Mixed Use Multi Family Income and Expenses Statement

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					                 Mixed Use / Multi-Family Income & Expenses Statement

    Borrower(s) Name: ______________________________                    ___________________________________
    Telephone Number: ________________ Cell Phone: ________________Work Phone __________________
    Requested Loan Amount $ ____________________________ Block _______________ Lot ____________
    Property Address __________________________________________________________________________


    Program:(check one ) 15 Yr Fixed ___ 10/25 Balloon ___ 7/7 Balloon ___5/30 ARM ___or 3/30 ARM ___


    Purchase Price $ _______________________ If Refinance, enter existing loan $ _________________________
    Month / Year Purchased _____ /___________ Purchased for $__________ Current Interest Rate ________ %


Property Type Per Certificate of Occupancy (Specify # of Units) ________________________________________


                          Monthly Rent:                                               Yr 2007 Annual Expenses
Store #1 $ ____________ Type ____________sq. ft.________
Store #2 $ ____________ Type ____________sq. ft.________             Taxes:                $ _________________
Store #3 $ ____________ Type ____________sq. ft.________             Insurance:            $ _________________
      Apt #1 $ __________ # of bedroom ______                        Fuel :                $ _________________
      Apt #2 $ __________ # of bedroom ______                        Electricity:          $ _________________
      Apt #3 $ __________ # of bedroom ______                        Water & Sewer:        $ _________________
      Apt #4 $ __________ # of bedroom ______                        Pest Control:         $ _________________
      Apt #5 $ __________ # of bedroom ______                        Repairs & maint.:     $ _________________
      Apt #6 $ __________ # of bedroom ______                        Int & Ext. Décor.:    $ _________________
      Apt #7 $ __________ # of bedroom ______                        Miscellaneous:        $ _________________
      Apt #8 $ __________ # of bedroom ______                        Legal Fees:           $ _________________
      Apt #9 $ __________ # of bedroom ______                        Roof & Boiler:        $ _________________
     Apt #10 $ __________ # of bedroom ______
     Apt #11 $ __________ # of bedroom ______                        Total Annual Expenses: $ ________________
     Apt #12 $ __________ # of bedroom ______
     Total ANNUAL Rent:         $ ________________
     * ( DCHR Rent Certification Required for Properties with 6 or more Apts. )
         I hereby certify that above information represents the actual and current rents and operating expenses

      Borrower’s Signature                  ____________________ ________________________
      Print Borrower’s Name                 ____________________ ________________________

				
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