P
Greater Pgh Home Equity Online Application
Borrower
Last Name:
First Name:
MI:
Date of Birth:
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SS#
Home Phone:
Employer:
Title/Position:
Length of Employment:
/
Monthly Gross:
Co-Borrower
Last Name:
First Name:
MI:
Date of Birth:
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February
March
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December
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SS#
Home Phone:
Employer:
Title/Position:
Length of Employment:
/
Monthly Gross:
Property Info
Address:
City:
State:
County:
ZIP:
Year Purchased:
Purchase Amount :
Fair Market Value :
Mortgage Information
Primary:
Interest Rate:
Monthly Payment :
Balance:
Original Term :
Secondary:
Interest Rate:
Monthly Payment :
Balance:
How long do you plan on living in the home?
Do you have any credit problems we should worry about?
Are there any outstanding balances you'd like to take care of?
What are the total amount of assets that you have?
What would you like our proposal to cover for you?
What is the best time to reach you?
