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1200 COUNTY-CITY BUILDING <br />227 W. JEFFERSON BOULEVARD <br />SOUTH BEND, INDIANA 46601-I$3O <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 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 />CITY OF SOU'I"H BEND STEPHEN J. LUECKE, MAYOR <br />COMMUNITY ~L 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 Gloria E. Share 909 Sancome Avenue South Bend, IN 46628 50 <br />Name Address City/State/Zip Age <br />Co-Applicant's Name South Bend, IN _ <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 />PROTECTED LOAN TOTAL <br />1. Rehabilitation Cost <br />A. Amount for Construction Work $5,455.33 <br />B. Unexpected Costs (10% of line lA) $546.00 <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 />lE $6,147.33 <br />$3,000.67 <br />2C $3,000.66 <br />3 $3.146.67 <br />$ 3.1 ~ 0.00 <br />$52.50 <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 />PHONE 574/ 235-9371 <br />FAx 574/235-9021 <br />TDD 574/ 235-5567 <br />$471.86 <br />$53.00 <br />$468.00 <br />$2,494.60 <br />$992.86 <br />$1,501.74 <br />COMMUNITY DEVELOPMENT ECONOMIC DEVELOPMENT FINANCIAL SC PROGRAM <br />PAAIELA C. MEYER DONALD E. INKS MANAGEMENT <br />574/235-9660 574/235-9371 ELIZABETH LEONARD <br />FAX: 574!235-9697 574/235-9371 <br />