CITY OF BUENA PARK ECONOMIC DEVELOPMENT DEPARTMENT FIRST-TIME HOMEBUYER PROGRAM PROGRAM OVERVIEW

Transcription

1 CITY OF BUENA PARK ECONOMIC DEVELOPMENT DEPARTMENT FIRST-TIME HOMEBUYER PROGRAM PROGRAM OVERVIEW The applicant s household income cannot exceed the following: Household Size Maximum Gross Annual Income (2015) 1 $ 52,500 2 $ 60,000 3 $ 67,500 4 $ 74,950 5 $ 80,950 6 $ 86,950 7 $ 92,950 8 $ 98,950 There is a Maximum Sales Price/Value of $466,000 set for all re-sale properties purchased. The Maximum Sales Price/Value for a new home is $560,000. Second mortgage loans are provided in the following order to the following eligible Applicants: 1. Households displaced due to action of the City, County, State or Federal government. 2. Eligible households on a first-come, first-served basis. Priority for loan assistance will be given to applicants that: (1) provide evidence of a first mortgage loan approval; (2) have a signed Purchase & Sales Agreement including a signed City of Buena Park Addendum to Purchase and Sales Agreement; or (3) have entered into escrow and have a copy of their escrow instructions Up to $100,000 in the form of a second mortgage (loan deferred up to 30 years at 3% simple interest) can be provided by the City for down payment and closing cost assistance (up to $5,000 can be used for non-recurring closing costs) The applicant must contribute a minimum of 3% of the purchase price as a down payment The City second mortgage plus annual interest is repaid when the borrower: (1) sells the property; (2) transfers title/ownership of the property; (3) takes equity out of the property; or (4) no longer lives in the property All applicants are required to attend a First-Time Homebuyer Seminar with a HUD-approved organization. Certificates are valid for one year from the date of issuance. When purchasing a home please keep in mind: (1) all homes must be modest, and cannot exceed three (3) bedrooms unless there is documented circumstances that require a larger home (e.g. it would create overcrowding due to household size); (2) all homes must pass a Health and Safety code inspection by a City inspector prior to purchase; and (3) all potential homes must be vacant for at least 90 days prior to the open of escrow or currently occupied by the owner. APPLICATION PROCESS OVERVIEW Applications will be funded on a first-come, first-served basis Priority for funding will be given to eligible applicants that provide evidence that they have started the process of purchasing a house within the City of Buena Park Conditional Approval/Denial letters will be mailed approximately 3-4 weeks after receipt of application Inspections of the property to identify code violations and health quality standards are required to be conducted by the City A copy of escrow instructions must be provided to the City at the time the initial City inspection is requested All City-required repairs must be completed prior to the funding of the City loan 60-day escrows are required to accommodate the loan process and completion of any City-required repairs Additional criteria may apply! Updated 06/01/15

2 CITY OF BUENA PARK FIRST-TIME HOMEBUYER PROGRAM APPLICATION CHECKLIST In order to assist the City of Buena Park staff in processing your application as quickly as possible, we will require the following information. PLEASE RETURN THE COMPLETED APPLICATION WITH THE FOLLOWING ITEMS. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. 1. SIGNED application including the following attachments: Exhibit A (Current Monthly Income Chart and Request for Employment/Salary Verification) Exhibit B (Household Composition Sheet) Exhibit C (Lead-Based Paint Information) Exhibit D (Federal Income Tax Return Filing Statement and Request for Transcript of Tax Return) Exhibit E (Down payment Gift Letter, if applicable) Exhibit F (Authorization to Obtain Credit Report) 2. COPY of last 3 YEARS Federal Income Tax Return, WITH W-2 (2012, 2013, 2014). 3. COPY of three (3) most recent paycheck stubs, and/or If Self-employed must provide a Year-to-Date (2015) Profit and Loss Statement 4. COPY of other income documentation (supply a copy of the award letter or a copy of the check or direct deposit bank statement): Alimony, Child support (if child support has been ordered but never or periodically received please provide proof from the District Attorney office) Social Security, SSI, Retirement, Unemployment, Disability, AFDC Proof of income for ALL PERSONS living in household or proof of full-time student status, including class schedule 5. COPY of three (3) most recent savings account and six (6) most recent checking account statements for all accounts (all pages) and other accounts mutual funds, stocks, bonds, 401K, IRA, etc. 6. COPY of First Mortgage Loan Pre-Qualification Letter 7. COPY of a credit report for all applicants 8. COPY of proof of United States citizenship or permanent resident and driver s license 9. COPY of Certificate of Attendance from a First-Time Homebuyer Education Seminar with the Neighbor Works of Orange County (714) COPY of final recorded all pages Divorce Decree (if applicable) 11. COPY of First Mortgage Loan Approval Commitment Letter (if applicable) 12. COPY of Purchase and Sales Agreement and/or Escrow Instructions (if applicable) ***************************************************IMPORTANT***************************************************** Please submit your original application with all exhibits & photocopies of items 2 through 12. The City cannot be responsible for returning or safeguarding original personal documents for items 2 through 12. Please call or Jessica Fewer at (714) or jfewer@buenapark.com to schedule an appointment to submit your application. Updated 05/04/15

3 CITY OF BUENA PARK FIRST-TIME HOMEBUYER PROGRAM APPLICATION APPLICATION RECEIVED Date: Time: ***FOR OFFICE USE ONLY*** APPROVED DENIED APPLICATION # COMMENTS: APPLICANT INFORMATION Name: Home Phone: LAST FIRST MIDDLE INT. Home Address: City: Zip Code Mailing Address: City: Zip Code Marital Status (check one): Married Single Divorced Legal Separation Widow Gender: Male Female Date of Birth: / / S.S. #: - - Identification# Exp. Date (CALIF. DRIVER LICENSE OR CALIF. I.D.) Current Employer Work Phone #: ( ) Fax: ( ) Employer's Address: How Long? Address: CO-APPLICANT INFORMATION Name: Home Phone: LAST FIRST MIDDLE INT. Home Address: City: Zip Code Mailing Address: City: Zip Code Marital Status (check one): Married Single Divorced Legal Separation Widow Gender: Male Female Date of Birth: / / S.S. #: - - Identification# Exp. Date (CALIFORNIA DRIVER S LICENSE OR CALIFORNIA I.D.) Current Employer Work Phone #: ( ) Fax: ( ) Employer's Address: How Long? Address: Updated 01/12/15

4 ASSET LIABILITIES BALANCE/ ESTIMATED VALUE DEBTS (including Credit Cards, Student Loans, etc.) NAME UNPAID BALANCE MONTHLY PMT AMT CHECKING ACCT BALANCE $ $ $ SAVINGS ACCOUNT BALANCE $ $ $ $ $ REAL ESTATE VALUE $ $ $ $ $ OTHER ASSETS (ITEMIZE) (INCOME PROVIDING ASSETS; i.e., STOCKS, BONDS, ETC.) $ $ TOTAL MONTHLY PAYMENTS $ REAL ESTATE LOANS OR LINES OF CREDIT: ACCOUNT # MONTHLY PMT AMT UNPAID BALANCE $ $ $ $ $ $ $ $ $ Have you or any other person listed on this application purchased or had ownership interest in a residential unit within the last three years? Yes No Are all debts listed? Yes No Is any debt past due? Yes No Type of debt: Have you or your co-applicant filed for bankruptcy in the last 3 years? Yes No I/We have attached: First Mortgage Approval Letter Escrow Instructions Purchase & Sales Agreement I/We are ready to buy a home by (provide a date that you are willing and able to close escrow): By signing below you: 1. Are aware that your application must be submitted to the City's Economic Development Division to be considered for a loan. 2. Are aware and understand that the City reserves the right to reverse any loan approvals based on additional information discovered that proves the applicant is not eligible for assistance. 3. Certify that the information contained in this application including all exhibits is true and complete as of the date below. 4. Agree that this application is the property of the City and need not be returned to you. 5. Authorize the City to verify the accuracy and completeness of all information above from any source the City chooses. 6. Certify that you have not had ownership interest in a residential unit within the last three years. IF ANY INFORMATION IS WITHHELD, FALSIFIED, OR WILLFULLY MISREPRESENTED, THE CITY RESERVES THE RIGHT TO REFUSE FUNDING, OR TO CALL THE LOAN DUE IMMEDIATELY UPON DEMAND. ACCEPTANCE OF THIS APPLICATION BY THE CITY DOES NOT MEAN YOU HAVE BEEN APPROVED FOR A LOAN. THE CITY WILL NOTIFY YOU IN WRITING IF YOU HAVE BEEN APPROVED OR DENIED A LOAN. If you are married and applying for credit in your name alone, this authorization extends to verify information about your spouse. Applicant Signature Date Co-Applicant Signature Date All financial information provided is confidential and shall not be a part of public record. For more information, please contact City of Buena Park Economic Development Division 6650 Beach Blvd. Buena Park CA Jessica Fewer (714) jfewer@buenapark.com

5 EXHIBIT "A" City of Buena Park HOME Investment Partnerships Program (HOME): Income & Asset Inclusions Type of Income 1 The full amount, before any payroll deductions, of wages and salaries, overtime pay, commissions, fees tips, and bonuses, and other compensation for personal services. 2 The net income from the operation of a business of profession. Expenditures for business expansion or amortization of capital indebtedness shall not be used as deductions in determining net income. An allowance for depreciation of assets used in a business or profession may be deducted, based on straightline depreciation, as provided in Internal Revenue Services Regulations. Any withdrawal of cash or assets from the operation or business will be included in income, except to the extent the withdrawal is reimbursement of cash or assets invested in the operation by the family. 3 Interest, dividends, and other net income of any kind from real or personal property. Expenditures for amortization of capital indebtedness shall not be used in determining net income. An allowance for depreciation is permitted only as authorized in number 2 (above). Any withdrawal of cash or assets from an investment will be included in income, except to the extent the withdrawal is reimbursement of cash or assets invested by the family. 4 The full amount of periodic amounts received from Social Security, annuities, insurance policies, retirement funds, pensions, disability or death benefits, and other similar types of periodic receipts, including lump-sum amount or prospective monthly amounts for the delayed start of a periodic amount. 5 Payments in lieu of earnings, such as unemployment and disability compensation, and severance pay. 6 Welfare assistance, Welfare assistance made under the Temporary Assistance for Needy Families (TANF 45 CFR )) program. 7 Periodic and determinable allowances such as alimony and child support payments, and regular contributions or gift received organizations or from persons not residing in the dwelling. YES or NO Type Received from whom? Amount Received Annually

6 8 All regular pay, special pay, and allowances of a member of the Armed Forces. Type of Assets: 1a Cash held in savings accounts (current balance) 1b Cash held in checking accounts (avg. balance for last 6 mos.) 1c Cash held in safe deposit boxes 1d Other cash 2 Cash value of revocable trusts available to the applicant. 3 Equity in rental property or other capital investments. 4 Cash value of stocks or bonds. 5a Cash value of Treasury bills, certificates of deposit and money market accounts. 5b Individual retirement, 401(K), and Keogh accounts (even though early withdrawal could result in a penalty). 6 Retirement and pension funds. 7 Cash value of life insurance policies available before death. 8 Personal property held as an investment such as gems, jewelry, coin collections, antique cars, etc. 9 Lump sum or one-time receipts, such as inheritances, capital gains, lottery winnings, victim's restitution, insurance settlements and other amounts not intended as periodic payments. 10 Mortgages or deeds of trust held by applicant. 11 Assets (cash, property, etc.) gifted or sold below market value in last 24 months. YES or NO Source Value of Asset Interest Earned Annually APPLICANT S CERTIFICATION I/we certify that all information on this City of Buena Park HOME Investment Partnerships Program (HOME): Income and Asset Inclusions form is true and correct to the best of my/our knowledge and I/we understand that any deliberate falsifications are grounds for rejection of the application. I/we consent to all verification of any information herein contained. Applicant s Signature Date Co-Applicant s Signature Date Print Name Print Name

7 INSTRUCTIONS: APPLICANT Complete ONLY items 1, 7 and 8. City of Buena Park Economic Development Department REQUEST FOR EMPLOYMENT/SALARY VERIFICATION EMPLOYER - Please complete either Part II or Part III as applicable. Sign and return directly to lender named in item 2. PART I REQUEST FOR EMPLOYMENT/SALARY VERIFICATION 1. TO (Name and address of employer) 2. FROM (Name and address of lender) City of Buena Park Economic Development Department First-Time Homebuyer Program 6650 Beach Boulevard Buena Park, CA SIGNATURE OF LENDER 4. TITLE 5. DATE 6. LENDER'S NUMBER (optional) I have applied for a mortgage loan and stated that I am now or was formerly employed by you. My signature below authorizes verification of this information. 7. NAME AND ADDRESS OF APPLICANT (Include employee number or badge number) Name: Employee #: Address: 8. SIGNATURE OF APPLICANT APPLICANT STOP HERE THE REMAINDER TO BE COMPLETED BY EMPLOYER PART II - VERIFICATION OF PRESENT EMPLOYMENT EMPLOYMENT DATA X PAY DATA 9. APPLICANT'S DATE OF EMPLOYMENT 12A. CURRENT BASE PAY (Enter Amount and Check 12C. FOR MILITARY PERSONNEL ONLY Period) ANNUAL HOURLY PAY GRADE 10. PRESENT POSITION MONTHLY BI-WEEKLY TYPE MONTHLY $ WEEKLY OTHER(Specify) AMOUNT Number of Months Worked in a Year: BASE PAY $ 11. PROBABILITY OF CONTINUED EMPLOYMENT 12B. EARNINGS RATIONS $ 13. IF OVERTIME OR BONUS IS APPLICABLE, IS ITS CONTINUANCE LIKELY? OVERTIME YES NO BONUS YES NO TYPE YEAR TO DATE PAST YEAR FLIGHT OR HAZARD BASE PAY $ $ CLOTHING $ OVERTIME $ $ QUARTERS $ COMMISSIONS $ $ PRO PAY $ BONUS $ $ OVERSEAS OR COMBAT 14. REMARKS (if paid hourly, please indicate average hours worked each week during current and past year) $ $ PART III - VERIFICATION OF PREVIOUS EMPLOYMENT 15. DATES OF EMPLOYMENT 16. SALARY/WAGE AT TERMINATION PER (Year) (Month) (Week) (Other - specify) BASE OVERTIME COMMISSIONS BONUS 17. REASON FOR LEAVING 18. POSITION HELD EMPLOYER SIGNATURE 19. SIGNATURE OF EMPLOYER 20. PRINTED NAME 21. TITLE 22. DATE 23. TELEPHONE NUMBER AND ADDRESS: The confidentiality or the information you have furnished will be preserved except where disclosure of this information is required by applicable law. The form is to be transmitted directly to the lender and is not to be transmitted through the applicant or any other party.

8 Form 4506-T (Rev. January 2010) Department of the Treasury Internal Revenue Service Request for Transcript of Tax Return Request may be rejected if the form is incomplete or illegible. OMB No Tip. Use Form 4506-T to order a transcript or other return information free of charge. See the product list below. You can also call to order a transcript. If you need a copy of your return, use Form 4506, Request for Copy of Tax Return. There is a fee to get a copy of your return. 1a Name shown on tax return. If a joint return, enter the name shown first. 1b First social security number on tax return or employer identification number (see instructions) 2a If a joint return, enter spouse s name shown on tax return. 2b Second social security number if joint tax return 3 Current name, address (including apt., room, or suite no.), city, state, and ZIP code 4 Previous address shown on the last return filed if different from line 3 5 If the transcript or tax information is to be mailed to a third party (such as a mortgage company), enter the third party s name, address, and telephone number. The IRS has no control over what the third party does with the tax information.! " #! $ % & ' Caution. If the transcript is being mailed to a third party, ensure that you have filled in line 6 and line 9 before signing. Sign and date the form once you have filled in these lines. Completing these steps helps to protect your privacy. 6 Transcript requested. Enter the tax form number here (1040, 1065, 1120, etc.) and check the appropriate box below. Enter only one tax form number per request.! $ a Return Transcript, which includes most of the line items of a tax return as filed with the IRS. A tax return transcript does not reflect changes made to the account after the return is processed. Transcripts are only available for the following returns: Form 1040 series, Form 1065, Form 1120, Form 1120A, Form 1120H, Form 1120L, and Form 1120S. Return transcripts are available for the current year and returns processed during the prior 3 processing years. Most requests will be processed within 10 business days b c Account Transcript, which contains information on the financial status of the account, such as payments made on the account, penalty assessments, and adjustments made by you or the IRS after the return was filed. Return information is limited to items such as tax liability and estimated tax payments. Account transcripts are available for most returns. Most requests will be processed within 30 calendar days.. Record of Account, which is a combination of line item information and later adjustments to the account. Available for current year and 3 prior tax years. Most requests will be processed within 30 calendar days Verification of Nonfiling, which is proof from the IRS that you did not file a return for the year. Current year requests are only available after June 15th. There are no availability restrictions on prior year requests. Most requests will be processed within 10 business days.. 8 Form W-2, Form 1099 series, Form 1098 series, or Form 5498 series transcript. The IRS can provide a transcript that includes data from these information returns. State or local information is not included with the Form W-2 information. The IRS may be able to provide this transcript information for up to 10 years. Information for the current year is generally not available until the year after it is filed with the IRS. For example, W-2 information for 2007, filed in 2008, will not be available from the IRS until If you need W-2 information for retirement purposes, you should contact the Social Security Administration at Most requests will be processed within 45 days... Caution. If you need a copy of Form W-2 or Form 1099, you should first contact the payer. To get a copy of the Form W-2 or Form 1099 filed with your return, you must use Form 4506 and request a copy of your return, which includes all attachments. 9 Year or period requested. Enter the ending date of the year or period, using the mm/dd/yyyy format. If you are requesting more than four years or periods, you must attach another Form 4506-T. For requests relating to quarterly tax returns, such as Form 941, you must enter each quarter or tax period separately.! ( &! (!!! ( &! (!! ( &! (! & Signature of taxpayer(s). I declare that I am either the taxpayer whose name is shown on line 1a or 2a, or a person authorized to obtain the tax information requested. If the request applies to a joint return, either husband or wife must sign. If signed by a corporate officer, partner, guardian, tax matters partner, executor, receiver, administrator, trustee, or party other than the taxpayer, I certify that I have the authority to execute Form 4506-T on behalf of the taxpayer. Note. For transcripts being sent to a third party, this form must be received within 120 days of signature date. Telephone number of taxpayer on line 1a or 2a Sign Here Signature (see instructions) Date Title (if line 1a above is a corporation, partnership, estate, or trust) Spouse s signature Date For Privacy Act and Paperwork Reduction Act Notice, see page 2. Cat. No N Form 4506-T (Rev )

9 Form 4506-T (Rev ) Page 2 General Instructions Purpose of form. Use Form 4506-T to request tax return information. You can also designate a third party to receive the information. See line 5. Tip. Use Form 4506, Request for Copy of Tax Return, to request copies of tax returns. Where to file. Mail or fax Form 4506-T to the address below for the state you lived in, or the state your business was in, when that return was filed. There are two address charts: one for individual transcripts (Form 1040 series and Form W-2) and one for all other transcripts. If you are requesting more than one transcript or other product and the chart below shows two different RAIVS teams, send your request to the team based on the address of your most recent return. Automated transcript request. You can call to order a transcript through the automated self-help system. Follow prompts for questions about your tax account to order a tax return transcript. Chart for individual transcripts (Form 1040 series and Form W-2) If you filed an individual return and lived in: ) *+, -. / , 3 -/ 0 4 +, /, + * - 8 / : /, + * - 8 / Alabama, Kentucky, Louisiana, Mississippi, Tennessee, Texas, a foreign country, or A.P.O. or F.P.O. address Alaska, Arizona, California, Colorado, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oklahoma, Oregon, South Dakota, Utah, Washington, Wisconsin, Wyoming Arkansas, Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, Missouri, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia Mail or fax to the Internal Revenue Service at: RAIVS Team P.O. Box Stop 91 Doraville, GA RAIVS Team Stop 6716 AUSC Austin, TX RAIVS Team Stop Fresno, CA RAIVS Team Stop 6705 P-6 Kansas City, MO Chart for all other transcripts If you lived in or your business was in: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Florida, Hawaii, Idaho, Iowa, Kansas, Louisiana, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oklahoma, Oregon, South Dakota, Tennessee, Texas, Utah, Washington, Wyoming, a foreign country, or A.P.O. or F.P.O. address Connecticut, Delaware, District of Columbia, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, Vermont, Virginia, West Virginia, Wisconsin Mail or fax to the Internal Revenue Service at: RAIVS Team P.O. Box 9941 Mail Stop 6734 Ogden, UT RAIVS Team P.O. Box Stop 2800 F Cincinnati, OH Line 1b. Enter your employer identification number (EIN) if your request relates to a business return. Otherwise, enter the first social security number (SSN) shown on the return. For example, if you are requesting Form 1040 that includes Schedule C (Form 1040), enter your SSN. Line 6. Enter only one tax form number per request. Signature and date. Form 4506-T must be signed and dated by the taxpayer listed on line 1a or 2a. If you completed line 5 requesting the information be sent to a third party, the IRS must receive Form 4506-T within 120 days of the date signed by the taxpayer or it will be rejected. Individuals. Transcripts of jointly filed tax returns may be furnished to either spouse. Only one signature is required. Sign Form 4506-T exactly as your name appeared on the original return. If you changed your name, also sign your current name. Corporations. Generally, Form 4506-T can be signed by: (1) an officer having legal authority to bind the corporation, (2) any person designated by the board of directors or other governing body, or (3) any officer or employee on written request by any principal officer and attested to by the secretary or other officer. Partnerships. Generally, Form 4506-T can be signed by any person who was a member of the partnership during any part of the tax period requested on line 9. All others. See Internal Revenue Code section 6103(e) if the taxpayer has died, is insolvent, is a dissolved corporation, or if a trustee, guardian, executor, receiver, or administrator is acting for the taxpayer. Documentation. For entities other than individuals, you must attach the authorization document. For example, this could be the letter from the principal officer authorizing an employee of the corporation or the Letters Testamentary authorizing an individual to act for an estate. Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to establish your right to gain access to the requested tax information under the Internal Revenue Code. We need this information to properly identify the tax information and respond to your request. You are not required to request any transcript; if you do request a transcript, sections 6103 and 6109 and their regulations require you to provide this information, including your SSN or EIN. If you do not provide this information, we may not be able to process your request. Providing false or fraudulent information may subject you to penalties. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation, and cities, states, and the District of Columbia for use in administering their tax laws. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by section The time needed to complete and file Form 4506-T will vary depending on individual circumstances. The estimated average time is: Learning about the law or the form, 10 min.; Preparing the form, 12 min.; and Copying, assembling, and sending the form to the IRS, 20 min. If you have comments concerning the accuracy of these time estimates or suggestions for making Form 4506-T simpler, we would be happy to hear from you. You can write to the Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, IR-6526, Washington, DC Do not send the form to this address. Instead, see Where to file on this page.

10 EXHIBIT "B" Household Composition List the head of your household and all members who live in your home. Give the relationship of each family member to the head of household. Name Relationship Gender Age Social Security # Head of household Statistical Information: The following information will be kept confidential and used only to provide aggregate data for program analysis. Please check the racial group which describes the primary applicant (optional): White Black/African American Asian American Indian or Alaskan Native Asian & White Native Hawaiian or other Pacific Islander American Indian or Alaskan Native & White Black/African American & White American Indian/Alaskan Native & Black/African American Other Multiracial (Specify): Please check your household ethnicity (optional): Yes, Head of Household is Hispanic Origin No, Head of Household is not Hispanic Origin Does anyone live with you now who is not listed above? Yes No Does anyone plan to live with you in the future who is not listed above? Yes No Please explain any yes answers to the questions above. The information provided above is true and complete to the best of my/our knowledge and belief. I/we consent to the disclosure of income and financial information from my/our employer and financial references for purposes of income and asset verification related to my/our application. Applicant Date Co-Applicant Date

11 EXHIBIT C LEAD-BASED PAINT WARNING STATEMENT Homes built prior to 1978 may contain lead-based paint on the walls, ceilings, window sills, ceramic tiles and door frames. Lead-based paint and primers may also have been used on outside porches, railings and garages. When lead-based paint chips, flakes, or peels off, a great danger of lead poisoning exists if the paint is ingested or otherwise absorbed by infants and children. Lead poisoning is a very serious condition which can cause mental retardation, blindness and learning disabilities. Symptoms of lead poisoning include chronic stomachaches, loss of appetite, vomiting, headaches, lack of energy, slow down of playful activity and slowness in development in young children. If you suspect that your child has eaten chips of paint, you should contact your doctor, clinic or poison control center and follow their recommendations. I (we),,, have read and understand the information written above. I have received a copy of the document Protect Your Family from Lead in Your Home. I understand that false statements may disqualify me from participation in the program. Applicant Signature Date Co-Applicant Signature Date

12 EXHIBIT D FEDERAL INCOME TAX RETURN FILING STATEMENT Please complete the following if you did not file a federal income tax return for any of the last 3 years 2014, 2013, 2012: I/we, (Print Your Name), did not file a Federal income tax return for the following years (check only those that apply): 2014, 2013, 2012 for one of the following reasons: 1. I/we were instructed by the Internal Revenue Service that my/our income was not sufficient to file a federal income tax return. Please indicate the year: 2014, 2013, I did not work, I was. Please indicate the year: 2014, 2013, Other:. Please indicate the year: 2014, 2013, 2012 I/we, the above-named applicant(s), by signing below, hereby acknowledge, under penalty of perjury, and assert that the statement herein is true and correct and that any false statement will be just cause for the City of Buena Park to request the full repayment of any loan assistance provided through the program. Applicant /Household Member Signature Date Applicant /Household Member Signature Date Applicant /Household Member Signature Date

13 EXHIBIT E GIFT LETTER Please submit this letter if someone will be gifting you money to buy your home. Please be advised that a minimum of 3% of the purchase price must be contributed toward the purchase of your home in this program. If you do not have this amount available in a combination of your own money and/or a gift from a family member or friend, your application will not be approved. I,, do hereby certify the following: (donor s name) I have made a gift of $ to (Homebuyer) My relationship to the homebuyer is (Relationship; e.g., mother, brother, uncle) This gift is to be applied toward the purchase of the property located at (leave blank if property has not yet been selected) No repayment of the gift is expected or implied either in the form of cash or by future services of the recipient. The source of this gift is (bank or other depository) The gift funds are from my own funds*. The gift funds have not been provided to me directly or indirectly by the seller, real estate agent, builder or any other person with an interest in this sales transaction. WARNING: It is a crime to knowingly make false statements to any agency of The United States Government on this or any other similar form. Penalties upon conviction can include a fine and/or imprisonment. For additional information refer to Title 18 U.S. Code Section 1001 and (Signature of Donor) Date: (Street Address of Donor) (City, State and zip of Donor) ( ) (Donor s Telephone Number) *Please provide proof of adequate funds from donor, i.e. copy of donor s current bank statement showing sufficient funds to cover the 3% down payment requirement.

14 EXHIBIT F AUTHORIZATION TO OBTAIN CREDIT REPORT PROGRAM APPLICANTS AND HOUSEHOLD MEMBERS OVER THE AGE OF 18: Please complete the following for all persons 18 years of age and older who are living and will be living in the home purchased through the City of Buena Park s First-Time Homebuyer Program. All persons in the household must obtain a Social Security number prior to being considered for assistance through the City of Buena Park s First-Time Homebuyer Program. Please complete all names as shown on your Social Security card. 1. I/We hereby authorize the City of Buena Park Housing and Development Agency to exchange information regarding my Credit Application for a First-Time Homebuyer Loan, including any report from a Credit Reporting Agency; AND 2. I/We hereby authorize the City of Buena Park or its authorized representative to obtain a credit report and/or title report in conjunction with my/our application for assistance through the City of Buena Park s First-Time Homebuyer Program. Name: Social Security No. Signature: Date: Name: Social Security No. Signature: Date: Name: Social Security No. Signature: Date: Name: Social Security No. Signature: Date: Date City of Buena Park

15 EXHIBIT G Please use this form to explain any unusual circumstances regarding any part of your application you believe would help clarify information contained in your application, (i.e. explanation of large, undocumented bank deposits, explanation of a different person s name on your bank account, any unusual employment situation etc.). A person other than the applicant (Second Party) may also use this form to explain any unusual circumstances (i.e. if the Second Party gives a cash gift to the applicant(s), etc). In this case, both the applicant(s) and the Second Party must sign this form PENALTY FOR FALSE OR FRAUDULENT STATEMENT, U.S.C. Title 18, Section 1001, provides: Whoever, in any matter within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies or makes any false fictitious or fraudulent statements or representations, or makes or uses any false writing or documents knowing the same to contain any false, fictitious or fraudulent statement or entry, shall be fined not more than $10,000 or imprisoned not more than 5 years or both Applicant Signature Date Co-Applicant Signature Date Second Party Signature Relation to Applicant Date (FTHB Application 2012), Revised 10/24/12

16 WAGE INCOME CALCULATIONS FOR STAFF USE Borrower Name: Employer Name: Paystubs W-2s Tax Returns VOE Other Dates Covered to Paid every 2 weeks (26 pay periods) Paid twice a month (24 pay periods) Paid Monthly (12 pay periods) Year-to-date (YTD) annualized (instructions below) Borrower Name: Employer Name: Paystubs W-2s Tax Returns VOE Other Dates Covered to Paid every 2 weeks (26 pay periods) Paid twice a month (24 pay periods) Paid Monthly (12 pay periods) Year-to-date (YTD) annualized (instructions below) Borrower Name: Employer Name: Paystubs W-2s Tax Returns VOE Other Dates Covered to Paid every 2 weeks (26 pay periods) Paid twice a month (24 pay periods) Paid Monthly (12 pay periods) Year-to-date (YTD) annualized (instructions below) Borrower Name: Employer Name: Paystubs W-2s Tax Returns VOE Other Dates Covered to Paid every 2 weeks (26 pay periods) Paid twice a month (24 pay periods) Paid Monthly (12 pay periods) Year-to-date (YTD) annualized (instructions below) To annualize YTD: STEP 1: Establish number of days the information covers Computation: YR MO DAY end date of information - YR MO DAY start date of information Convert months to days (8 x 30 = 240), add any remainder days STEP 2: Divide YTD figure by calculated number of days to get daily amount earned STEP 3: Multiply daily figure by 2080 hours if indication is that wages are earned 40 hours per week; adjust for other than 40 hour work week. This provides the annual figure. Signature Title Date Use a 30 day month and borrow months or days to calculate Example: borrow 1 month (days = 31) then borrow 1 year (months =16) 8 0

17 WAGE INCOME CALCULATIONS FOR STAFF USE DATE: ANALYST: REFERENCE NO.: Household Member Name: Source Document: Paid Hourly: $ base pay per hour x 2080 working hours per year = $ Annual Income YTD: $ = $ x 2080 hours = $ Dates covered Amount # of Days* Daily Income Annual Income YTD: $ x 24 (bi-monthly) = $ Dates covered Amount # of Pay Periods or 26 (every 2 weeks) Annual Income Fixed Income: Pension / SSI / SSA (use GROSS from Letter or Paystub): $ x 12 = $ Annual Income =================================================================================================================== Household Member Name: Source Document: Paid Hourly: $ base pay per hour x 2080 working hours per year = $ Annual Income YTD: $ = $ x 2080 hours = $ Dates covered Amount # of Days* Daily Income Annual Income YTD: $ x 24 (bi-monthly) = $ Dates covered Amount # of Pay Periods or 26 (every 2 weeks) Annual Income Fixed Income: Pension / SSI / SSA (use GROSS from Letter or Paystub): $ x 12 = $ Annual Income =================================================================================================================== Self Employment Income: Household Member Name: Last Tax Return Schedule C Net Income: $ + Net Income from Profit and Loss covering period from end of last tax return through present + $ + ALL Depreciation, One-Time Costs, Startup Costs, Expansion Costs, Amortization of Capital Indebtedness + $ TOTAL = $ TOTAL $ number of months covered = $ x 12 = $. Monthly Income Annual Income =================================================================================================================== *To annualize YTD: STEP 1: Establish number of days the information covers Computation: YR MO DAY end date of information - YR MO DAY start date of information Convert months to days (8 x 30 = 240), add any remainder days Use a 30 day month and borrow months or days to calculate Example: borrow 1 month (days = 31) then borrow 1 year (months =16) 8 0 STEP 2: Divide YTD figure by calculated number of days to get daily amount earned STEP 3: Multiply daily figure by 2080 hours if indication is that wages are earned 40 hours per week; adjust for other than 40 hour work week. This provides the annual figure.