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1200 CouN~ ~~-CITY Bui>r~INc <br />227 W. JEFFERSON BOULEVARD <br />SOUTH BEND, INDIANA 46601-1830 <br />CITY OF SOU"1'H BEND STEPHEN J. LUECKE, MAYOR <br />COMMUNITY Sz ECONOMIC DEVELOPMENT <br />JEFFREY V. GIBNEY <br />EXECUTNE DIRECTOR <br />Community Development <br />SOUTH BEND HOME IMPROVEMENT PROGRAM <br />Loan Application <br />Applicant's Name Lisa D. Callahan 1806 E. Fox Street South Bend, IN 46613 48 <br />Name Address City/State/Zip Age <br />Co-Applicant's Name South Bend, IN _ <br />Name Address City/State/Zip Agc <br />PLEASE NOTE: Hereafter Individual and joint applicants will be referred to as the "applicant". <br />Agc of Dependents: 18 17 16 5 _ Total Number of Dependents: 4 <br />PROTECTED LOAN TOTAL <br />1. Rehabilitation Cost <br />A. Amount for Construction Work ~10.72~.00 <br />B. Unexpected Costs (10% of line lA) $1,072.00 <br />C. Title Report, Recording Fees <br />Credit Report, Legal Fees, etc. $150.00 <br />2 <br />3. <br />4. <br />PxoNE 574/ 235-9371 <br />FAx 574/235-9021 <br />TDD 574/ 235-SSC7 <br />D. Amount of Mortgages Being Refinanced <br />E. TOTAL (sum of lines 1A through 1D) <br />Funds to be Furnished From Other Sources <br />A. Grant Funds To Be Furnished (SBHIP gran[) <br />B. Other Funds To Be Furnished ( ) <br />C. TOTAL (line 2A+2B) <br />Line lE 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 />lE $11,947.00 <br />$5,898.50 <br />2C $5,898.50 <br />3 $6.04850 <br />$6.0~t).QO <br />$100.83 <br />Age of Structure Remaining Economic Life "As-Is" Value "After Rehab" Value <br />TOTAL LOAN PAYMENTS <br />1. Total Gross Monthly Income $4,058.56 <br />2. Monthly Housing Expense _ $1,160.00 <br />3. Liabilities $36.00 <br />4. Total Monthly Fixed Charges $1,253.56 <br />5. TOTAL (lines 2, 3 & 4) $2,949.56 <br />Balance (line 1 minus line 5) $1,109.00 <br />COMMUNCIY DEVELOPMENT ECONOMIC DEVELOPMENT FINANCIAL & PROGRAM <br />Pn,wei.-~ C. ME.rea DoNeLO E. INks MANAGEMENT <br />574/235-9660 574/235-9371 L•uzeuaTrt LeoNAaan <br />Fnx: 574/235-9697 574/235-9371 <br />