AFFORDABLE HOUSING & FINANCING
682 S. Mtn Blvd., Mountaintop, Pa. 18707
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APPLICANT INFORMATION
Full Name (Last, MI, First)
E-mail Address
Social Security #
Marital Status
Date of Birth
Dependent Children
Telephone #
Present Address
City
State
Zip
Time @ Present Address years months
Rent or Own
Monthly Rental or Mtg. Pmt.
Landlord or Lender's Name
Landlord or Lender's Phone #
Previous Address (if less than 3 yrs.)
Time @ Previous Address yrs. months
Other Address
APPLICANT EMPLOYMENT
Present Employer
City/State/Zip
Job Title
Hire Date (Year/Month)
Gross Income per
Previous Employer
Address
City / State / Zip
APPLICANTS OTHER INCOME
Source of Other Income
Checking/Savings bank name
CO-APPLICANT'S INFORMATION
CO-APPLICANT'S EMPLOYMENT
CO-APPLICANTS OTHER INCOME
Checking or Savings bank name
HOME INFORMATION
Do you have a home picked out? Yes No
If so, please let us know the year, make, size, and location of the home you are interested in.
If not, what requirements are you seeking in a home? Location? Bedrooms? City? Schools? Please list below.
***When you've completed the above application, just hit the submit button below. Someone from our office will be in contact with you as the loan process goes forward. Once again, THANKS for choosing the professionals at Affordable Housing and Financing!
Loan Application Home Page
