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CLARK COUNTY
FISCAL YEAR 2010 HOME/LIHTF APPLICATION
(CFDA #14.239)

APPLICATION DUE: 3:00 P.M. (PACIFIC STANDARD TIME), FRIDAY, DECEMBER 4, 2009
1. APPLICANT INFORMATION

Applicant Name:
Contact Person: Title:
Address: City: State: NV Zip:
Telephone: Fax: E-mail:
Applicant Corporate Status (Check as appropriate)
Non-profit: Local Government: Housing Authority: For-Profit:
501(C)(3)
501(C)(4)
Limited to rental
housing
development with tax
exempt bonds

Federal Tax I.D. Number: #

Co-applicant Name:
Contact Person: Title:
Address: City: State: Zip:
Telephone: Fax: E-mail:
Co-applicant Corporate Status (Check as appropriate)

Non-profit Local Government Housing Authority For-Profit
501(C)(3)
501(C)(4)

Federal Tax I.D. Number: #

Name of Project:
2. PROJECT SUMMARY
Address of Project: Zip:
Total Project Cost:$ Funds Requested From Clark County:$

If Site specific, identify the: Census Tract: Assessors Parcel(s): #
#

Jurisdiction:

Unincorporated Clark County Boulder City Las Vegas Henderson

Multi-jurisdictional Mesquite North Las Vegas

Will you / have you submitted an application to another jurisdiction for HOME/LIHTF funds
for this project? Yes No
(ATTACH COPY 18A)
Will you / have you submitted an application to another jurisdiction for Bond / Tax Credit
financing for this project? Yes No
(ATTACH COPY 18A)
Is this project expected to received any other federal funding? (If “Yes” describe in Project
Budget)
Yes No

Are you submitting more than 1 application to Clark County for this HOME/LIHTF funding
cycle?
Yes No

What is the priority of this application? #

3. PROJECT TYPE

CHECK AS APPROPRIATE
Multifamily Single Family Scattered Site Mixed Use
Single Room Occupancy Group Housing Transitional Housing
HOME ACTIVITY
(see HOME Program Manual for minimum units required)
acquisition acquisition and new construction
RENTAL acquisition and rehabilitation new construction only
rehabilitation only

HOMEOWNERSHIP constructing new units acquiring and rehabilitating units
DEVELOPMENT for sale for sale

OWNER REHAB rehabilitation of existing owner occupied housing
4. ORGANIZATION INFORMATION

Yes No Is your group legally Chartered within Nevada Statutory guidelines and
currently in good standing? ATTACH COPY 18B

Yes No Does your organization have a tax exemption ruling from the Internal
Revenue Service (IRS) under section 501(c)(3) or 501(c)(4)? ATTACH
COPY 18C
Yes No Do you have evidence of financial accountability, such as a current single
audit report? ATTACH COPY 18D
STOP If you checked no above, provide letter of explanation. ATTACH COPY 18E

Identify a local office in Clark County where project records will be maintained:

Board Member Data
Name Address Position Held

Applicant’s Key Management Personnel:
Name Position Held Telephone Number
5. CHDO INFORMATION
A Community Housing Development Organization (CHDO) is a private, nonprofit, community-
based service organization that has the capacity to develop affordable housing for the
community it serves. CHDOs qualify for consideration in the set-aside if the CHDO is the owner,
developer or sponsor of the housing development activity. Eligible CHDO set-aside activities are
Homebuyer Assistance and Rental Housing Development. These organizations can apply for
rental housing acquisition, rehabilitation, and new construction and homebuyer assistance if their
organization is the owner, developer or sponsor of the housing development. For additional
information on CHDO eligibility visit the HUD web page at:

http://www.hud.gov/offices/cpd/affordablehousing/programs/home/topical/chdo.cfm

Yes No Do you think your organization meets the requirement for a Community
Housing Development Organization?
Yes No Has your organization previously received Clark County Consortium HOME
funds as a CHDO?
Yes No Do you want this application to be considered for funding as part of the
15% CHDO set-aside HOME funds? Complete the CHDO packet in
Exhibit A. ATTACH COPY 18F
CHDO set-aside funds may be used by CHDOs for those HOME activities where the CHDO
acts as the developer, sponsor and/or owner of the housing (reference HUD CPD Notice 97-
11). For this project the CHDO will act as:

Owner (sole owner, or if in a partnership, is the managing general partner with effective
project control)

Developer (owns and develops property or, has a contractual obligation to develop
project)

Sponsor (owns property and conveys to another nonprofit at a predetermined time)

Members of this organization’s Board of Directors serve in a voluntary capacity and receive no
compensation, other than reimbursement for expenses for their services, and the nonprofit
organization operates in a manner so that no part of its net earnings inures to the benefit of any
individual, corporation, or other entity: Yes No
6. A. PARTNERSHIP INFORMATION (Nonprofit)
Yes No Is your project a partnership or joint venture?
Yes No If yes, is the nonprofit organization (or its wholly-owned subsidiary) acting as
the managing general partner
What percentage of the profit cash flow is to be controlled by the nonprofit %
organization?
What percentage of the Developer Fee is the nonprofit organization to receive? %

Will the nonprofit be contributing funds to the development? Yes No
If “Yes”, explain:

How many full time staff members does the nonprofit have?
How many of them will substantially participate in the proposed development?
Describe their activities:

Has any for-profit entity (including the owner of the development or any entity directly or
indirectly related to such owner) appointed any directors to the governing board of the nonprofit?
Yes No If “Yes”, explain:

Does the nonprofit have any financial arrangements with an individual(s) or for-profit entity
including anyone or any entity related directly or indirectly to the owner of the development?
Yes No If “Yes”, explain:

Was this organization formed by any individuals or for profit entities for the Applicant purposes of
meeting set aside requirements or scoring preferences associated with this application?
Yes No Purpose(s) of formation of nonprofit:
6. B. PARTNERSHIP INFORMATION (all applicants)
Disclose any personal (including family) relationships that any of the staff members, directors or
other individuals involved in the formation or operation of the Applicant have, either directly or
indirectly, with any persons or entities involved or to be involved in the development on a for-
profit basis including, but not limited to, the owner of the development, any of its for-profit
general partners, employees, limited partners or any other parties directly or indirectly related to
such owner:

If this project is a joint venture or partnership, describe the partnership arrangement. Explain
how the HOME/LIHTF funds will be applied to project related costs (i.e. loan, below market loan,
equity contribution, etc.). Describe the legal form of the completed project. Explain how the
nonprofit will secure and protect the County’s funding interest. Provide a copy of the partnership
or joint venture agreement. ATTACH COPY 18G

NOTE: To qualify as a nonprofit sponsor, the applicants must materially participate in the development and
operation of the project throughout the compliance period. As a proxy for understanding how this is to be
interpreted refer to IRC 469 (h), “a (nonprofit) shall be treated as materially participating in an activity only if
the (nonprofit) is involved in the operations of the activity on a basis which is regular, continuous, and
substantial.” The nonprofit must not be affiliated with or controlled by a for-profit corporation.
7. PROJECT NARRATIVE

Provide a concise description of the project or program applied for in this application. Describe
the type of units (single family, multifamily, SRO or group home), tenure (rental or home
ownership) and the types of individuals that will be serviced by the project (all low income vs

Populations (elderly, frail elderly homeless, persons with disabilities, persons with HIV or AIDS)?
If so, how many? Describe how the project meets a local community need (including needs
identified in the Consolidated Plan), and note any special project features/amenities
distinguishing it from other similar type projects. For home ownership projects, describe the form
of subsidy (downpayment, principal reduction, developer subsidy, etc.) and describe your
recapture and/or resale procedure.
8. NEIGHBORHOOD DESCRIPTION AND PROJECT MARKET FEASIBILITY

Describe the surrounding area where the site is located, noting other types of development in
the immediate area. As an attachment, provide a photograph and a map of the site(s). ATTACH
COPY 18H. Discuss the suitability of the site for the proposed development. Describe the
project’s feasibility, including local market conditions that would justify the project or program.
Include a summary statement that explains the impact of your proposed housing project or
program on the neighborhood(s).
9. APPLICANT EXPERIENCE

Outline your organization’s experience in developing and/or in managing the type of affordable
housing proposed in this application. List all other project sponsors. For each sponsor, indicate
the following: 1). nonprofit or for-profit status; 2). type of organization (e.g., limited liability
company, corporation, partnership, etc.); 3). financial interests in this project; 4). specific role
that the sponsor will play (e.g., developer, investor, owner, manager); 5). the sponsor’s record of
performance, qualifications, and capacity to carry out its role in the project.
10. MARKETING STRATEGY

Projects funded through the HOME Program must follow HOME Affirmative Marketing
Procedures. Complete and submit the Affirmative Marketing Certification form in Exhibit F.
ATTACH COPY 18I In the space below, describe your marketing strategy for the proposed
project with particular attention to your plans for Affirmative Marketing. Describe your strategy for
reaching those eligible households least likely to apply. For rental projects describe your specific
plan for insuring that the assisted units are occupied with renters at 60% or less of median
income. If the project includes five or more assisted units describe your marketing strategy to
meet the requirements for renters at 50% of median income and below.

11. SUPPORT SERVICES

Describe plans for providing support to the residents of the project before and/or after the project
is completed (or, as appropriate, before/after financial assistance is provided). Are support
services included in the project budget? If support services will be provided by other entities,
provide MOA, MOU, or other formal agreement. For home ownership projects, describe the level
of homebuyer counseling, describe the entity that will be conducting the counseling, including
whether counseling will be performed by certified counselors and/or in a classroom setting.
ATTACH COPY 18J
12. COMMUNITY SUPPORT

Describe community support and involvement in the development and implementation of the
proposed project. Include (up to 5) letters of support for this specific project and provide
evidence of any community or neighborhood meetings convened to discuss the project (if
applicable). ATTACH COPY 18K

13. LOCAL GOVERNMENT SUPPORT

If the project will be located/operated in a political jurisdiction other than unincorporated Clark
County describe any support for the project that you have received from the local political
jurisdiction. Include the following: 1) a resolution from the local political jurisdiction supporting the
project or indicate how and when you will solicit the required support; 2) Projects proposed for
the Cities of Las Vegas, North Las Vegas or Henderson must demonstrate a substantial
commitment of HOME/LIHTF funds has been/will be provided by the local jurisdiction. ATTACH
COPY 18L
14. FINANCIAL COMMITMENTS

If financing is required, the applicant must maximize its lending sources for both construction
financing and permanent financing. Describe your financing sources and terms below. Explain
any exceptions or unique situations bearing on your project finances. Describe your sources of
bridge funding that will be used to finance projects before reimbursement through the
HOME/LIHTF program. Document both commitments and or denials as appropriate by attaching
letters. ATTACH COPY 18M

15. FAIR HOUSING

Explain how the project affirmatively promotes fair housing and complies with fair housing laws
and regulations, particularly as related to the following 1) describe how the project/program
promotes greater housing choice; 2) is the project located in an area of high minority
concentration? 3) is the development in an area containing a high proportion of low income
persons?
16. ANALYSIS OF ELIGIBLE ACTIVITY (Option 1, 2 or 3)

The information required in this section is divided into three general categories designated as
either “Rental Housing Development”, “Homeownership Development” or “Owner Occupied
Housing Rehabilitation”. The submission requirements under this section will be different for
each of these categories. Select the category that best describes your proposal and use the
appropriate corresponding worksheets. Submit only one option. THE CHOICES INCLUDE
(indicate your choice by checking the appropriate box):

OPTION NUMBER 1: Rental Housing Development

The “Rental Development” category includes all rental housing “development” activities, including
new construction and/or acquisition and rehabilitation. The financial information required of
“Rental” projects will be as follows:

Rental Development Projects: Rental Worksheet (excel) #A1 Sources and Uses Of
Funds
Rental Worksheet (excel) #A2 Income and Expense
Statement

OPTION NUMBER 2: Homeownership Development

“Owner Development” projects include new construction of housing for sale. Do not include
owner-occupied rehabilitation in this section. The financial information required of “Owner”
projects will be as follows:

Owner Development Projects Owner Worksheet (excel) #B1 Development Budget
Sources and Uses

Owner Worksheet (excel) #B2 GAP Calculator

OPTION NUMBER 3: Owner Occupied Housing Rehabilitation

The “Owner Occupied Housing Rehabilitation” category includes activities that provide
comprehensive rehabilitation of properties owned and occupied by low-income homeowners.
The financial information required of “Owner Occupied Housing Rehabilitation” will be as
follows:

Owner-Occupied Rehab Rehab Worksheet (excel) #C1 Budget/Sources of Funds

Rehab Worksheet (excel) #C2 Rehab Design
16. ANALYSIS OF ELIGIBLE ACTIVITY (Option 1)

OPTION NUMBER 1: Rental Housing Development

A. HOME ASSISTED UNITS

The purpose of this section is to assist developers in deciding the number of HOME-assisted units that
will be claimed for the project. Unlike other federal programs, the HOME Program distinguishes between
the units in a project that have been assisted with HOME funds and those that have not. The number of
HOME-assisted units is particularly important to rental projects because it may determine the amount of
funds available to the project, project rent levels and whether Davis-Bacon wage rules will be required. In
some cases a project may have HOME–assisted units and other types of restricted units. Restricted units
that are HOME-eligible units are not officially designated HOME units but are subject to income and rent
restrictions. You can identify additional restricted, non HOME-assisted units, in C. below.

1. What is the total residential development budget? $

2. How many residential units will be in the project?

3. What is the per unit development cost of the activity (development costs/units)? $

4. What is the amount of HOME/LIHTF funds requested from Clark County? $

5. What is the total of HOME/LIHTF funds requested from all sources (i.e. HOME funds from other
jurisdictions)? $

6. The HOME/LIHTF funds from all sources represents what % of the total residential development
costs?

7. If you multiply the above % by the total number of residential units in the project, the pro-rata share of
HOME/LIHTF funds is developing how many units?

THIS IS THE MINIMUM NUMBER OF HOME-ASSISTED UNITS REQUIRED.

8. If this number is greater than 11, the development may be subject to Davis-Bacon wage requirements
(see Exhibit G).

9. Are the HOME-assisted units comparable to the non HOME-assisted units in size and amenities?

Yes No

10. HOME-assisted units will be (check one):

Fixed Units are designated and retain this designation throughout the period of affordability

Floating Units are initially designated but may lose their designation and be replaced by comparable
units during the period of affordability. The number and size, amenities and other
characteristics of assisted units remain the same throughout the period of affordability
11. Will the project claim exemption from property taxes as a result of receiving HOME funds?
Yes No.

if yes, indicate the annual value of the exemption:$ (reflect in project budget).
16. ANALYSIS OF ELIGIBLE ACTIVITY (Option 1 continued)

B. SUBSIDY LIMITS

HOME/LIHTF assistance cannot exceed the actual per unit development costs for the HOME
assisted units in the project. The table below indicates the maximum amount of subsidy that may
be provided on a per-unit basis, based on unit size. Updated information on these limits are
available at: http://www.hud.gov/local/ca/working/locality.pdf (see Section 221d3 and 234 Per Unit Limits for
Nevada Localities, Las Vegas, Elevator Building).

NUMBER OF MAXIMUM PER-
BEDROOMS UNIT SUBSIDY

0 $126,869
1 $145,433
2 $176,846
3 $228,780
4 $251,131

To determine compliance with maximum per unit subsidy limitations, complete the following
analysis by inserting the number of HOME/LIHTF-assisted units from A.7 above into the table
below as appropriate, bearing in mind that, for “floating” units, the HOME units must be in
proportion to the “TOTAL” units by bedroom size:

TOTAL % HOME
UNITS UNITS
# of 0 Bdrm Units X $126,869 =$
# of 1 Bdrm Units X $145,433 =$
# of 2 Bdrm Units X $176,846 =$
# of 3 Bdrm Units X $228,780 =$
# of 4 Bdrm Units X $251,131 =$
MAX. ALLOWABLE SUBSIDY =$

If the Maximum Allowable Subsidy from the table above is equal to or greater than the amount of
HOME/LIHTF requested from all sources as indicated in A.5, then your project is in compliance
with the HOME Program requirements. If the subsidy amount requested is greater than the
maximum allowable subsidy, the applicant must either (a) reduce the amount of funds
requested, or (b) commit the additional number of HOME-assisted unit(s) necessary to increase
the allowable subsidy.

How many HOME/LIHTF-assisted units will this project have?
16. ANALYSIS OF ELIGIBLE ACTIVITY (Option 1 continued)

C. LOWER INCOME TARGETING

In addition to the designated HOME-assisted units, projects may designate additional units to serve lower
income households and to provide affordable rents. In the table below identify all of the project units. List
number of units and square footage for each bedroom size by income category. All units identified as
targeting households at or below 60% AMI must be subject to restrictions through HOME, LIHTF, LIHTC,
Bonds, etc., or other type of restrictive covenant or by agreement with Clark County.

0 Bdrm 1 Bdrm 2 Bdrm 3 Bdrm 4 Bdrm Total % of Total
≤30% AMI # Units
Sq. Foot
≤40% AMI # Units
Sq. Foot
≤50% AMI # Units
Sq. Foot
≤60% AMI # Units
Sq. Foot
Other: # Units
Sq. Foot
Market Rate # Units
Sq. Foot
TOTAL # Units 100%

Indicate the rents for the restricted units in your project (contract rent, adjusted for tenant paid
utilities-see Exhibit C for approved utility allowances):
0 Bdrm 1 Bdrm 2 Bdrm 3 Bdrm 4 Bdrm
≤30% AMI
≤40% AMI
≤50% AMI
≤60% AMI
Other:

PROJECT Total non-HOME/LIHTF
SUMMARY Total Units: Total HOME/LIHTF: Restricted (<60%):
What is the % median income of the census tract where the project will be located?
Identify the prevailing* “market rents” (i.e. actual rents) for the census tract where the project
will be located:

0 Bdrm 1 Bdrm 2 Bdrm 3 Bdrm 4 Bdrm
Actual Market Rent
*Source of Data:
16. ANALYSIS OF ELIGIBLE ACTIVITY (Option 1 continued)

D. PROJECT SITE CHARACTERISTICS

Site Control is in the following form: ATTACH COPY 18N
Deed (you hold title to the property)
99 Year Leasehold
Option/ Purchase Agreement Expiration Date of Option or Contract:
Other EXPLAIN:
NOTE TO APPLICANTS REQUESTING FUNDS FOR ACQUISITION: Funds will be available
after August 1, 2010, subject to HUD authorization. Applicant must provide Clark County with
specific project address(es) and site control documentation prior to December 31, 2010, or
funds may be reprogrammed.
Does the project consist of more than 1 site? Yes No
Are all necessary zoning and land use approvals for the project in place? Yes No
What is the current zoning?
What zoning is required for the project?
What is the Future Land Use Designation (per current Land Use Plan)?
Does the project include development of vacant land? Yes No
Site size (specify unit of measure):
Are all utilities available at site? Yes No
Will demolition occur? Yes No
Does the project include the acquisition of an occupied building/unit? Yes No
If yes, complete the URA Plan provided in Exhibit L. ATTACH COPY 18O
A new HUD relocation guide entitled, Developing Projects With Home Funds: Ten Things You Need To Know
About The Uniform Act (URA)* but might have been afraid to ask, may be accessed directly at:
http://www.hud.gov/offices/cpd/library/relocation/publications/nonprofitrelocation.doc

This short guide highlights ten key URA relocation requirements and concepts for nonprofit organizations and
others developing HOME funded affordable housing projects. Although the guide is targeted to nonprofit
organizations developing HOME funded projects, it may also be used more broadly.

If your project is recommended for funding a formal appraisal must be completed before any funds
will be released. Indicate current appraisal information:

Appraised Value of Property: Date of appraisal: ATTACH COPY 18P

Method of appraisal: Name of appraiser/ firm:
16. ANALYSIS OF ELIGIBLE ACTIVITY (Option 1 continued)

E. CONSTRUCTION PROJECT NARRATIVE – Acquisition & Rehabilitation
For projects involving construction include information regarding: Rehabilitation: 1) the number
and type of units, 2) the scope of the proposed rehabilitation project 3) describe why units
requiring rehabilitation fell into disrepair (rental developments: did this deterioration occur under
your management or ownership? If so, how will you guarantee the property will not deteriorate in
the near future) 4) provide photographic evidence of disrepair ATTACH COPY 18Q 5) provide a
detailed third-party work write-up and cost estimate supporting the proposed scope of work to be
performed and indicate the qualifications of the firm or individual preparer. ATTACH COPY 18R.
16. ANALYSIS OF ELIGIBLE ACTIVITY (Option 1 continued)

F. CONSTRUCTION PROJECT NARRATIVE – New Construction

For projects involving construction, include information regarding: New Construction (and
Reconstruction): 1) a description of the proposed construction, including the site design and
building layout 2) a description of the exterior finish features 3) identification and description of
community spaces, recreation areas, and common areas and how they will be utilized 4)
describe the site accessibility and the number and types to be built in order to be in compliance
with HUD requirements for persons with disabilities (HUD Uniform Federal Accessibility
Standards -- UFAS). Complete and submit the Fair Housing Accessibility Checklist provided in
Exhibit E. ATTACH COPY 18S. 5) Provide a copy of a third party construction cost estimate
and indicate the qualifications of the firm or individual preparer ATTACH COPY 18T.
16. ANALYSIS OF ELIGIBLE ACTIVITY (Option 1 continued)

G. ENVIRONMENTAL REVIEW

Once an application for federal funds has been made, spending any federal or non-
federal funds to begin construction or to take other site-limiting action, prior to
completion of a formal HUD-approved Environmental Review may disqualify your
project from consideration. If your project is currently underway, consult with CRM
staff immediately.
Yes No
Has a Phase I Environmental Review been completed? ATTACH COPY 18U
Is the site / structure on the State or Federal historic register
Is the site / structure 50+ years old, or in proximity to buildings 50+ years old?
Is the site / structure in a flood plain?
Is the site / structure located in an Airport Clear Zone?
Is the site / structure exposed to high noise levels?
Is the site / structure located within:
1,000 feet of a major roadway?
3,000 feet of a railroad?
5 miles of a civilian airport?
15 miles of a military airport?
Is the site / structure located within one mile of an area exposed to
thermal/explosive hazards (where hazardous liquids, gases or chemicals of a
flammable nature are stored)?
Is the site / structure located within one mile of a dump or landfill or within one
mile of an industry manufacturing, storing, or disposing of chemicals or
hazardous waste?
Does the project include the acquisition and/or rehabilitation of a building built
before 1978? If yes, provide plan for addressing lead-based paint.
ATTACH COPY 18V
If the site includes an existing building, has an asbestos survey been
completed?
16. ANALYSIS OF ELIGIBLE ACTIVITY (Option 1 continued)

H. SITE AND NEIGHBORHOOD STANDARDS [from 24 CFR 983.6(b)]

Yes No

Do the size, exposure, and contour accommodate the units? 983.6(b)(1)

Are utilities and street access adequate? 983.6(b)(1)

Does the project and location further compliance with fair housing laws? 983.6(b)(2)

Is the project site in an area of minority concentration? 983.6(b)(3)(i)

Is the project site in a racially mixed area but will not significantly increase the proportion of
minorities? 983.6(b)(3)(i)

Is the project site in an area of minority concentration but there are sufficient comparable
opportunities outside of the area for minorities based on analysis of HUD – assisted housing?
983.6(b)(3)(ii) 983.6(b)(3)(iii)

Is the project site in a minority concentration but is necessary to meet overriding housing needs
that cannot otherwise be met? 983.6(b)(3)(iv)

Does the project site promote greater choice of housing opportunities and avoid undue
concentration of assisted persons? 983.6(b)(4)

Is the project site in a neighborhood known to be detrimental to family life? 983.6(b)(5)

Is the project site in a neighborhood comparably accessible to a broad range of services and
facilities? 983.6(b)(6)

Is the project site in a neighborhood where travel/access to jobs is not excessive (exception for
elderly housing)? 983.6(b)(7)

I. FINANCIAL FEASIBILITY

ATTACH EXCEL WORKSHEETS: Rental10- A1, A2
16. DESCRIPTION OF ELIGIBLE ACTIVITY (Option 2)

OPTION NUMBER 2: Homeownership Development

New construction of homes for sale

A. LOWER INCOME TARGETING Estimate the number of households your project will serve at
various income levels:

Total number No. of HOME/LIHTF- % of
% of Units
Targeted populations by income level. of Units in assisted Units in HOME/LIHTF-
in Project
Project Project assisted Units
Households at or below 50% of AMI

Households at or below 60% of AMI

Households at or below 70% of AMI

Households at or below 80% of AMI

Other: Households at or below %
of AMI
Unrestricted/Market Units:

Total Number of Units in Project: 100% 100%

B. MORTGAGE LIMIT/AFTER-REHAB VALUE LIMIT
In addition to per unit subsidy limitations, for home ownership projects, HOME funds may only be used to
support the development of modest housing that does not exceed HUD’s FHA Single Family Mortgage
Insurance Program Section 203(b) limit. The current limit for the Las Vegas Metropolitan Area is
$400,000 (updated limits may be found on HUD’s web site at :
https://entp.hud.gov/idapp/html/hicostlook.cfm

Indicate the estimated value of the HOME-assisted homeownership units that will be developed
through this project (from Owner Worksheet B1):

Value No. of Bedrooms Sq. Ft.
Unit Type 1 $
Unit Type 2 $
Unit Type 3 $
Unit Type 4 $
16. DESCRIPTION OF ELIGIBLE ACTIVITY (Option 2 continued)

C. MORTGAGE QUALIFYING (permanent financing)
For each targeted household group, indicate the estimated conventional first mortgage amount for
which they will qualify based on the products offered by your program's participating lenders.
Targeted households by income level Estimated First Mortgage
Amount
Households at or below 50% of AMI

Households at or below 60% of AMI

Households at or below 70% of AMI

Households at or below 80% of AMI

Other: Households at or below % of AMI

D. SUBSIDY ESTIMATE

From the Owner Worksheet B2: GAP Calculation, indicate the total subsidy gap for each unit type
that you are developing and indicate the source(s) of the required subsidy:

Sources of Subsidy
Total Subsidy Gap Clark County
Unit Type 1 $ $ $ $ $
Unit Type 2 $ $ $ $ $
Unit Type 3 $ $ $ $ $
Unit Type 4 $ $ $ $ $
TOTAL $ $

E. TERMS OF ASSISTANCE (secondary financing)

Indicate the terms of the HOME/LIHTF assistance that will be offered to homebuyers:

Deferred Payment and Forgivable Loan
Deferred Payment Loan
Forgivable Loan
Other :
Provide a brief description of the uses, terms and conditions of the HOME assistance. Describe your
policy for refinancing of existing debt or home equity loans after sale of property and prior to loan
repayment or expiration of the recapture period:
16. DESCRIPTION OF ELIGIBLE ACTIVITY (Option 2 continued)

F. PROJECT SITE CHARACTERISTICS

Site Control is in the following form: ATTACH COPY 18N
Deed (you hold title to the property)
99 Year Leasehold
Option/ Purchase Agreement Expiration Date of Option or Contract:
Not Applicable (i.e. acquisition has yet to occur)
NOTE TO APPLICANTS REQUESTING FUNDS FOR ACQUISITION: Funds will be available
after August 1, 2010, subject to HUD authorization. Applicant must provide Clark County with
specific project address(es) and site control documentation prior to December 31, 2010, or
funds may be reprogrammed.
Does the project consist of more than 1 site? Yes No
Are all necessary zoning and land use approvals for the project in place? Yes No
What is the current zoning?
What zoning is required for the project?
What is the Future Land Use Designation (per current Land Use Plan)?
Does the project include development of vacant land? Yes No
Site size (specify unit of measure):
Are all utilities available at site? Yes No
Will demolition occur? Yes No
Does the project include the acquisition of an occupied building/unit? Yes No
If yes, complete the URA Plan provided in Exhibit L. ATTACH COPY 18O
A new HUD relocation guide entitled, Developing Projects With Home Funds: Ten Things You Need To Know
About The Uniform Act (URA)* but might have been afraid to ask, may be accessed directly at:
http://www.hud.gov/offices/cpd/library/relocation/publications/nonprofitrelocation.doc
This short guide highlights ten key URA relocation requirements and concepts for nonprofit organizations and
others developing HOME funded affordable housing projects. Although the guide is targeted to nonprofit
organizations developing HOME funded projects, it may also be used more broadly.

Additionally, you may access HUD's online training module on Real Estate Acquisition and Relocation in HUD
Programs. This module provides critical information on how your HUD funded affordable housing development
activities may be impacted by federal law:
http://www.hud.gov/offices/cpd/affordablehousing/training/relocation/index.cfm
If your project is recommended for funding a formal appraisal must be completed before any funds
will be released. Indicate current appraisal information:

Appraised Value of Property: Date of appraisal: ATTACH COPY 18P

Method of appraisal: Name of appraiser/ firm:

G. FINANCIAL FEASIBILITY

ATTACH EXCEL WORKSHEETS: Homeowner10- B1, B2
16. DESCRIPTION OF ELIGIBLE ACTIVITY (Option 3)

OPTION NUMBER 3: Owner Occupied Housing Rehabilitation

A. SUBSIDY LIMITS

Individual units that are owner-occupied that receive $1,000 (per unit minimum ) or more in HOME/LIHTF
assistance are considered as HOME units. These types of projects are subject to Per Unit Subsidy Limits
on a unit-by-unit basis based on actual rehabilitation/development costs. To determine compliance with
maximum per unit subsidy limitations, complete the following analysis by inserting the number of
HOME/LIHTF-assisted units into the table below as appropriate.

A B C
Number Unit Est. Per Unit Est. Per Unit Est. Per Unit
HOME/LIHTF Size Direct Homebuyer HOME Project HOME/LIHTF
Assisted Rehabilitation Delivery* Request
Units Assistance (A+B+C)
1 Bdrm Units
2 Bdrm Units
3 Bdrm Units
4 Bdrm Units
*Clark County may substitute CDBG funds or other funds in lieu of HOME. Applicant must document that it
has performed a price/cost analysis supporting any request for delivery fees.

B. MORTGAGE LIMIT/AFTER-REHAB VALUE LIMIT

In addition to the above per unit subsidy limitations, for owner occupied projects, HOME funds may only
be used to support the development of modest housing that does not exceed HUD’s FHA Single Family
Mortgage Insurance Program Section 203(b) limit. The after rehabilitation value may not exceed the
following limit. The current limit for the Las Vegas Metropolitan Area is $400,000 (updated limits may be
found on HUD’s web site at : https://entp.hud.gov/idapp/html/hicostlook.cfm

C. LOWER INCOME TARGETING

Indicate the number of households your project will serve at various income levels:

0 Bdrm 1 Bdrm 2 Bdrm 3 Bdrm 4 Bdrm TOTAL
≤30% AMI
≤40% AMI
≤50% AMI
≤60% AMI
≤80% AMI
Other:

TOTAL

D. ELIGIBLE PROPERTY TYPES

Indicate the types of properties that will be assisted:

Single Family ( one unit structures) Manufactured Housing
16. DESCRIPTION OF ELIGIBLE ACTIVITY (Option 3 continued)

E. TERMS OF ASSISTANCE

Indicate the terms of assistance that will be offered to beneficiaries:

Deferred Payment and Forgivable Loan
Deferred Payment Loan
Forgivable Loan
Other :
Provide a brief description of the terms and conditions of the loan:

Describe your policy for refinancing of existing debt or home equity loans after completion of
rehabilitation and prior to loan repayment or expiration of the recapture period:

F. FINANCIALS

ATTACH EXCEL WORKSHEETS: OwnerRehab10- C1, C2
17. APPLICANT CERTIFICATION

Disclosure Statement:

I/We, the undersigned, understand and agree that Clark County will consider that an Identity of
Interest exists whenever any party to a transaction has a financial or family relationship or a
professional or business affiliation with any other part to the transaction. The following list may
not be all inclusive but is considered to be representative of some of the more typical Identities of
Interest:

1. The applicant or principals of the applicant are related to any Community Development
Advisory Committee (CDAC) member or their spouse.

2. The applicant or principals of the applicant are related to any Clark County employee or
employee’s spouse who is involved in the processing of, or decision making on, the subject
application request.

3. The applicant or principals of the applicant have any business relationship with any member
of the Community Development Advisory Committee (CDAC) or their spouse.

4. The applicant or principals of the applicant have any business relationship with any Clark
County employee or employee’s spouse who is involved in the processing of, or decision
making on, the subject application request.

5. The applicant or principals of the applicant are related to the seller, seller’s spouse, or seller’s
agent of any property to be financed with any proceeds that may result from this application.

6. The applicant has any financial interest in the seller of the property or its agent.

7. The seller of the property or its agent has a financial interest in the applicant.

8. If this is a construction loan, the applicant has a financial interest in or is a director, employee
or officer of the general contractor, architect, engineer, attorney, interim or participating
lender, materials supplies, equipment lessors, or others pertaining to the construction of the
subject property.

9. The applicant is aware of any other circumstances that may be an Identity of Interest through
the sale of the property or other matters.

For the purposes of #1 through #9:

“Related” means a spouse or relative, i.e., parent, grandparent, brother, sister, brother-in-law,
sister-in-law, child, grandchild, aunt, uncle, nephew, or niece.

“Business Relationship” means a direct interest with either a CDAC member or Clark County
employee or their spouse, or an entity that the Committee member, employee or their spouse
has a financial interest in. See Exhibit O for a list of CDAC members.
“Principals” means owner, partners, joint venture, persons with controlling authority, officers,
etc.

If there is an identity of interest, please state its nature in the space below:

I/We certify by signing this application below, except as disclosed above, there is not now, nor
will there be an Identity of Interest under circumstances described in statements 1 through 9
without the prior written consent of the County. Note: An Identity of Interest does not necessarily
disqualify you as an eligible recipient of HOME/LIHTF.

Certifications:

Whereas, (the “Applicant”) is applying to Clark County HOME Consortium for assistance
from the HOME/LIHTF program; and

Whereas, the Applicant understands it is necessary that certain conditions be met as part of the
application requirements.
Therefore, the Applicant certifies as follows:

1. The Applicant is eligible for award under federal and/or local statute and program
guidelines and agrees to comply with all applicable federal, state, and local regulations in
the event that this application is selected for funding.

2. The Applicant will minimize displacement as a result of activities assisted with
HOME/LIHTF funds and will assume financial responsibility to assist persons displaced
as a result of such activities.

3. The Applicant understands that the availability of HOME/LIHTF monies is subject to HUD
authorization and is not expected to be available for project use before August 1, 2010.

4. The Applicant certifies that all known and anticipated sources of governmental assistance
associated with this application have been fully disclosed herein.

5. The Applicant is prepared and has the authority within its charter, by-laws, or through
statutory regulations to enter into a contractual agreement with Clark County for
acceptance and use of HOME/LIHTF monies, and makes this application and certification
with full cognizance of its governing body.

6. The undersigned hereby agrees and allows the release of any and all information
submitted to Clark County in regards to the representations made within this Application.
Such information may include credit history and ratings verifications, confirmation of
involvement in past development, and all other information as may be required by Clark
County to aid in making a determination as to the awarding of HOME/LIHTF funds to the
Applicant.

7. The undersigned, being duly authorized, hereby certified that the foregoing information, to
the best of his/her knowledge, is true, complete and accurately described the proposed
project.

In Witness Whereof, the Applicant has caused the document to be executed in its name on the

day of , 200 .

Signature: ___________________________

Title:_________________________________
18. APPLICATION CHECKLIST

Generally, the items below have been requested as part of the application. Please review
this list before submitting your application to insure you have addressed each of them, as
appropriate. Please attach and reference. Check all of the items that you are submitting
with the application.

A Tax Credit/ Bond Application or HOME Application from other jurisdiction
B A copy of your State of Nevada Certificate Of Existence With Status In Good
Standing
C IRS document proof of non-profit status
D A copy of your organization’s most recent E Letter of explanation
single audit report
F CHDO Packet, if applicable
G A copy of the partnership or joint venture agreement
H Site Photo and Map
I Affirmative Marketing Certification
J Supportive Services Agreement(s)
K Community Involvement
L Local Government Support/HOME or LIHTF Commitment
M Project financing letter(s), if applicable (e.g. construction financing, permanent
financing)
N Evidence of site control, if applicable
O Uniform Relocation Act Plan
P Copy of appraisal
Q Rehab Photo
R Rehab Scope of Work / Rehab Standards
S Fair Housing Accessibility Checklist
T Third Party Construction Cost Estimate
U Environmental Review
V Lead Based Paint Control Plan (for pre-1978 properties)
W Other:
ATTACHMENT

18. ?

Fill in the Blank

(use the drop down menu for each attachment and
print the page as cover sheet.)