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_______________