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1200 COUNTY-CITY BUILDING <br />227 W. JEFFERSON BOULEVARD <br />SOUTH BEND, INDIANA 46601-1830 <br />PHONE 574/ 235-9371 <br />FAx 574!235-9021 <br />TDD 574/ 235-5567 <br />CI'I"Y OF SOUTH BEND STEPHEN J. LUECKE, MAYOR <br />COMMUNITY ~L ECONOMIC DEVELOPMENT <br />JEFFREY V. GIBNEY <br />EXECUTIVE DIRF,CTOR <br />Community Development <br />SOUTH BEND HOME IMPROVEMENT PROGRAM <br />Loan Application <br />Applicant's Name Katia M. Gonzalez 4801 Skye Court <br />Name Address <br />South Bend, IN 46614 36 <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: 15 10 1 <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 Mon[hs 72 <br />Monthly Payments of Principal and Interest (Do not round) <br />Age <br />Rehabilitation Cost <br />Total Number of Dependents: <br />PROJECTED LOAN TOTAL <br />A. Amount for Construction Work $9,225.00 <br />B. Unexpected Costs (10% of line lA) $922.00 <br />C. Title Report, Recording Fees <br />Credit Report, Legal Fees, etc. $146.00 <br />2 <br />3. <br />4. <br />Age of Structure Remaining Economic Life "As-Is" Value <br />1 E $10,293.00 <br />$5,073.50 <br />2C $5,073.50 <br />3 $5,219.50 <br />$5,250.00 <br />$72.92 <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 />$1,059.00 <br />$15.00 <br />___ yf~-lti.i~) <br />3 <br />$3,287.27 <br />$1,722.59 <br />$1,564.68 <br />COMMUNITY DEVELOPMENT ECONOMIC DEVELOPMENT FINANCIAL aC PROGRAM <br />PAMELA C. MF.YER DONALD E. INKS MANAGEMENT <br />574/235-9660 574/235-9371 ELIZABETH LEONARD <br />Fax: 574/235-9697 574/235-9371 <br />