Advanced Construction Systems, International Ltd.
P.O. Box 35541, Richmond, Virginia, 23235 USA  Phone/Fax: (804)-378-3742  E-mail: info@acsisips.com

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Financing Options

We Bring Communities Together

Advanced Construction Systems, International offers you  financing options customized to your specific requirements and needs.  Fill out the form below.  You may also download the form here and send it by mail.

Application

ACSI 
Applicant's Name:  Co-Applicant's Name: 

D.O.B.: S.S.N. #: D.O.B.:  S.S.N. #:
Telephone Numbers:  Telephone Numbers: 

home:
work:

home:
work:

Applicant's Address: Co-Applicant's  Address:

Employer: 
Years: 

Employer: 
Years: 

Position: 
Years: 

Position: 
Years: 

Gross Annual Income: Liabilities:
Applicant Co-Applicant Monthly Balance

Base:  $
Bonuses/Overtime $
Commissions* $
Dividends/Interest* $
Other* $
Total $

$
$
$
$
$
$

Mortgage/Rent: $
Installment/Auto: $
Revolving Charges: $
Alimony: $
Child Care/Support: $
Other: $
Total: $

$
$
$
$
$
$
$

Assets/Other: 

Source of other income: 

Checking/Savings: $
Stocks/Bonds: $
Real Estate Equity: $
Gif t Funds: $
Other: $
Total: $

Type of Mortgage Anticipated:  

Percentage of downpayment anticipated 

Do you have any outstanding judgments? 

Have you filed bankruptcy in last 7  years? 
Yes    No
Have you owned real estate in last 3 years? 
Yes    No
Who referred you to ACSI? 

*Average of last two years  
(Note: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered for pre-qualification)

We acknowledge & agree that this application is for pre-qualification purposes only and that the information provided in this application along with an in-file credit report, if deemed necessary, are the only criteria that will be used to evaluate my/our pre-qualification status.  

We further agree that upon my/our request Access National Mortgage will begin a formal loan application for a specific property and loan amount.

  

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