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EMPLOYMENT VERIFICATION REQUEST TO: M & E land Investment Corp YOU FILL OUT TOP PART ADDRESS:___PO Box 21179 CITY:Chattanooga_ST:_TN_ZIP_37424-0179 OFFICE TELEPHONE:__423 894 6884 FAX: 423 894 9343_ TENENT INFORMATION
REGARDING______________________________________________________ your name
ADDRESS: ______________________________________________________ your current address I hereby authorize M & E land Investment Corp to obtain any employment information requested and further agree to hold all parties harmless from any liability in the release of the information. ______________________________ __________________________ Applicant’s Signature: Date: EMPLOYMENT VERIFICATION BY EMPLOYER *************************************************************************************** Is this a Temporary Job?__________ NAME OF COMPANY: _____________________________phone #_________________ POSITION WITH COMPANY:__________________________________________________ CURRENT SALARY:__________________________________________________________ DATE Hired: __________________________________________________________ HOURS PER WEEK:_________________________________________________________ ________________________________________________________________________ VERIFIED BY (PLEASE PRINT NAME AND TITLE) TITLE DATE PLEASE FAX INFORMATION TO: 423 894-9343, THANK YOU FOR YOUR TIMELY RESPONSE. The Garden Apartments M & E land Investment PO Box 21179 Chattanooga, TN 37424-0179 423 894 6884 melandinvestment@bellsouth.net
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