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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 A. Simpkins 2916 Erskine Blvd. <br />Name Address <br />South Bend, IN 46614 81 <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: _ _ _ _ _ Total Number of Dependents: 0 <br />PROJECTED LOAN TOTAL <br />1. Rehabilitation Cost <br />A. Amount for Construction Work $17,543.00 <br />B. Unexpected Costs (10% of line 1A) $1,754.00 <br />C. Title Report, Recording Fees <br />Credit Report, Legal Fees, etc. $146.00 <br />F1 <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 N/A <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 />1E $19,443.00 <br />$17,000.00 <br />2C $17,000.00 <br />3 $2,443.00 <br />$2,450.00 <br />"After Rehab" Value <br />$426.85 <br />$0.00 <br />$407.10 <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 -9469 574/235 -9371 <br />$0.00 <br />$1,564.55 <br />$833.95 <br />$730.60 <br />