Enter the total costs from direct loan, grant and deferred payment loan used for downpayment assistance. INITIAL PURCHASE PRICE: Enter the purchase price of the single family home. You are required to give this amount for all homebuyer. AFTER REHAB VALUE: Enter the value of the single family home after rehabilitation. You are required to give this amount for all rehabilitation activities. This amount is required for homebuyer activities where rehab is completed as part of the activity. HOME MORTGAGE LIMIT: Enter the maximum purchase price/after rehabilitation value for the county where the activity is located. The value of any homebuyer/homeowner occupied property may not exceed 95 percent of the median purchase price for that type of single family housing for the area, as published by HUD. The HOME mortgage limit is the maximum purchase price or after rehabilitation value of a home based on Section 203 (b) of Single Family Mortgage Limits. Section 203 (b) limits are determined by HUD’s Office of Single Family Housing. To view updated limits on-line, go to the Division of Energy, Housing and Community Resources website: APPRAISED VALUE: Enter the estimated market value of a homebuyer property based on purchase appraisal. OTHER FEDERAL FUNDS (Provide information explaining the source and use of all non-HOME federal funds.) FEDERAL FUNDS: Enter contributions made with or derived from federal resources or funds. Some examples of federal funds are CDBG funds, Workforce Investment Act, FHA, Department of Energy (DOE) Weatherization Emergency Assistance Program (EAP) and Preservation Grants. USDA RURAL DEVELOPMENT: Enter the total amount dollar from a USDA Rural Development loan. TOTAL FEDERAL FUNDS: Enter the total of all non-HOME federal funds in this activity. STATE/LOCAL FUNDS Enter the amount of any state/local funds used in this activity. Provide information explaining the source and use of state and local funds. HOUSING TRUST FUNDS: Enter the amount of any housing trust funds used in this activity. These are funds dedicated by municipalities for affordable housing, such as the City of Stevens Point’s HOORA Program. STATE/LOCAL APPROPRIATED FUNDS:
8. FORGONE TAXES & FEES Description * Forgone Taxes $ Waived Fees $ Waived Charges $ TOTAL FORGONE TAXES AND FEES $ *Provide the documentation AGENCY NAME: ACTIVITY #: 9. DONATED LAND Description* Publicly owned land $ Private Owned $ Foreclosed Property $ TOTAL DONATED LAND $ * Provide the necessary documentation 10. INFRASTRUCTURE Description* $ TOTAL INFRASTRUCTURE $ * Provide the necessary documentation 11. ACTIVITY LOCATION Street Address City Zipcode COUNTY in which activity is located: : 12. HOUSEHOLD CHARACTERISTICS Unit No No. of Bedrooms Occupant Monthly Rent* (including Tenant Paid Utilities) Income Data* Household Data Tenant Contribution Subsidy Amount Total Rent Monthly Gross Income % of Area Median Race of Head of Household Size of Household Type of Household Rental Assistance 0-efficiency 1-1Bdrm 2-2 Bdrms 3-3 Bdrms 4-4 Bdrms 5-5 or more Bdrms 1-Tenant 2-Owner 9-Vacant 1-0-30% 2-31-50% 3-51-60% 4-61-80% 9-Vacant Hispanic - Check if "yes" 11-White 12-Black/African American 13-Asian 14-American Indian / Alaskan Native 15-Native Hawaiian / Other Pacific Islander 16-American Indian / Alaskan Native & White 17-Asian & White 18-Black/African American & White 19-American Indian/Alaskan native & black/African American 20-Balance/Other 09-Vacant unit 1-1 Person 2-2 Persons 3-3 Persons 4-4 Persons 5-5 Persons 6-6 Persons 7-7 Persons 8-or more Persons 9-Vacant 2-Elderly 3-Related/1 parent 4-Related/2 parent 5-Other 9-Vacant Unit 1-Section 8 2-HOME TBRA 3-Other 4-None 9-Vacant Unit $ $ $ $ *Round to the nearest dollar.