Employer's Verification on Loan Applicant

Question

TO:                        Applicant_____________________
                           Address_______________________
                           City__________________________
                           Loan No.______________________
                           Escrow No.____________________

Gentlemen:

I have applied for a real estate loan to be made by
Chambers Savings and Loan Assosciation.

I shall appreciate your completing the Employer's
Verification below for their confidential use and
forwarding it to:

     Chambers Savings and Loan Association
     1304 74th Circle N.E.
     St. Petersburg, Florida 33702

Thank you for your consideration and prompt reply, as
it will avoid many delays.

Very truly yours,

__________________________
      Applicant

                EMPLOYER'S VERIFICATION

1. Entered your employ:_________________________________
2. Present Position:____________________________________
3. Present Monthly Salary:    Gross Monthly Salary:_____
                              Overtime:_________________
                              Bonus or Commission:______
                              How paid:_________________
4. If Applicant is in Military Service please report
   income on a monthly basis as follows:
   Base Pay_________         Quarters and Subsistance___
   Flight or Hazard Allowance____________
5. Probability of Continued Employment__________________
6. Does Employee have Re-employment rights for:
        Sick Leave?______      Maternity Leave?_________
7. Other Remarks:_______________________________________
The above is furnished in strictest confident to your
request.

Date________________             Employer_______________