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Disbursement Checklist

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**Please Make Arrangements**

AUPHIN

for Loan Documents and Check to be

PICKED UP Prior to Settlement

OUNTY

by the Realtor or Lender

FFICE OF

OMMUNITY

CONOMIC

EVELOPMENT

112 Market Street, 7

Floor

HARRISBURG, PA 17101

(717) 780-6250

(717) 257-1513 FAX

Disbursement Checklist

Dauphin County Affordable Housing Program

Buyers First Name: _______________MI: _____ Last Name: ___________________

Address: ___________________ Zip: _______ Township/Boro.: ________________

(of Property being purchased)

County Loan Amount: $_________________________ (

)

Enter the amount from worksheet - $3,000 maximum

Ethnicity/Race: _____________ Hispanic or Latino Or Not Hispanic or Latino:_________

Marital Status: _____________ # of Dependents: _____________________________

Items Needed To Process Application and before Funds & Mortgage Documents can be

disbursed:

 A Completed and Signed Dauphin County Mortgage Application

 A Copy of Certificate From Homebuyers Workshop

 Dauphin County Information Release Form

 Commitment Letter from Lender

 Last Two Months Bank Statements (Assets)

 Copy of Sales Agreement and Addenda

Copy of Last Two Pay Stubs &

Prior Year Federal Tax Return



(All working Adults in the household)

Appraisal of Property

Legal Description of Property



 Settlement Date: ___________________________________________________

 Settlement Agency:__________________________Attention:_______________

Address: _________________________________________________________

Phone: _________________________Fax: _____________________________

Disbursement Checklist

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