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BankofAmerica SS
Housing Verification of Assets Request Form
db authored Anise Housing Authors to
America sartamer to deere sghiy for fm nee Everman abit eas,
All fields and customer's authorization are required for response, Fax this single form with no
addtional attachments to 415.343.9505
Requestor wll receive a fixed response within approximately 2 days
Bank of America Customer’s Information (please prin
‘Name on Account
city
State
Zip
Fins aac pe
(ma. covang nun Coie Cisvines Ch CRA
Heat
(te. caeing Cinerot Chong vege Teo Ca
Hoste
[lig coehng inert Chang Sens CCD CDRA
Bost
{authorize Bank of America to reease te talance, average balance, interest ae if pliable and opening date on the
scsoui()Histed above othe equa forthe purpose of determining my lilt for aise owing I uneven
thatthe afraton Ihave provid erin is ot scurat or comple at ny taal account reli maybe
TTT
Requesting Housing Agency Information please prin)
All fields below are required for response
Housing Ageney
[Pose [> ARF [CO
sit Ingen Serves
Phone 803.765 4882
