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Name: Robert L. Moses
Occupation: Real Estate Broker
Home Address: P.O. Box 542 Sorrento,
Louisiana 70778
Office Address; 8339 Phillips Road,
Saint Amant,
Louisiana 70774
Number of Years and Months at Current Residence: 28 Years
Date of Birth: August 25 1956
Social Security Number: 428-08-9680
Home Tel No: 1 225-558-6082 or 1 225-205-3853
Employer Name: Usda/Gipsa
Number of Years and Months at Current Employer: 29 years Employer Address: 104 Campus Drive, Suite 200 P.O. Box 640
Work No: 1 985-764-2324 May we call you at work regarding this application? Ask for Glenda Lassinge
Fax No: 1 985 764- 2084_
E-mail:
[email protected] Bank Name : NODA FEDERAL CREDIT UNION
Bank Address: P.O. Box 29210 New Orleans, Louisiana 70189 - 0210 Or 13800 Old Gentilly Road Building 350 New Orleans, Louisiana 70129
Bank Tel & Fax No: 1 504- 426-6624 or 6632 Fax: 504-426 - 9779
Home Equity Line of Credit Account Details: American General Financial Services 817 N. Airline Highway Gonzales, Louisiana 70737-3018 Account No. 40016888 Contact Person: Susan Tarver
Current Balance: $ 73,000 Yearly
Equity limit : $73,000
Gross Income: + $ 123,000 I verify the above information is true: Robert L. Moses March, 1, 2008
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