Affordable Housing Lottery Checklist 357 Washington Avenue Revere, MA 02151

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Affordable Housing Lottery Checklist 357 Washington Avenue Revere, MA 02151 Applicant(s) must be a First Time Home Buyer (Defined as not having ownership interest in a principal residence in the past three years *) Applicant(s) must provide Home Buyer Workshop Certificate from approved agency Applicant(s) must provide Condo Workshop Certificate from an approved agency Household income must not exceed 80% HUD Median Income https://www.hudexchange.info/reports/home_incomelmts_state_ma_2014.pdf (Household members over the age of 18 years of age and not a full time student must provide proof of income) Property must be the buyers primary residence Affordable housing restrictions apply Attend Information Meeting (Optional) Attend Open House (Optional) - Sunday, May 17 th from 12:00 to 2:00 pm Attend Lottery Drawing (Optional) Down Payment & Closing Cost assistance is available from the City of Revere (applicant must request assistance) Apply for a First Time Home Buyer Mortgage finance program such as Mass Housing, Mass Housing Partnership, or any other fixed rate mortgage which must be approved by North Suburban Consortium (NSC) Must have appropriate household size for the requested unit as defined below Must have sufficient funds to meet applicants lenders Down Payment and closing costs requirements Necessary Documents Last (3) months of recent pay stubs for each applicant Three (3) most recent bank statements (for each applicant) for each account Three (3) most recent signed Income Tax Returns & all W-2 s (for each applicant) $25.00 Non-refundable application fee For additional information contact: Chelsea Restoration Corporation 154 Pearl Street, Office #2 Chelsea, MA 02150 617-889-2277 Fax: 617-887-0611 www.chelsearestoration.org

Chelsea 17-889-2277Fax Restoration 617-887-061 Corporation 154 Pearl Street, Office #2 Chelsea, MA 02150 617-889-2277 Fax: 617-887-0611 www.chelsearestoration.org 357 Washington Avenue Revere, MA 02151 For Office Use Only Amount Initials Affordable Housing Lottery Application Applicant Name List address for past 2 years Co-Applicant Name List address for past 2 years City State Zip Code City State Zip Code 2 years residential Address 2 years residential Address City State Zip Code City State Zip Code Social Security # Social Security # of Month Day Year Birth Marital Status Telephone Evening Telephone Employer Married Single Divorced Widow Marital Status Employment History For the past two (2) years of Month Day Year Birth Day Telephone Evening Telephone Employer Married Single Divorced Widow Employment For the past two (2) years Address Address City State Zip Code City State Zip Code Telephone Length of Employment Employer Name Address Telephone Length of Employment Employer Name Address City State Zip Code City State Zip Code Other Source Income (Monthly Amount) (ss, ssdi, pensions, part-time job, child support, etc.) Other Source Income (Monthly Amount) (ss, ssdi, pensions, part-time job, child support, etc.)

Please list all the Household Members Name Social Security # Of Birth Relationship to Applicant 1. Income 2. 3. 4. 5. 6. 7. 8. Monitoring Purpose Monitoring Purpose I do not wish to furnish this information I do not wish to furnish this information White Black Hispanic Asian Other White Black Hispanic Asian Other Male Female Male Female List Assets Balance Liabilities Assets Balance Liabilities Financial Institution Company Mo. Pmts. Financial Institution Company Mo. Pmts. Financial Institution Company Mo. Pmts. Financial Institution Company Mo. Pmts. Financial Institution Company Mo. Pmts. Financial Institution Company Mo. Pmts. Financial Institution Company Mo. Pmts. Financial Institution Company Mo. Pmts. Have you ever filled Bankruptcy? Yes No If yes, have you reestablished credit? Yes No Discharge : Have you received a First Time Home Buyer Education Workshop Certificate? Yes No If yes, from which organization: Certificate date: Have you received a First Time Home Buyer Condominium Certificate? Yes No If yes, from which organization: Certificate date: Have you been pre-approved for a Massachusetts Housing Partnership Loan Program? Yes No Have you been pre-approved for a Mass Housing Loan Programs? Have you been pre-approved for a Veterans Affairs (VA) Loan Program? Yes No Yes No Are you a First Time Home Buyer? Yes No If no, explain:

Eligibility Requirements Applicant must be a First Time Home Buyer defined as not having ownership interest in the past three years* (Contact CRC for further information) Must provide First Time Home Buyer Education Workshop Certificate from an approved home counseling agency. Approved counseling agencies can be found on: HUD.gov or CHAPA.org http://www.hud.gov/offices/hsg/sfh/hcc/hcs.cfm?&weblistaction=search&searchstat e=ma https://www.chapa.org/looking-housing/homebuyer-counseling-agencies Must provide Condo Education Workshop Certificate. CHAPA.org https://www.chapa.org/looking-housing/homebuyer-counseling-agencies Applicants household income must be below 80% AMI pursuant to HUD Part 5 definition: https://www.hudexchange.info/reports/home_incomelmts_state_ma_2014.pdf Household size income limits 1 $47,450 5 $73,200 2 $54,200 6 $78,600 3 $61,000 7 $84,050 4 $67,750 8 $89,450 Household size: anyone over the age of 18 years and not a full time student must provide proof of income. Household members that are full time students must provide proof of academic enrollment. The affordable housing lottery property must be occupied after the closing as the borrower s primary residence. Applicants must comply with the Affordable Housing Restrictions set forth by the North Suburban Consortium (NSC). Families are encouraged to apply for the Down Payment and Closing Costs Assistance from the City of Revere, Office of Planning and Development, 281 Broadway, Revere, MA 02151. Contact person: Mark Signore, 781-286-8181, msignore@revere.org (NSC is HOMEs representative which will be providing the Down Payment and Closing Costs assistance. The borrowers lender must comply with NSC s lender requirements). Mortgage financing: Applicants must finance a First Time Home Buyer Mortgage finance program such as Mass Housing, Mass Housing Partnership, or any other fixed rate mortgage; however it must be approved by NSC. Applicants must meet their lender requirement in regards to their down payment, although they are encouraged to apply for the Down Payment and Closing Costs Assistance. Some lenders, depending on the mortgage product, may require a portion of the Down Payment to generate from the borrowers own funds.

Please see affordable housing checklist for requirements. Chelsea Restoration Corporation is obligated not to discriminate in the selection of applicants. Disabled persons are entitled to request a reasonable accommodation of rules, policies, practices, or services, or to request a reasonable modification of the housing, when such accommodations or modifications are necessary to afford the disabled person equal opportunity to use and enjoy the housing. Certification I, certify that all the information in this application is true to the best of my/our knowledge and belief, and no information has been omitted that might reasonably affect the judgment regarding the program or any changes of income from the date of application, up to and until completion of process. I authorize Chelsea Restoration Corporation (CRC) and any other agency associated with the program to verify the information provided. Co- For additional information contact: Chelsea Restoration Corporation 154 Pearl Street, Office #2 Chelsea, MA 02150 617-889-2277 Fax 617-887-0611 www.chelsearestoration.org

Signature Authorization Form I/We hereby authorize Chelsea Restoration Corporation to verify my former and present employment earning records, bank accounts, stock, bonds and any other assets necessary, but to limited to previous landlord references, to process my lottery application. It is also understood that a photocopy of this form will serve as an original document. Signature Signature

ACKNOWLEDGEMENT AND AUTHORIZATON HOME OWNERSHIP COUNSELING Borrower(s): Lender(s): Property The undersigned Borrower(s) acknowledge that in the event of his/her/their default on debt secured by a mortgage upon the property, he/she/they may be eligible to receive home ownership counseling through the Department of Housing and Urban Development (HUD). The Borrowers further acknowledge that the Chelsea Restoration Corporation, which has provided Down Payment Assistance in connection with this transaction will, in certain instances, provide home ownership counseling in the event of such default, collection and/or foreclosure. In the event of such default, or in any event if a payment due to a Lender or its assigns is more than thirty (30) days overdue, I/we hereby authorize the said lender, or its assigns and successors in interest to release any and all information in connection therewith to: Chelsea Restoration Corporation 154 Pearl Street, Office #2 Chelsea, MA 02150 Telephone: 617-889-2277 Fax: 617-887-0611 _ Witness _ Borrower Borrower

FIRST TIME HOMEBUYERS AFFIDAVIT I/We do hereby certify that I/We do not currently have any ownership interest in a residential property nor have I/We had ownership interest in the past three years. I/We do certify that I/We will occupy the condo unit located at 357 Washington Avenue, Revere, MA 02151 as my/our primary residence. Affordable housing restrictions apply and borrower(s) must comply with the restrictions for the duration of ownership. Re-sale restrictions apply. APPROPRIATE FAMILY SIZE Participants must apply for appropriate unit(s) based on their household size. (A minimum of one person per bedroom is permitted in the units. For example a 2 person household cannot participate in the lottery for the 4 bedroom unit. In no event will an income eligible applicant be accepted to apply for an inadequate unit based on their family size, regardless of mortgage affordability capability. Check the unit that you are interested in applying for: Unit #1 (3 Beds) (1091 sq ft) $217,000 Unit #2 (2 Beds) (1131 sq. ft) $147,000 Unit #3 (4 Beds) (1609 sq ft 2 floors of living levels) $229,800 Unit #4 (3 Beds) (1332 sq. ft 2 levels of living levels) $217,000

Important Days to Remember Open House Sunday, May 17, 2015 from 12:00 2:00 pm Application Deadline Tuesday, May 26, 2015 at 6:00 p.m. Informational Meeting Thursday, May 28, 2015 at 5:00 p.m. CRC will review the Affordable Housing Restrictions & Guidelines associated with the property. Lottery Drawing Thursday, May 28, 2015 at 6:00 p.m.