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1200 COIJNTY-(/ITY BUILDWG <br />227 W. JEFFERSON BOULEVARD <br />SOUTH BEND,INnIANA 46601-1830 <br />PHONE 574/ 235-9371 <br />Fax 574/235-9021 <br />TDD 574/ 235-5567 <br />CI"]'Y OF SOUTH BEND STEPHEN J. LUECKE, MAYOR <br />COMMUNITY ~ ECONOMIC DEVELOPMENT <br />JEFFREY V. GIBNEY <br />EXECUTIVE DIRECTOR <br />Community Development <br />SOUTH BEND HOME IMPROVEMENT PROGRAM <br />Loan Application <br />Applicant's Name Diane C. Curneal 2238 Beverly Place <br />Name Address <br />South Bend. IN 46616 60 <br />City/State/Zip Age <br />Co-Applicant's Name South Bend, IN <br />Name Address City/State/Zip <br />PLEASE NOTE: Hereafter Individual and joint applicants will be referred to as the "applicant". <br />Age of Dependents: _ _ _ _ _ Total Number of Dependents: 0 <br />Rehabilitation Cost <br />PROJECTED LOAN TOTAL <br />A. Amount for Construction Work $11,635.00 <br />B. Unexpected Costs (10% of line 1 A) $1,163.50 <br />C. Title Report, Recording Fees <br />Credit Report, Legal Fees, etc. $177.00 <br />2. <br />3. <br />4. <br />D. Amount of Mortgages Being Refinanced <br />E. TOTAL (sum of lines 1 A through 1 D) <br />Funds to be Furnished From Other Sources <br />A. Grant Funds To Be Furnished (SBHIP grant) <br />B. Other Funds To Be Furnished <br />C. TOTAL (line 2A+2B) <br />Line 1 E Minus Line 2C <br />TOTAL AMOUNT OF APPLIED LOAN (line 3 rounded to the next highest $50) <br />Interest Rate Per Annum 0% Number of Months 60 <br />Monthly Payments of Principal and Interest (Do not round) <br />Age <br />IE $12,975.50 <br />$6,399.25 <br />2C $6,399.25 <br />3 $6,576.25 <br />$6,600.00 <br />$110.00 <br />Age of Structure Remaining Economic Life "As-Is" Value "After Rehab" Value <br />TOTAL LOAN PAYMENTS <br />1. Total Gross Monthly Income $2,384.56 <br />2. Monthly Housing Expense $459.73 <br />3. Liabilities $7.00 <br />4. Total Monthly Fixed Charges $359.27 <br />5. TOTAL (lines 2, 3 & 4) $826.00 <br />Balance (line l minus line 5) $],558.56 <br />COMMUNITY DEVELOPMENT ECONOMIC DEVELOPMENT FINANCIAL Ht PROGRAM <br />PAMELA C. iVI E}'ER DONALD E. 1NK5 MANAGEMENT <br />574/235-9660 574/235-9371 ELIZA6ETfl LeoNAaD <br />Fax: 574/235-9697 574/235-9371 <br />