. God a VI 9n l l , - I : '_ Lex1ngton, Kentucky 40502
|
I
3. SIGNATURE OF LENDER 7 FerE v- {5. DA rE 6.3L)? vA NUMBER
I Assistant Secretary I
,w#__m,c_____._-_—i___vw*,vA___ LL_ ,_#,__nmc ___.MI
7. STATEMENT OF APPLICANT ‘
. ‘ a ,___.___.__A—___*—__——__ ——~'—"#—- __‘——
A. NAME AND AUDI—{€53 OF Ar PLICANT IB- TYPE OF ACCQIJN r BALANCE ACCOUNT NUMBER
I CHECKING I
I S , ~ I
I
I SAVINCS '
I Is
__A—_—A__r—,____WA__77NE#L ..ﬁ7.777,_v_” V7 , ,_., _,rv*-e -7, 7 W A- A.<.._" i.7‘_._ rrvaiﬁA ,___L_
I have applied for a mortgage loan and stated that I maintain accounms) with the bank or depository named in Item I. My signature below
authorizes that bank or other depository to furnish the lender named In Item 2 the information set mm below in Part II. Your response
_ is solely a mailer of courtesy for which no responsibility is attached to your institution or any of your officers.
8 SGNAT—_M#__-__‘WV#TFE:M .
' ’ W I t
4 .,. . . »’ 1‘ 6‘; ___.___EM I
* ' PART II _ VERIFICATION
IDA. DOES APPL‘CANT HAVE ANY OUTEITAND N3 LOANS‘ I CURRENT STE 7J5 OF ACCO‘JN Tb
I 7“ A‘_———'A' ’f—#_‘_W_T '744‘" "—
DYES D NO I'll "YEs," tamer fola.‘ In Item 195, I I CHECKING I SAVINGS
IOB. TYPE (I? LOAN MONTHLY PAYMENT PRESENT BALANQE I ‘TA IS ACCOUNT LESS THAN TWO I I
w—“—’T‘_NI——’A I MONTHS OLE“ (11"Yos " give Lla'e I CI C] I D [m]
I JIM-[1rd m Irrm 11)}! VES NO I VES NC
SE C U R E D I f——“—' w”‘“‘“ —‘"‘——I”‘"-‘_—"_—I—"—
S I S I I I
_.._.—_..... a ______._‘——————-———-—I
I I I IIE DATE ACCOUNT OPENED I
u N SEC b R E [I I rm; c_, —*~ ~——~ -——~--‘—I-———- —--— ‘I—
_.____ r_ _ ,__LL,7_ ___/_E_*i5_,_.L_I I I
IOL‘ pAYM‘l‘T EXDERIENCE I I”: CURREN I7 BALANCE I I I
I____H__,E__,_L —A+-‘- ~~>»—*' — V'H*H~
HE) IS ACCOUNT OTHER THAN I I
i INDIVIDUAL E.G JOINT OR I
D FAVORABLE D UNFAVORABLE (Hun/awrable, ExplarnlnRImarks)‘ TRUST? (I: "Yes,”explam In rI‘narKsr—‘I I:I IES DNC I E] YES END
2 REM—AW—ﬂ_—#_"'—m#‘_’ _""—-wv —”“‘"'! __"#‘ ‘
13A, SIGNATURE OF OFFICIAL or BANK ORE—"I'FIER DEEb—S—ITORY WEATITEE _— ' ‘ _—— "—Ir 13C oTT'E T“
’I_—( I
_cm__vmw__,#_ﬁ ,#__A-#,_-_oriﬁce-___L__i____~_
l/ll' [\IVUII‘II'I HIM ()\ Ill/S I‘O/(Il I" ['0 Ia'l, III‘ I \AI/I'l I‘r'II) II/R/N'ILI: UNI/()1 '/ /‘ INSHU I’ll/(U! (1H ”/5 ll I‘I/ib IH‘ 'IJ'H' ,I/IIJII/III. l'II UK
l'\I (Ill/lit? I’ IN] I.
FHA FORM NO 20047 F IREV I0/75I
VA FORM 26<8497u, OCT 1975
\

 ' R389!
Wm
mam
[MW

 I‘ ::I A "xi
. . (III; train)“:
VETERANS ADMINISTRATION
AND
U. 5. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
FEDERAL HOUSING ADMINISTRATION
INSTRUCTIONS: LENDER —Complete Items 1thru 7. Have applicant complete Items 8 and 9. Forward directly to bank or other deposi-
tory named In Item I.
ADIIRILSSEE —Please complete Items 10 thru 13. Return directly to Lender named in Item 2.
PART I — REQUEST
‘- To New and Murat-OI Bank or other (Mimi-{TM w 2. FROM (Time and audits-s iii MIX?! ‘ ‘
_‘I a v 11 x- 1 ,«w m: .- 4 .
31.3»): rational cW ;lke\/.Llle I Samuel T. Isaac & Assoc1ates, Inc.
Pike'I/llle , Ky. I 3320 Tates Creek Road
I Lexington, Kentucky Z+0502
3. SIGNATUPE OF LENDER I __l A. TITLE — :5, DATE T 6. FHA-ca \/A NUMBER
I - I
t As51stant Secretary
____—___H__L—__W.WWWWWWWWWWWW,W .I WLWWWWWWWW—
7. STATEMENT OF APPLICANT
F ,. "m'ﬁ’Aw—_ﬁh%__w_k'__- _’—__’_—'—
A' ”A” MD ”DPLSS OF APPL‘C‘WT 5. TYPE OF ACCOIJN r BALANCE ALCC‘JNT NUMBER
I CHECKING
I 3
l I
‘ smincs ‘ I
I have applied for a mortgage loan and stated that I maintain at‘counttfs) with the bank or doposrtoiy named in Item I, My signature below
authorizes [hat bank or other depository tO furnish the lender named in Item 2 the intormation set IOI'III helou in Part II. Your response .
is solely a matter of courtesy for which no responsibility is attached to your institution or any of your OII-ICE‘ISI
' a s GNWWW ’_ '___—TiiA—"Vvvwiﬁiivﬁw Vm_ﬁT??tTi_5——_ —
E ,
PART II — VERIFICATION
ioA ooEs ADPL CANT nAva ANY onrsrxwo NG LOANS” L-idvﬂwrw‘ ‘ERRSNT ST}, Tos OF Accounts
: “I"T_—T‘_"‘W-'”T'_ “‘_‘" VET“—
DVES [3 NO (I! “Yes," enter Iota! In [(0.71 1’}[?/ I i CHL‘VK'N‘V I SAVINbb
,—,‘.~f:#—j—T#‘_—' ‘_'—_.___.——L .. . W *_’_""" ““” ""T'TA’T—'
IuB. T1PE ti.» LOAN MONTHLY PAYMENT TPRESENT BALANcE I -IA I: ACCOLW' LESS WAN TWO ,
____W.JWWWW_+————__ IroNTns OLD" (I: ”(I/s.“ EIVE‘ i/azu i [—y —«
g I i ipeniu In Iran) 118) I C] vES C] No 3 LI yes [g] NC
5 EC U R E D ‘ ; r—~—-—**—--~— ———r—~——*MT~4_'—~
I S S I ‘ I
—11—1—I——111——1—.——w-i i '
I i i Its, DATE ACCOJNI erNED ,
UMSECURE‘D l I E~—AA'——~a— —-~-—-—-~f—~—-—~——-~~-+-—
s I s I
’ ' T—_— ‘LAT‘T‘TTTﬁLV‘_ _“ "WA Aw“ A‘J—wﬂ—‘T ..‘—«I :’
Ioc. pAvMeNi ExDEaIENcE I “C CURRENT BALANCE I ‘ ‘
k—~——-———~v~———rer--i+iaﬁ *VvVi‘L— Wi~-——~
Hi: Is ACCOUNT OTHER THAN i I
‘NDIVI’JUAL E G. JOINT OR I__—
D FAVORAEILE D UNFAVORABLE (II unfavorable, eqﬂam III Remark-<1 TRUST? (It "ch." exp/am In remarks} 1: D YES D NC LL_! YES D NO
I2 REVER'K'ST—‘T—n—T‘wwwﬂ” 77#"——#~AT ’A_‘#—_"’ _'_m#‘
13A, SIGNATURE OF OFEIC-AL or aAJK on CARI-ER capo—573%? 133—TITLE T N ___ ___ In" ATTEETDTTE— _—
|
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I I
W l
WW _WWWWWWWWW WWW WWWWWW WW WlWW W WWWWWW WW ,WW ,WW
lI/I- MIT/RI] i [/(H II\ Ill/h FOR” IN' IY) li’l. lh‘l‘».\I1/'1‘l/'l) [HR/J It I, III/lll}! 'l l’ Iii/V, I'l/II’IH (,ll ///.-" Hi ‘i/J‘» ()I' III/4 ll'l‘i'i'ﬂ HI U/i
I'I) (HI/IVE /‘ ilx'l'l.
FHA FORM NO 20044 F «H I0/75) I I -
VA FORM 26184970, OCT W75

 MOUNTAIN INV EST.“ EN'I‘. IN( I.
(MICO)
F'_ 0, BOX 357 PLEASL ADDRESS REPLY TO.
PHONE 606*A52>4212
WHEELWRIGHT, KENTUCKY 41669
54 / (4 , 77' RENTAL APPLICATION
(Subject to Landlord’s Approval)
DATE WWWWWWWWWW HOUSE NO. W, WW WWWW, ,,W
APPLICANTWW,WWWWWWW _WWW,WWWWWWWWWWWW. ‘ W ,W, , W, W. ,W W W,
DATE OF BIRTH W.W,WWWW, WW WWWWWWWWWWWWW WWW MARITAL STATUS WW,WWWWW, W W W WWWWWWW WW
PRESENT ADDRESS WWWWWWWWW,W WWWWWWWWWWWWWWWWWW WWWWWWWWWW WW TELEPHONE NO. W W W,, ,W W W ,
LENGTH OF TENANCY WWW WWWWWWWW .WWWWW PRESENT LANDLORD WW ,W, W W W,, W , W ,
ADDRESS W . ,,W W WWWWWW,WWWWWWW_WWWWWWWWWWWWWWWW .W W , W , ,TELEPHONE NO . _ , W,,, ,W W
OCCUPATION OR SOURCE OF INCOMEWWWWW W,,, WWW, W ,,W SALARY , ,W W WWW, WWW
EMPLOYERS NAME, AND ADDRESSWWWWW W, W W W W W WWW W W, W , WWW WW W _ W WWWW
SUPERVISOR, W WWWWWWWWWW WWW WWW W WWWWWW HOW LONG?WW W,,,W W W W TELEPHONE NO , W
PREVIOUS EMPLOYER WW WWWWWW,WWW,WWWW,WWWWW W ,, W WWWW W HOW IWONG?’,WW W , W ,,WW WW ,
WIFE’S FIRST AND MAIDEN NAMEWWWWWWWWWWWW, WW WW , DATE 01' BIRTH WWWW W W A W
HER OCCUPATION WW WWWWWWWWW WWWW W W W W,,WWWWW W W, W SALARY W, W, W
EMPLOYERS NAME AND ADDRESS WW,WWW W W W WW, WW WWWW W HOW LONG? ,W , , W
CHILDREN: NAME SEX AGE SCHOOL GRADE NAME SEX AGE SCHOOL GRADE
REFERENCES.
CREDITWWW W, WWWWWW,W,_WWWWWW,WWW ADDRESS, , WWWWWWWWW , ,, W, W WW W WTELEPHONF NO, W WW , W,
CREDIT _WWWWWWW W.W WW W WW W ADDRESS WWWWWW WWWW, W W W, TE LEPHONE NO. , WW
éWANK: SAVINGS W WW_WWWWWWWWW, W W WWWWWW W W ,,W W W W, W W W W
,/ BANK: CHECKINCS W WWW-W WWWW WW W ,, WWW- WWW,W,,W , ,WWW , W, W, W W W, .. v W W .W WWW, ,
/1'>
YEAR AND MAKE OF AUTOMOBILEWWWWW WWWWWWWW W, W W , WWW, W , ,,WW , WWW , W , ,

l NEAREST RELATIVE NOT LIVING WITH YOUWWWW, WWWW WW W W, , ,,W W WW W WWW, W , W , W ,W
RENT PER MONTHWWWWWWWWWWW WWWWWWWATER AND SEWER W,,WWW ,, W,, .W W W , W , W , ,
OTHER MONTHLY CHARGESWW WWWWWWW WWWWWWW WWW SECURITY DEPOSIT , , ,

. EXPECTANT OCCUPANCY DATEzWWWWW, WWW WWW W WWWWW WW RENT BEGINS: ,WW WW ,
ALL RENTS ARE DUE AND PAYABLE ON THE FIRST DAY OF EACH MONTH, .
The undersigned hereby appIies to the owner for a Iease of the premises described above and to induce the owner to enter Into such a
lease, represents and warrants that all statements herein are true, and agrees that if a Iease is made, the Iessor may terminate it 11 it
appears that any statement herein made is not true.
A SECURITY DEPOSIT IS REQUIRED. IF LEASE IS TERMINATED WITHIN 90 DAYS YOUR DEPOSIT WILL BE FOREEITED
APPLICANT TAKEN BYWWWWWWWWWWWWWWWW SIGNATURE OF APPLICANT ,W, W ,W W, ,,W , WW
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 Duo 9 22; (“(8 Samuel T. Isaac 8. Associates, Inc. Agent l»:I Balance $
Amt. Life Ins. $ Monthly Prcm. pd. by you $_______ By Co. $__________
Auto (year and make) 62“ ford “II? 501/d Furmture/personal property____________
Savings Bonds, other income, other marsh—___“.—
F; -whe;e-wi.ll mode; Eome‘from for down payment _______________ Closing Costsdﬂr __

 (G) [NFONMA NON NECESSARY FOR FHA LOANS UNll
W
1. Do you intend to occupy? Yrs ”Ly—___...
2. Any secondary financing to make this purchasﬂ Yes No X-
3. ‘lave you sold property within last 0 mos. whlnh had an Hm loan? Yes No 1‘1
1../If "yea," give FHA case no. '. Isuwr's name ‘
,' ___—_..-_ “Mm
'7 Did buyer intend to Occupy? Yes No Provo-rev Address
, _. .___ ___—___..___—
” Original mortgage amount $ Unpmd hwlance when sold 5
5. Have you ever been obligated on a to to loan or a home improvement loan which remlted
in'foreclosure, docd in lieu of foreclosure, or judgment? Yes No ,4
6. If "yes," give property address and name and address of lender
___—___..___—
(H) INFOWTION NECESSARY FOR FHA LOANS ONLY
M—
Previous Monthl Housin Ex ense EI‘t‘VIOUS Mouthl Fixed Char es
lFor past 12 mos.l (For past 12 moa.l
Mortgage Payment or Rent S Federal Income Tax 5
Fire Insurance $ State Income Tax $
Taxes 5 Premium on Life Ins. $
Maintenance :3 Social Sec. 6. Retire. 5
Heat & Utilities $ Payment on Insrallments $
Total .‘,: Total S
(I) PROPERTY INFORMATION (Fill in only if J'I""I‘fll3;,ll o“.""’l tgt HHS ﬂOt been Used)
...-.3.-...._——-———-——.—_
Name of occupant (owner ll untCCupueG‘ Mum : . w cnnlwu I a or at (zooms)
Existing _____________w_m»_._ A -_-._ m U M , ,____~_._
House C] M0,,yricompleted__‘ﬁ- V T: Mm omyed U ‘.'r'w , . > On I PFC‘EMIVOCCHDIOd by
| -_ ‘-.”-_ ", Owner tenant at; ...._.._-
DESCRIPTION TCheck apprOOnate mark a m each section)
C] Detached 1 SIDING l —SIOT>;S-_ ‘ I :v H :2 l ’ 1 mum}
f} Spht [cw-l “Mr W” !} Cargo”
C] Semmat. D Wood [ 3 3‘ Ra'emw I T , ,, JCavs
C] ”0'4 l l: BI'Ck l—________‘_; , n' n.”
M C] Asb.Sh. C] Slab on ground I ‘-‘ , ”,1.,
D Frame [3 Stucco/cc 81kt Qgriwlﬂiemm- _ l , In; Rooms gchT'z‘ei/"Cupovt?
D “um D Comb. r79“ __,_,_%Noni resld. l—‘T‘w—Stfvniﬂlmms ['7] Attached
[:1 ——————— D ———— — t , living unxts l m, Umv Room H Detached
UTILITIES: DCSCUDC Taxes 3
PUB. MOW COMM. lYDE—ULESJ—t~.:—_'~;QL;:; —— . I M NH Indium I.'... have, Mali” 0"
Water [:1 C] C] _mmml“A”E°.“9!l'°_”"‘ﬂ‘..__ Fire In: $ yr. dmummu .1 I.'. a-mm 0mm
7] CO O & Cuttet 3"?"m". "‘“ .:riﬁum‘m‘m
56“! D C] [j m Sidewalk lOl SIN. _ ‘ a campus ”0 «alt. .
Cu [3 L] D I {'5 Stem Sewer
Elec. ﬂ Tyne of Street Pawn Aiw -,,,__ . -_;~_ ”__-
Legal Descnption: LoL__-Blk.__Sec...-__i_._‘.V__~_._._ H, ,-__ , .__ -_‘,
(Attach additional int. it necessary)__~_ -__“-m, ___ -_--_“ ___ 7 , _
Dilutions lo onputymiw___i-____ .. __3 -_.-“ 3 _ ”_,. . _.--_- t... , _
(itlnrwalmaul—.___“MH,_,_.-_V-.._—.3, ‘_- . -.__._7,._H l ,
It is agreed the interest rate charged will be at the maximum permitted by FHA or _,
VA at time of closing.
Applicant agrees to pay to Samuel T, Isaac & Associates, Inc. a comission of
$ for services in SGt'211]"lI'lj.‘[ this: loan 01' S at %,
___—___..___ _._.—___. ._..—.___
If a comitment is issued by the lender to _'.gr‘ant‘ this loan, but thn applicant
fails to close the loan, applicant sha?‘ pay to lender as liquidated damages 2% of
the amount of the commitment.
I CERTIFY THE INFORMATION APPEARING ON THIS APPLICATION TO BE TRUE AND CORRECT, AND
AUTHORIZED STI & Assoc‘lates TO USE THIS TNl'ORMA'I‘TON IN THE PROCESQING OF MY LOAN.
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House No. Z) X CZ Deposit $ 1 7 ‘4‘
APPLICATION FOR CREDIT
To Mountain Investment, Inc:
E . {7
Name / , , x’ﬂ/ [ii/((7: Age 3 /
Number of Dependents / Ages 15,-
, Present (or last) permanent address ,835, £25,134 842' ,
/7/ ,,«7 I ’
j: /. f , 15’ “36 E /22 Q {q . Telephone No. Xi? /) 6 2
Local Address a] 6 Z V, ’5, A/ig
Telephone No. 2,2" )— - 3 7y )1
Present Employment:
Employer‘s name and address Zl fir/(.3, é Z2» ’63:: L,
t / 1 1 ‘
CE! 4J4 [ é} 61, Z2 97 Sr éxér {BIC [:1 {/1 A Z7222 fa (I s' C 01/]?
Division or Department Z; Z)? C: Badge No. 6 5'3// 57
Present position 1 '5“, C /: ’ ¢/»'/: lg/ E” r’
Length of service Z/J 31552 K’s"
[Ll/911 -*‘l~e, 3 0-: 2%) 131/9 pd (jﬂeg Ax, .'uf
Previous Em lo ment: 1
p y ”awe/r7 k -/ /.
Employer's name and address [9,?! A c’; 5 Z 2; d(/}Z Z) V '
y 6 C j 5 [0/5 (‘5' " ' , é ,'i’a Li ’ 7",; "I-
Division or Department [:1 [7“) C, Badge No. /
' Position held ”’1 75'“, g; Z (Zr, ’5“: r alpir/ g/MZczzaC ,d'Z/:»«rli£-.»
Length of service / é“ (2,1,;
’6 / {I ’7 / q ,
Bank Reference: Name 5» - J ‘ ' ) , ‘ //’Ci" a,
J I //)" f7 / C.
Address [U ,li F £675 Spa," I Z M/cjc 4 L 4L Ci VJ, ZZZ/(£5.
’11 i r
Automobile: Make Zap/p _AZ C. Model (Leggy/o 5'
,Z«
Year Z C) License No. «we --~-
LU « ,._§"/
Trade references: XX Q
n ’ /’)
1. Name (9* ////'
, o m ‘ ’
Address wwwc
2. Name “If ,5 L‘ r‘ (j (/
Address / cf / /.3/ ﬂ ,’”,
3. Name e /77 1 " ,‘2'9‘ (2 ’ (i (i .
AddressJZaWéA/fiﬂzkl.
The foregoing statements are true and are made to induce you to
extend credit for rent, gas, water, sewer and garbage collection to me.
I agree that any payments made by me may be applied by you, in your dis—
cretion, on any account owing by me.
l [1 i‘ ”Z
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CHANGE OF STATUS REPORT ON PROPERTY
(Rental
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Report of Proposed (Sale of House No. i2 q Q.ﬁ \§Q3<40 1A?:%LAM4”) /06/97.
‘v /,] ,4 L
To: g/ggéanég/ Zﬁéqgéﬂ/
Present Address: 1&2 Iggéggﬁi 2%!
Present Status of Property
Vacate:L/* Occupied: How Long: E?és§IVéé”N
If Occupied:
Present Tenant:
What basis:
Date of Notice
Will vacate: (Date) to vacate:
(If repairs are to be made as a part of the deal, fill out and attach
Property Rehabilitation Report)
IF RENTAL
Occupation of Prospective tenants:
Mr. £41124 2:1 g“ 175,1 (=ng How long employed
Employer L Address
Mrs. How long employed
' J A7 /7 , I I . '3 /
Employeréﬁ/z/ {jg/(a, \xgﬂ‘ L, at gammy Address 2‘, (mg g,»-2a>¢2 Z“ (If;
3 ’ y 7 A t I U ,7 » I IMP V
Bank Account Z'gzmﬁg 4144(I/L‘ /gnggz {éivéuﬁszow Long:
_ ‘ (1 ,’ A : 4 7 ; /
. Credlt References: (Include addresses: L w« -(':, L. l,£¢
' —< ’7 KR} -// I ’7 I ' ’II 1" ‘
‘/ /I r’ ,/.l V'V/ 7 /'/,. /< / fj’y/ ( _L/ / 'C/A / 1 ‘I ( {V IL. {LOLA/Ln
C2? 5y: (ViZI‘é31" 222 gnfyﬂ ZJVI
- V l‘ 4 A],
Reason for Interest: (4éazg; {x3 :éﬂzhxg; /f/ (3;Ic:{é1, NI’ 4%
V U 1', I
IF SALE “
Sale Price $ Closing Date:
Place of Closing
Date Possession:
Financing: Deposit Paid $
Bal. of Down Payment $ Due Amt. Financed $
Lending Institution
Interest
Terms of Loan: Rate % Term: Mo. Payment $
Insurance: Policy to be written by present agent?
If other, state name and address
______________________________________________________________________
Approved 19
Change of Status
___._._—___— Lot No. 7;?Z
(Form 68—10)

 3 Q» \59'3, 6‘0 %’/7/ 2,41% 644/. Q0,“
9
House No. 3J2 . ' Deposit $ 326 0:15
APPLICATION FOR CREDIT
To Mountain Investment, Inc:
,//I _, , ,
Name We’d/.;ﬂ Age :3 g
’ 3 ‘ /) / V 0
Number of Dependents (.3 Ages dzi;2__32f;:2;_____________*_*_____
Present (or last) permanent address éEZb.§ij / ”}.. Z ' ,’¢9»7%/t, [(2,
Telephone No. Q i??? §(M{:Z
Local Address 42 EDI/[xi e» z [ﬁm‘zémgﬁ .//;/
Telephone No. f 7 gr:
Present Employment:
Employerls name and address é; 74/4?1(;12d 93R, d: 2’? 3
é/Z/Cj)’ 1&sz ((CSIL, fay/:7 k 2:
Division or Department 6’3}; m" Badge No.
Present position ’f::-~a, E [*“+g N,
J
Length of service ‘» ;3 /,~ L;:.
Previous Employment:
Employer's name and address QJé;vE{’/ ’é32}1,yv/5 Xﬁf uébﬂp/
, v 7 . /
:,/ Mei/‘7 C’fi’Jv / n3 /:/7L"A/3\A/ :.f/A’” A/i‘}
. . . /)
DiViSion or Department L//P,; Badge No.
Position held ZEXPF' gs ///'%/:-
Length of service (GZ ”(335i
Bank Reference: Name ~77
Address
Automobile: Make '?,3,r34/r' Model / 2;;/51,; p
Year ,79p337 License No. ,;,///?Mgri gé f;
if“ ./ /:,' .1 I . /'
Trade references:
(’ ' A ,,, ,3
1. Name é;£,t(v :37:Z# Zr Z«€/’Q Sgygﬂg»/ 5:27f«cgt
Address /€30.%~,H é/f,
2. Name $577.;aﬁg £2249 f3yp377,
’ Address In if ’uz’ ,' s,
,7 <; x ' T,
3. Name a ///€3, {E A c‘él‘l’):%§ ()4 I “r? S /Q) A/ (Q
Address £2; /& 3 222'
The foregoing statements are true and are made to induce you to
, extend credit for rent, gas, water, sewer and garbage collection to me.
I agree that any payments made by me may be applied by you, in your dis-
cretion, on any account owing by me.
/ ///
1; g ,4? 33,,» g _/

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I ’ . . . ‘ ' i
Present Address:____A¥;;_:21‘_____4;_L_____n___‘_”W_MM~_ '
WEZLXM‘LQ._ V
Vacate: Occupied: ‘“ “f _ ,w New“ in
If Occugied:
Present Tenant:___________m“m_mvwwwumw_uwv v” W“
What basis: ___w_wm_~_ _ .“_____Ni~~,uwu
::y‘ «1 \Hl-W -
Will vacate: __ﬁ’Wft' “' “”*'W.wwwmmaw_~_m.u_ I
(If repairs are to he made as a part of {he m»a}, tr)! Mn and ‘ ‘3tt
Prop