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How Often Do You Receive a Paycheck?
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Next Payday:
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1
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4
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2010
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Monthly Take
Home Pay:
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$800-$999
$1,000-$1199
$1,200-$1,499
$1,500- $1,999
$2,000-$2,399
$2,400-$2,999
$3,000-$3,499
$3,500-$3,999
$4,000-$4,999
$5,000 +
Less than $800
Do you have
Direct Deposit?
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Yes
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Length of time Employed:
0
1
2
3
4
5
6
7
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9
10
Yrs. and
3
4
5
6
7
8
9
10
11
Mos.
What type of Bank Account(s) do you have?
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Checking & Savings
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Are you a U.S. resident and 18 or over?
Yes
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