EMPLOYER'S VERIFICATION

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 would 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_______________