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Community Development <br />SOUTH BEND HOME IMPROVEMENT PROGRAM <br />Loan Application <br />Applicant's Name Noc C. Rodri~vuez 1901 W. Indiana Aveune South Bend. IN 46613 61 <br />Name Address City/State/Zip Agc <br />Co-Applicant's Name Amelia Rodria~uez 1901 W. Indiana Avenue South Bend, IN 46613 60 <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: <br />Total Number of Dependents: 0 <br />PROTECTED LOAN TOTAL <br />Rehabilitation Cost <br />A. Amount for Construction Work $4.540.00 <br />B. Unexpected Costs (10% of line lA) $454.00 <br />C. Title Report, Recording Fees <br />Credit Report, Legal Fecs, etc. $123.00 <br /> <br />3. <br />4. <br />D. Amount of Mortgages Being Refinanced <br />E. TO'T'AL (sum of lines lA 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 I E Minus Line 2C <br />TOTAL AMOUNT OF APPLIED LOAN (line 3 rounded to the next highest $50) <br />Intcrest Rate Per Annum 0!'o Number of Months 36 <br />Monthl~~ Pa~~mcnts of Principal and Intcrest (Do not round) <br />lE $5,117.00 <br />$2,497.00 <br />2C $2,497.00 <br />3 52,620.00 <br />'' 650.00 <br />$73.61 <br />Agc of Structure Remaining Economic Life "As-Is" Value "After Rehab" Value <br />TOTAL LOAN PAYMENTS <br />1. "Total Gross Monthly Income __$2,623.54 <br />2. Monthly Housing Expense $337.80 <br />3. Liabilities $171.00 <br />4. Total Monthly Fixed Charges $361.33 <br />5. TOTAL (lines 2. 3 & 4) $872.13 <br />Balance (line 1 minus line ~) 5760 7~ <br />