GENERAL INFORMATION. 1 The Consortium may loan up to 25% of the purchase price plus closing costs at 0% interest for

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GENERAL INFORMATION 1 The Consortium may loan up to 25% of the purchase price plus closing costs at 0% interest for 2 The purchaser must supply either 2% of the purchase price or $500.00, whichever is greater. 3 A local lender will loan up to 75% of the purchase price at the current interest rate for thirty (30) years. 4 The interest rate must remain fixed for the price of the loan. 5 The house can be located anywhere in Cabell County, Wayne County or the City of Huntington. Only first time homebuyers can be assisted in the city of Huntington, and Cabell County. You 6 do not have to be a first time homebuyer if you purchase a home in Wayne County. The definition of a first-time buyer is someone who has not had ownership interest in a property at any time in the last three (3) years. 7 Purchaser must have approximately $400 at time of application with an APPROVED lender. 8 Maximum purchase price is $100,000.00. All applicants must be below 80% of Area Median Income (AMI), as determined annually by the Department of Housing and Urban Development. At time of application to the Consortium, you must furnish the most recent three consecutive months of pay stubs as income verification for everyone in the household. You must also 10 furnish to the Consortium a signed copy of your most recent Federal income tax statement. You must also sign the employment certification form. This form will be mailed to your employer for income verification. 11 You must attend eight (8) hours of homebuyer education classes (pre-purchasing financial counseling) to receive a Certificate from the Housing Consortium. Please telephone 696-4486 to receive an application by mail or come to: HUNTINGTON CITY HALL ROOM L-7 800 FIFTH AVENUE HUNTINGTON, WV 25701 EOS.L HOUSING OFPO J~T U H IT Y Page 1 11/14/2018

INSTRUCTIONS: 12 Verify that your income is below the amount indicated at the bottom of this page. 13 Complete Sections A-F of the application 14 Return completed application to City Hall, HOME Program, Room L-7 or to P0 Box 1659, Huntington, WV 25717 15 You must include with your application: a Income verification for any household member who receives ~y yearly income. This includes, but is not limited to: pay roll, 55!, Social Security, Retirement Pension and benefits, Interest on Savings, child support, Public Assistance (rental vouchers, food subsidies etc), Rent from property owned, etc. b A signed copy of your most recent Federal Income Tax return for any member of the household who must file. C Current Income Verification means you must provide copies of the past (3) months of pay check stubs for ~ household member who is working or receives any income such as SSI, Social Security benefits, Retirement benefits or Pensions. A 2% down payment is a minimum required. Approximately $400.00 of this 2% must be paid to 16 the lender when you make your loan application. No money is due when returning your application to the CabeIl-Huntington-Wayne Housing Consortium. This amount is not due until you make loan application with the lender. The balance of the 2% is due at closing. You must attend 8 hours of homebuyer education classes to receive your certificate for 17 homeownership. Dates and times of these classes will be mailed to you as soon as we have them. You must attend 8 hours of homebuyer education classes. APPLICATIONS WILL NOT BE ACCEPTED WITHOUT income VERIFICATION FY 2018 Income Limits Income Limit - I Person $30,750 Income Limit - 2 Persons $35,150 Income Limit - 3 Persons $39,550 Income Limit -4 Persons $43,900 Income Limit - 5 Persons $47,450 Income Limit - 6 Persons $50,950 Income Limit - 7 Persons $54,450 Income Limit - 8 Persons $57,950 EQUA. HCUSIIIG 0 RP0RTJF4I~V Page 2 11/14/2018

HOMEBUYER PROGRAM IN-TAKE INSTRUCTIONS Name. Social Security Number. Date of Birth: Insert full name, telephone number. social security, date of birth and day time Current address and mailing address Dependents: List all persons that will reside in the new home. Employment: Current employer of each person who reside in the new home. If less than one (1) year, list previous employer (Head of household and spouse) Monthly Income: Totals must include all income from ~y resident of the household. Income includes salaries, hourly income, SSI, Social Security benefits, VA benefits, Department of Human Services payments, other public assistance payments such as rental and nutrition assistance, rents, interest off of Savings or other investments, child support etcetera. Assets: Average of Checking Account Balance Average of Savings Account Balance Real Estate investments Stocks, bonds Estimate of household furnishings Automobile, campers, boats, etc. *NOTE: Use bottom half of sheet for additional employment information for dependents or other residents of the home. LJ D2UA. Hc&ISIt+S C PP OR T UN j TV Page 3 11/14/2018

IN TAKE FORM SECTION A DATE: # of persons who will be living in home APPLICANT CO-APPLICANT Name: Name: Soc. Security #: Soc. Security #: Date of Birth: Date of Birth: Phone#: Phone#: Cell #: Cell #: Current INCOME INFORMATION Current Employer: Employer: Phone #: Phone #: Gross Monthly Income: Gross Monthly Income: Other Income Includes: Social Security, SSI, Retirement, Pensions, Interest on Savings Accounts, Interest from Stocks, various forms of Public Assistance such as rental and nutrition assistance, part-time/occasional employment, child support, alimony and rents from properties owned. Please list type of income and provide a copy of the award letter stating the amount assistance: Other Income List: Other Income List: Total Gross Monthly Income: S Total Gross Monthly Income: S Inc. yen.: Tax Forms: Inc. Summary: ~ HOUSING Pay Stubs: Signed Forms: Credit Report: OP PORT UHIT( Vage4 11/14/2gm

IN TAKE FORM SECTION A DATE: # of persons who will be living in home DEPENDENT DEPENDENT Name: Name: Soc. Security #: Soc. Security #: Date of Birth: Date of Birth: Phone #: Phone #: Cell #: Cell #: Current INCOME INFORMATION Current Employer: Employer: Phone#: Gross Monthly Income: Phone#: Gross Monthly Income: Other Income Includes: Social Security, SSI, Retirement, Pensions, Interest on Savings Accounts, Interest from Stocks, various forms of Public Assistance such as rental and nutrition assistance, part-time/occasional employment, child support, alimony and rents from properties owned. Please list type of income and provide a copy of the award letter stating the amount assistance: Other Income List: Other Income List: Total Gross Monthly Income: $ Total Gross Monthly Income: $ QIJI~. HWSIS c pp o~ run 1? Page 5 11/14/2018

IN TAKE FORM SECTION A DATE: # of persons who will be living in home DEPENDENT DEPENDENT Name: Name: Soc. Security#: Soc. Sccurity#: Date of Birth: Date of Birth: Phone #: Phone #: Cell #: Cell #: Current INCOME INFORMATION Current Employer: Employer: Phone #: Phone #: Gross Monthly Income: Gross Monthly Income: Other Income Includes: Social Security, SSI, Retirement, Pensions, Interest on Savings Accounts, Interest from Stocks, various forms of Public Assistance such as rental and nutrition assistance, part-time/occasional employment, child support, alimony and rents from properties owned. Please list type of income and provide a copy of the award letter stating the amount assistance: Other Income List: Other Income List: Total Gross Monthly Income: $ Total Gross Monthly Income: $ LJ D~VA. H ~JF$~ PP OR T V NIT? Page 6 11/14/2018

LIST OF CURRENT DEBTS DEBTOR BALANCE MONTHLY PAYMENT Rent Electric Utility Gas Utility Water Utility Auto Payment Auto Insurance Telephone Other Monthly Expenses (List): Credit Cards/Other Credit Assosciations (List LJ EQUAL IVUSIIG OF FOR - UNITY Page 7 11/14/2018

ASSETS SECTION B Checking Account Amount: Amount: Account Number: Bank: Savings Account Amount: Amount: Account Number: Bank: Stocks: Real Estate: Market Value: I I Loan Balance: $ AUTO: Year: Make: Value: $ Year: Make: Value: $ ECU~L HOUSING O P P OR T UN 1T Page 8 11/14/2018

INCOME CALCULATION Section C Part 1: Family Income: Total family income for each member who will be living in the home. List below: Applicant: Co-Applicant: Person 1: Person 2: Person 3: Person 4: Other: TOTAL GROSS FAMILY INCOME: E~U~L HOUSI[f~ OP PORT UNIT? Page 9 11/14/2018

Equal Opportunity Report Form SECTION D The following information is being requested to satis~ equal opportunity in housing requirements of The U.S. Department of Housing and Urban Development. Please make any categories that describe you. Race Black/African American White Asian American Indian/Alaskan Native Native Hawaiian/Other Pacific Islander American Indian/Alaskan Native & White Asian & White Black/African American & White American Indian/Alaskan Native & Black/African American Other Multi-Racial Asian/Pacific Islander Hispanic Elderly Status (62 and over) Handicapped or disabled Yes () Yes () No () No () Single Head of Household Children Male () Yes () Female () No () Presently reside in government assisted housing? Yes ( ) No Have you or anyone who will be living in the household ever been convicted of a Felony? Yes No If yes, please specify date and offense: QJAL HOUSING OPPO RTUKITV Page 10 11/14/2018

BORROWER S CERTIFICATION SECTION E The Borrower certifies that all information in this application, and all information furnished in support of this application is given for the purpose of obtaining a loan under the HOME Program, and is true and complete to the best of the Borrower s knowledge and belief. Verification may be obtained from any source named herein: Signature Signature Date Date PENALTY FOR FALSE OR FRAUDULENT STATEMENT, U.S.C. TITLE 18, SEC. 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 writings or document, knowing the same to contain any false, fictitious for fraudulent statement or entry shall be fined not more than $10,000.00 or imprisoned not more than five (5) years, or both. I-I tqu~l H)USHG 3 P P0 Ri UNIT? Page 11 11/14/2018

AUTHORIZATION TO RELEASE INFORMATION SECTION F To Whom it may Concern: JIWe have applied for a Real Estate Loan from the Cabell-Huntington-Wayne Housing Consortium. As part of the application process, the Cabell-Huntington-Wayne Housing Consortium may verify information contained in my/our loan application and in other documents required in connection with the loan, either before the loan is closed or as part of its quality control program. I/We authorize you to provide to the Cabell-Huntington-Wayne Housing Consortium any and all 2 information and documentation that they request. Such in formation includes, but is not limited to, employment history and income; bank, money market, and similar account balances; credit history; and copies of income tax returns. The Cabell-Huntington-Wayne Housing Consortium may address this authorization to any party named in the loan application. 3 A copy of this authorization may be accepted as an original. SIGNATURE SOCIAL SECURITY NUMBER SIGNATURE SOCIAL SECURITY NUMBER I-I EQJAL flou;ing OP FO~TOH IT? Page 12 11/14/2018

VERIFICATION OF EMPLOYMENT (Name of HOME Participating Jurisdiction) Employed Since: Cabell-Huntington-Wayne Housing Consortium Occupation: P0 Box 1659 Huntington, WV 25717 Effective date of last increase: AflN: Donald Kieppe Phone: (304) 696-4486 X2070 Base Pay Rate: AUTHORIZATION: Federal Regulations require us $ or $ Week; or $ mo. to verify employment income of all members of the household applying for participation in the HOME Program Average hrs/week at base pay rate: hrs. which we operate and to re-examine this income # Weeks worked each year OR periodically. We ask your cooperation in supplying this # of hours worked each year information. This information will be used only to determine the eligibility status and level of benefit of Overtime pay rate: $ I hour the household. Expected average number of hours overtime worked per week during the next 12 months. Insert Employers Any other compensation not included above (specify for commissions, bonuses, tips, etc.) For: $ Per Is pay received for Vacation? RELEASE: I hereby authorize the release IF yes, # of days per year: of the requested information Base pay earnings for past 12 months: $ Overtime earnings for past 12 months: $ Print Name Signature of Applicant Possibility and expected date of any pay increase: Does the employee have access to a retirement account? Date If yes, what amount can they gain access to? $ Or a copy of the executed HOME Program Eligibility Release form, which authorizes the release of the information requested, Signature of Authorized Representative is attached. WARNING: Title 18, Section 1001 of the U.S. Code states Telephone Date that a person is guilty of a felony for knowingly and willingly making false or fraudulent statements to any department of the United States Government. Title Page 13 11/14/2018

VERIFICATION OF EMPLOYMENT (Name of HOME Participating Jurisdiction) Employed Since: Cabell-Huntington-Wayne Housing Consortium Occupation: PU Box 1659 Huntington, WV 25717 Effective date of last increase: AflN: Donald Kleppe Phone: (304) 696-4486 Ext. 2070 Base Pay Rate: AUTHORIZATION: Federal Regulations require us $ or $ Week; or $ mo. to verify employment income of all members of the household applying for participation in the HOME Program Average hrs/week at base pay rate: hrs. which we operate and to re-examine this income # Weeks worked each year OR periodically. We ask your cooperation in supplying this # of hours worked each year information. This information will be used only to determine the eligibility status and level of benefit of Overtime pay rate: $ I hour the household. Expected average number of hours overtime worked per week during the next 12 months. Insert Employers Any other compensation not included above (specify for commissions, bonuses, tips, etc.) For: $ Per Is pay received for Vacation? RELEASE: I hereby authorize the release IF yes, # of days per year: of the requested information Base pay earnings for past 12 months: $ Overtime earnings for past 12 months: $ Print Name Signature of Applicant Possibility and expected date of any pay increase: Does the employee have access to a retirement account? If yes, what amount can they gain access to? Date $ Or a copy of the executed HOME Program Eligibility Release form, which authorizes the release of the information requested, Signature of Authorized Representative is attached. WARNING: Title 18, Section 1001 of the U.S. Code states Telephone Date that a person is guilty of a felony for knowingly and willingly making false or fraudulent statements to any department of the United States Government. Title op p o~ runt, Page 14 11/14/2018

CHECK SHEET Have I: Enclosed 3 months of my most recent pay stubs? Enclosed a COPY of my most recent signed Federal Income Tax Signed page 11 Signed page 12 Enclosed copies of my spouse s most recent pay stubs? Complete Section D - Voluntary questionnaire? Signed Verification of Employment forms? NOTE: If you have filed your Federal Income Tax return, we need that copy. If you have not filed the most recent Federal Income Tax Return, provide us a copy of last years return. You will then need to furnish us your most recent return as soon as you have filed. THIS APPLICATION TO PARTICIPATE IN THE CABELL-HUNTINGTON-WAYNE HOUSING CONSORTIUM HOMEUBYER PROGRAM WILL NOT BE PROCESSED WITHOUT ALL OF THE ABOVE MENTIONED CHECK OFF ITEMS BEING INCLUDED WITH YOUR RETURNED APPLICATION. rood HOUSING ) F PC k TO N1 V Page 15 11/14/2018