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_______________