Disbursement Checklist Page 5
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5D
AUPHIN
th
112 Market Street, 7
Floor
C
OUNTY
H
, PA
17101
ARRISBURG
(717)
780-6250
OFFICE OF COMMUNITY
(717)
F
257-1513
AX
& ECONOMIC DEVELOPMENT
INFORMATION RELEASE
I/We, the undersigned, do hereby give Dauphin County Department of Community and Economic
Development authority to have the Realtor, Bank, Mortgage Company, or any entity associated with my first
mortgage, release any documents to the Dauphin County Department of Community and Economic
nd
Development to assist them in the processing and underwriting of my/our 2
or subordinated mortgage.
Date_________________
Applicant______________________________________
Date_________________
Applicant______________________________________
ND
2
MORTGAGE TERMS AND CONDITIONS
nd
I/We, the undersigned, do hereby acknowledge and understand that if approved, this is a 0% 2
mortgage
nd
with no monthly payments due during the term. The original amount of this 2
mortgage must be repaid
in full to Dauphin County upon sale of this property at any time in the future.
Date_________________
Applicant______________________________________
Date_________________
Applicant______________________________________
SINGLE FAMILY RESIDENCE
I, ______________________________________________________________________
do hereby certify that I will occupy the single family residence I am purchasing, located at
________________________________________________________________________
________________________________________________________as my principal residence.
___________________
________________________________
Date
Buyer
___________________
_________________________________
Date
Buyer
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