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Property Information
Will this be your: Help Primary Home Second Home Investment Property *
What type of property are you financing?Help *
Property Address
Street Address:
City: State: * Zip:Help
Loan Information
Property value? Help $ * Requested Loan Amount:Help $ *
What type of loan would you like? Help *
30 yr fixed 15 yr fixed 10 yr fixed 20 yr fixed 25 yr fixed 40 yr fixed
10/1 ARM 7/1 ARM 5/1 ARM 3/1 ARM 1/1 ARM Other
Please indicate if you are interested in the following special loans? Help
FHA VA No Income No Asset Verification
Conventional Loan No Income Verification
What is the primary reason you are looking to finance? *
Reduce Rate Cash Out Debt Consolidation
Change Term Home Improvement Change Loan Program
Pay Off 2nd/3rd Mortgage Pay Off Home Equity Line NEW HOME PURCHASE
First MortgageHelp Loan Balance: $ * RateHelp *
Second MortgageHelp Loan Balance: $ RateHelp

Borrower Information
First Name: Last Name: Suffix:
* *
Are you requesting a loan Individually or Jointly?Help Individually Jointly
Home Number:Help * Best Time to Call:
Work Number:Help * Best Time to Call:
Email Address:Help * Estimate Your Credit:Help *
Security Question:Help * Answer: *

Gross Monthly Household Income: $ *
Monthly Consumer Debt Payments: $ *

   
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NOTE : This form will enable us to give you the best interest rate available based on the information you have provided in the fields above. We will be in touch with you SHORTLY with this information.
Meadville Real Estate
1103 Park Ave.
Meadville, Pa. 16335
814-724-1100		 Conneaut Lake Real Estate
12213 Midway Dr.
Conneaut Lake, Pa. 16316
814-382-5225 		Greenville Real Estate
46 N. Main St.
Greenville, Pa. 16125
724-373-8425 		Mercer Real Estate
558 S. Erie St.
Mercer, Pa. 16137
724-269-7653

COLDWELL BANKER ? is a registered trademark of the Coldwell Banker Real Estate Corporation. ? 2008 Coldwell Banker Bainbridge Kaufman Real Estate. Each office Independently Owned and Operated. An Equal Opportunity Employer. Office Address: 1103 Park Ave., Meadville, Pa. 16335. Telephone: 814-724-1100. Licensed In Pennsylvania Lic. # RB-060649C TERMS OF USE SITEMAP

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