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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 />CITY OF SOUTH BEND STEPHEN 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 Patricia K. Metz 710 S. 301h Street <br />Name Address <br />South Bend, IN 46615 69 <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: 44 _ _ _ _ Total Number of Dependents: l <br />PROJECTED LOAN TOTAL <br />1. Rehabilitation Cost <br />A. Amount for Construction Work $5,695.00 <br />B. Unexpected Costs (10% of line 1A) $569.00 <br />C. Title Report, Recording Fees <br />Credit Report, Legal Fees, etc. $146.00 <br />D. Amount of Mortgages Being Refinanced <br />E. TOTAL (sum of lines I through 1D) <br />2. 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 />3. Line 1E Minus Line 2C <br />4. TOTAL AMOUNT OF APPLIED LOAN (line 3 rounded to the next highest $50) <br />Interest Rate Per Annum 0 %v Number of Months 48 <br />Monthly Payments of Principal and Interest (Do not round) <br />Age of Structure Remaining Economic Life "As -Is" Value <br />TOTAL LOAN PAYMENTS <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 />Age <br />I E $6,410.00 <br />$3,132.00 <br />2C $3,132.00 <br />3 $3,288.00 <br />$3,300.00 <br />"After Rehab" Value <br />$286.90 <br />$45.00 <br />$247.08 <br />COMMUNITY DEVELOPMENT ECONOMIC DEVELOPMENT FINANCIAL SL PROGRAM <br />PAMELA C. MEYER DONALD E. INKS MANAGEMENT <br />574/235 -9660 574/235 -9371 ELIZABETH LEONARD <br />FAx: 574/235 -9469 574/235 -9371 <br />$45.83 <br />$2,837.04 <br />578.98 <br />$2,258.06 <br />