Form Phl109 - Verbal Verification Of Employment

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VERBAL VERIFICATION OF EMPLOYMENT
Completion of this verification is required and a copy must be included in the loan file.
Borrower’s Name:
Loan Number:
Salaried Borrowers
Employer Name:
Employer Address:
City:
State:
Zip:
Employer Phone Number:
Currently Employed:  Yes  No
Employment Start Date:
Title/Position:
Employment Verified By:
Title:
Employer Phone Number Confirmed by 411:  Yes*  No
rd
If No, Other 3
Party Source:
.
*Attach print out to this form
Self-Employed Borrowers
Company/Business Name:
Company/Business Phone Number:
Business Confirmed
by 411 or Internet:
 Yes*  No
If company phone number is not listed, call the phone number to ensure it is in service and answered by the
borrower or in the name of the business.
By checking this box, I confirm I have called the company phone number and the borrower answered 
Third Party Verification of Business
rd
One of the following 3
party verifications is required:
 CPA or Tax Preparer Letter (
)
copy must be attached
 Current Business License (
)
copy must be attached
 Alternate Verification (
)
copy must be attached
(one of the following may be used to verify business):
 Current Contract
 Invoice
 Business Reference
Third Party Source Phone Number Confirmed by 411 or Internet?
 Yes*
 No
Third Party Source Verbally Verified?
 Yes  No
*
.
Attach print out to this form
Verification Completed By:
(Within 10 business days of Note date for wage earner borrowers and 30 calendar days for self-employed)
Printed Name/Title:
Date:
Planet Home Lending, LLC NMLS #17022
PHL109/09.27.16
Equal Housing Lender
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