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e use of Ills credit card. For specific information regarding the costs. please wrIto us at Palm Beach National 13ank & Trust Company. PO Bor- 14218. North Palm Beach, Florida 33408 or call us al 561-0244385. The undersigned canines that ell statements In this Application and on each document required to be submit

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use of this credit card. For specific information regarding the costs, please write us at Palm Beach National Bank & Trust Company, P.O. Box 14218, North Palm Beach. Florida 33408 or Cell us al The undersigned canines that all statements In INs Application end on each document required to be submitted In connect

CREDIT CARD UNDERWRITING WORKSHEET Applicant -leCc-rey CQStin Beacon Score 14 ES, t-LC. Co-Applicant Beacon Score INCOME: DEBT: Gross Monthly: Mortgage/Rent: Equity Line/Loan: Other: Auto Loan: Total Income(A)

ted with the use a tile credit card. For Wet* inkernbenn regarding the costs. picas* wise us at Palm Beach MS* Bank & Trust Company, P 0 Bo. 14218, North Palm Beach. Fads 33408 apes in al 5814244361 The undersigned Canine ',that all statements In Ms Application and on each dottrel required to be submitted in con

08-80736-CV-MARRA P-001076 EFTA00228456 CREDIT CARD UNDERWRITING WORKSHEET Applicant %.C-c-rey Sitiri Beacon Score 14 ES, 4— LC Co-Applicant Beacon Score 498 INCOME: DEBT: Gross Monthly: Mortgage/Rent: Equity Line/Loan: Other: Auto Loan: Total Income(A) Installment Pymts: BANKING: Yes