Advantage Parent Loan Application and AgreementLoan Agreement • April 29th, 2011
Contract Type FiledApril 29th, 2011Requested Loan Amount For Internal Use Only Borrower Information Borrower Name (Last Name, First Name, Middle Initial) Borrower Social Security Number Permanent Address (include apartment number) City, State, Zip Code Years at Permanent Address Area Code/Telephone Number Date of Birth (MM/DD/YYYY) Driver’s License State and Number State # U.S. Citizenship Status (Check a or b, and if b is checked, list Registration Number)□ a. Citizen/National □ b. Permanent Resident/Other Eligible Non-CitizenIf “b”, Alien Registration Number E-mail Address Borrower Reference Information Provide two separate adult references with different addresses in the U.S. – P.O. boxes are not accepted. Both must be completed fully. Reference 1 Information Reference 2 Information Reference 1 Name (Last Name, First Name, Middle Initial) Reference 2 Name (Last Name, First Name, Middle Initial) Permanent Address (include apartment number) Permanent Address (include apartmen