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Please complete the form below and prepare the following documents to be submitted to start the process:

Last fiscal year’s Federal Tax returns “1040’s”, all pages (Corporate taxes if you file a seperate return)
Last fiscal year’s W-2 forms
Most recent pay stubs for 30 days
2 months complete bank statements for all bank accounts (all pages, full name, & account number)
Copy of current Driver's license

Full Name

First Name

Last Name

Email Address

Current Employer

Current Position

Current Address

Length at current address

Home or Cell Phone number

Work Phone Number

Best time to contact me

Contact me at

Please check to allow Premier Funding to gather your information

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