CENTURY 21 Town & Country
Real Estate Services

Licensed in the State of Pennsylvania

CORPORATE OFFICE
ADAMS TOWNSHIP

(724) 779-2101 Phone
(724) 779-2125 Fax
7000 Crider Road
Mars, PA 16046



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Pre-Qualify for a Loan

To start the loan pre-qualification process, please complete and submit the form below. Items marked with a * are important for helping us pre-qualify you for a loan. After we receive this information, we will contact you with a few more questions to complete your application.

About You:


Name:*
Phone:*
Best time to
reach you:
Email:*
Marital Status:*


If there is someone applying with you, please enter their name:


Co-Applicant's Full Name:


Your current address: 


Street:*
City/State/Zip:*  

This loan is for a:*
Your ownership status:*


Address of the property to purchase, if you have decided:
 


Street:
City/State/Zip:  
This will be a:


Estimate Your Loan:


Purchase price of property:*
Amount you want to borrow:*
Length of loan in years:
Annual interest rate:
Annual property tax (if known):
Annual property insurance (if known):


Employment & Income:


Your employment status:*
Co-Applicant's status:
Occupation or type of business:*
How many months have you been
employed at your current job?
What is your total monthly income (include co-applicant's)?

Expenses (include co-applicant's):


Rent:
First mortgage:
Second mortgage:
Taxes:
Homeowner's Insurance:
Homeowner's dues:
Other debts (car loans, credit cards, etc):

Comments:




By supplying your contact information, you may be contacted by phone or email by the owner of this web site or a member of their professional team.

© 2006 Century 21 Real Estate LLC. CENTURY 21® is a registered trademark licensed to Century 21 Real Estate LLC. Equal Housing Opportunity. Each office is independently owned and operated.
Information deemed reliable but not guaranteed. Neither CENTURY 21 Town & Country Real Estate Services nor the service providers for this web site are liable for any errors or inaccuracies in the information provided.