| Date Recieved: | 04/15/2012 07:37:54 AM |
| Address: | |
| Email: | |
| Subject: | Online Application For: 007813821 |
|
| FraudPhoneIndicator | = No |
| FraudEmployerIndicator | = No |
| FraudAddressIndicator | = No |
| RecommendedApplicationAction | = PROCEED |
| AppSubmitter | = Member |
|
| PrimaryAppName | = SCOTT<>G<>BORGERSON<> |
| PrimaryAppAddrLine1 | = |
| PrimaryAppCity | = GLOUCESTER |
| PrimaryAppState | = MA |
| PrimaryAppZip | = 01930-1352 |
| PrimaryAppSSN | = |
| PrimaryAppDOB | = |
| PrimaryAppPriEmailAddr | = |
| PrimaryAppPhysAddrLine1 | = |
| PrimaryAppPhysAddrCity | = GLOUCESTER |
| PrimaryAppPhysAddrState | = MA |
| PrimaryAppPhysAddrZip | = 01930-1352 |
| PrimaryAppPhysAddrCountry | = USA |
| PrimaryAppCountryofCitizenship | = U.S. |
| PrimaryAppUSCitizen | = Yes |
|
| DepositAccountType | = USAA Four Star Checking Account |
| DebitRewardType | = NR |
| WantDirectDeposit | = No |
| NewAccountNumber | = |
| FundingMethod | = Initial Funds Transfer |
| FundDepositTransferUSAAFundsAcctNbr | = |
| FundingAccountNumber | = |
| TotalFundingAmount | = 1000.00 |
| CheckingFundingAmount | = 1000.00 |