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1200 COUNTY"-CI"IY BUILDING <br />227 W. JEFFERSON BOC`LEVARD <br />SOUTH BEND, INDIANA 46601-I83O <br />1207 W. Thomas Street South Bend. IN 46601 64 <br />Address City/State/Zip Age <br />CITY OF SOUTH BEND STF.PHF,N 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 Eliza Bovd <br />Name <br />Co-Applicant's Name Teresa Bovd 627 Fourth Avenue Terre Haute, IN 47807 38 <br />Name Address City/State/Zip Age <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 $18,855.33 <br />B. Unexpected Costs (l0% of line lA) $1,885.50 <br />C. Title Report, Recording Fees <br />Credit Report, Legal Fees, etc. $150.00 <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 0 <br />Monthly Payments of Principal and Interest (Do not round) <br />Age of Structure Remaining Economic Life "As-Is" Value <br />1 E $20,890.83 <br />$17,000.00 <br />2C $17,000.00 <br />3 $3,890.83 <br />$3,900.00 <br />$0.00 <br />"After Rehab" Value <br />1. Total Gross Monthly Income <br />2. Monthly Housing Expense <br />3. Liabilities <br />4. Total Monthly Fixed Charges <br />5. TOTAL (lines 2, 3 & 4) <br />Balance (line l minus line 5) <br />TOTAL LOAN PAYMENTS <br />PxoNE574/235-9371 <br />FAx 574/235-9021 <br />TDD 574/ 235-5567 <br />$317.42 <br />$0.00 <br />$218.70 <br />$923.00 <br />$536.12 <br />$386.88 <br />COMMUNITY DEVELOPMENT ECONOMIC DEVELOPMENT FINANCIAL SL PROGILIM <br />('A ~AELA C. 1VI E}'FR DI~NA~'_C> E. INKS MANAGEMENT <br />574/235-661) 5]~}~Z 35-9371 ELIZA [S ETH LEONARD <br />FAx: 574/235-9097 574/235-9371 <br />