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1200 COUNTY-CITY BUILDING <br />227 W. JEFFERSON BOULEVARD <br />SOUTH BEND, INDIANA 46601-1830 <br />Total Number of Dependents: 1. <br />CITY OF SOUTH BEND STEPHEN J. LUECKE, MAYOR <br />COMMUNITY ~L 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 Delphine R. Poe 1310 Chalfant Street South Bend, IN 46617 41 <br />Name Address City/State/Zip Age <br />Co-Applicant's Name South Bend, IN _ <br />Name Address City/State/Zip Age <br />PEASE NOTE: Hereafter Individual and joint,applicants will be referred to as the"applicant". <br />Age of Dependents: 1 <br />PROJECTED LOAN TOTAL <br />1. Rehabilitation Cost <br />A. Amount for Construction Work $6,600.00 <br />B. Unexpected Costs (10% of line 1A) $660.00 <br />C. Title Report, Recording Fees <br />Credit Report, Legal Fees, etc. $123.00 <br />2. <br />3. <br />4. <br />D. Amount of Mortgages Being Refinanced <br />E. TOTAL (sum of lines lA through 1D) <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 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 />Age of Structure Remaining Economic Life "As-Is" Value <br />1E $7,383.00 <br />$3,630.00 <br />2C $3,630.00 <br />3 __$3,753.00 <br />$3,800.00 <br />$63.33 <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 1 minus line 5) <br />TOTAL LOAN PAYMENTS <br />PxoNE574/235-9371 <br />FAx 574/235-9021 <br />TDD 574/ 235-5567 <br />$676.13 <br />$251.00 <br />$1,523.08 <br />$2,781.26 <br />$2,450.21 <br />$331.05 <br />COMMUNITY DEVELOPMENT ECONOMIC DEVELOPMENT FINANCIAL & PROGRAM <br />PAMELA C. MEYER DONALD E. INKS MANAGEMENT <br />574!235-9660 574/235-9371 ELIZABETH LEONARD <br />FAX; 574/235-9697 574/235-9371 <br />