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QUESTIONS
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YES
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NO
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Do you own a home?
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Are your home payments current?
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Are you property taxes current?
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Is your home worth more than you owe on it?
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Are you or your spouse over 65 years of age?
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Do you own a piece of property which is not your home?
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Have you lived in California more than 4 years?
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Do you live alone?
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Do you have any adults who live with you?
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Do you have anything at home worth more than $5,000?
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Do you have anything at home worth more than $1,000?
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Do you rent an offsite storage locker or safe deposit box?
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Is there anything in the locker or box worth more than $5,000?
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Is there anything in the locker or box worth more than $1,000?
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Do you own one or more cars?
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Are you leasing one or more cars?
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Are you current on the payments?
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Are you financing one or more cars?
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Are you current on the payments?
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Do you have auto insurance on all cars?
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Do you have any life insurance?
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Does your life insurance have loan or cash surrender value?
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Do you have a pension, IRA, 401k or similar account?
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Do you own any stocks or bonds?
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Does someone owe you money?
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Do you own any patents, copyrights, trademarks?
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Do you have the right to receive any royalty income?
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Do you receive residual income?
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Are you involved as an owner in any business?
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Are you involved in any trusts?
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Do you own any office furniture or furnishings?
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Do you own any motorcycles, boats, airplanes or anything else
with a motor?
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Do you own any manufacturing equipment?
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Do you own any show animals?
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Do you own any farming equipment or tools?
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Do you own anything else worth more than $1,000?
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Have you ever used a fake social security or tax ID number?
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Have you ever used more than 1 social security or tax ID number?
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Did you file your federal and State tax returns for last year?
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Do you owe back income taxes?
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Do you owe any other type of taxes?
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In the last 3 years, have you exaggerated or not told the complete truth on a loan or credit card application?
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Have you received cash on a credit card account in the last year?
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Have you used a credit card courtesy check in the last year?
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Have you made a credit card balance transfer in the last year?
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Have you used credit cards more this year than in past years?
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Have you ever filed bankruptcy before?
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Are you involved in any Court, arbitration or other legal proceedings of any type?
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Have you taken money from an employer without permission?
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Have you taken money from a friend or family member without permission?
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Do you have any judgments against you?
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Do any judgments against you use the word fraud?
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Are you thinking about getting a divorce, now getting a divorce, or been divorced in the last 5 years?
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Do you owe spousal support?
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Do you owe child support?
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Do you owe any money to your ex-spouse?
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Have you ever intentionally injured someone?
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Have you ever intentionally injured someone’s property?
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Do you owe any fines, penalties or sanctions?
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Do you owe any student loans?
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Have you ever caused an accident due to drugs or alcohol?
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Have you ever been convicted of a non-traffic crime?
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Do you owe a restitution debt?
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Do you owe money to a homeowners association?
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Do you owe money to a landlord?
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Do you receive a paycheck?
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Are you on commission?
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Do you receive some of your wages in cash?
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Do you think you are disabled?
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Do you get disability payments?
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Have you gotten money from family or friends to help pay for living expenses in the last year?
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Do you get social security?
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Do you have a business?
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Do you get welfare or other government assistance?
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Have you sold anything for more than $500 in the last 2 years?
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Have you given away anything worth more than $200 in the last 7 years?
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Have you repaid a debt to a family member in the last year?
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Do you have a bank account with Wells Fargo Bank?
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