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• NOTE: If you filed your taxes and are unable to locate, you can request the transcript of your
Federal taxes by submitting form 4506-T to the IRS. The form to request is 4506-T and can be found
on irs.gov or you can set up an account at irs.gov and print out the letter.
9. _____ W2 and/or 1099-R Forms: 2023
• NOTE: If you filed are unable to locate you can request the transcript of your W2’s/1099’s by
submitting form 4506-T to the IRS. The form can be found on irs.gov or you can set up an account at
irs.gov and print out your transcript.
10. _____ Interest, dividends and other net income of any kind from real or personal property.
11. Asset Statement(s): provide current statements of all that apply, unless otherwise noted:
GENERAL NOTE: ALL ASSETS STATEMENTS MUST INCLUDED YOUR NAME, ACCOUNT NUMBER AND
INSTITUTION NAME FOR ALL CHECKING, SAVINGS, INVESTMENT ACCOUNTS AND RETIREMENT
ACCOUNTS. ANY ACCOUNTS PROVIDED WITHOUT THIS INFORMATION IS AN AUTOMATIC INCOMPLETE
APPLICATION.
• _____Checking accounts – Last three (3) months of statements – EVERY PAGE – FRONT AND BACK.
NOTE: Direct deposits from Payroll, SS, tax refund, transfers between your accounts, DOR, DTA
etc. we can identify. If you have cash deposits, payroll or non-payroll or other income deposits you
MUST identify where the funds have come from. For example, VENMO, EBAY, POSHMARK,
PAYPAL, CASH APP, ATM and MOBILE deposits, ZELLE and other transfers between any accounts
but your accounts, etc. There is no way we can list all sources. If you fail to explain they will be
counted as income, which may put you over the income limit.
NOTE: Do NOT provide a running transaction list of activity. You must provide individual
statements.
• _____Pre-paid debit card statements – current month.
NOTE: This is NOT your ATM/Debit card. This is usually a separate debit card statement showing
income deposited directing onto the debit card, i.e. Social Security or other regular income.
NOTE: If Social Security payments are deposited on a Direct Express card it is your responsibility to
provide proof. You can print a statement from the Direct Express website at
https://www.usdirectexpress.com/.
• _____Saving accounts – last three months of full statements
NOTES: Direct deposits from Payroll, SS, tax refund, transfers between your accounts, DOR, DTA
etc. we can identify. If you have cash deposits, payroll or non payroll or other income deposits you
MUST identify where the funds have come from. For example, VENMO, EBAY, POSHMARK,
PAYPAL, CASH APP, ATM and MOBILE deposits, ZELLE and other transfers between any accounts
but your accounts, etc. There is no way we can list all sources. If you fail to explain they will be
counted as income, which may put you over the income limit.
• _____Revocable trusts