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					                     PLEASE INDICATE WHICH
                 PROGRAM YOU ARE APPLYING FOR:

      Home Purchase Plus Program
          Home purchasing program that includes first mortgage and deferred second as well as
          additional home improvement funds.


      Equity Sharing Program
          Home purchasing program that includes first mortgages, down payment and closing cost
          loans (second mortgages) and third mortgages from the Provo City Redevelopment Office
          for the remaining balance of the purchase.

      Home Improvement Loan
          Second mortgages available for homeowners to make improvements, additions, etc. to
          their homes.
           HOME IMPROVEMENT LOANS TEMPORARILY UNAVAILABLE

*Funding is subject to restrictions and approval will be determined on a case-by-case basis. NHS
reserves the right to deny applications.

*Interest rates will be calculated according to current market rates.

                              RETURN COMPLETED APPLICATION TO:
                             39 WEST 300 NORTH PROVO, UTAH 84601

                          FOR QUESTIONS PLEASE CALL (801) 375-5820
                                        PROGRAM DESCRIPTIONS
                                           (Last update 7/2008)

Home Purchase Plus:
The Home Purchase Plus Program will provide a 0% interest deferred payment loan of $20,000, or up to 20%
whichever is less, towards the home purchase price. Eligible applicants must meet the low to moderate income
restrictions. $5,000 is forgivable if the buyer lives in the home for five years and another $1,000 per year is
forgiven up to $10,000! This loan also includes the option of additional funding for home improvements. (See
Home Improvement Loans)

Equity Sharing Program:
The Equity Share Program is still available to qualified buyers of homes that are rehabilitated by NHS. This is
available for a limited time only. Contact NHS Staff for a list of homes. The program consists of the following:

First Mortgage- Neighborhood Housing Services of Provo will provide the first mortgage, which will fund 80%
of the price of the home. The market will determine the interest rate for this loan at the time a rate lock can be
obtained. There will be no mortgage insurance for this loan. Payments will be made monthly.

2nd Mortgage- Neighborhood Housing Services of Provo will also provide the second mortgage that can fund up
to 10% of the price of the home. The market will determine the interest rate for this loan at the time a rate lock
can be obtained. Payments will be made monthly to Neighborhood Housing Services of Provo. This loan can
include down payment and closing costs.

3rd Mortgage- Provo City Redevelopment Agency will provide a third mortgage that will fund 10% or up to
$17,870, based on the homes purchase price. This loan will be 0% interest and the payments are deferred until
the home is sold.

The Provo City Redevelopment Agency will give a credit against the Equity Sharing Loan balance of up
to $5,000 to home buyers who make an equal amount of home improvements to the property. Improvements
must be pre-approved within 90 days following closing and other restrictions may apply. Contact NHS or the
Provo City Redevelopment Agency for further details.

Other Requirements:
    All borrowers will be required to put down $1,000 of their own money.
    All borrowers will be required to complete the Homebuyer’s Education Class taught by Neighborhood
       Housing Services.
    The home must be located within the Pioneer Target Area neighborhoods.
    The purchase price may not exceed $232,305.
    The property can be a single family home, one half of a twin home a town home or a home with a legal
       accessory apartment.
    The home may not be occupied by renters who will be displaced by the sale.
    Borrower must meet all credit, debt and income requirements as specified by the lending institutions,
       Neighborhood Housing Services of Provo and Provo City Redevelopment Agency.
    Other regulations may apply.

Home Improvement Loans:
Loans are available up to $20,000 for homeowners to repair, remodel and bring their homes to current safety
codes. The homes must be located within the Maeser, Franklin, Dixon, Joaquin or Timpanogos neighborhoods.
0% interest is charged on loans and repayment begins when work is complete or six months has passed, which
ever is first. Income restrictions and other regulations may apply. Home improvement loan applicants must
return THREE bids from contractors or THREE material bids if you plan to do the labor yourself.
HOME IMPROVEMENT LOAN PROGRAM TEMPORARILY UNAVAILABLE
NHS Service
  Areas
                                                         Tell Us About Yourself
Print clearly. Use additional sheets if necessary.

Information will not be shared with any third party (e.g. credit agency or lender) without your explicit signed authorization.
                                                                 APPLICANT

Last Name:

First Name:

Middle Name:

Suffix (Sr., Jr., etc.)

Social Security Number:

Home Phone:

Alternate Phone:

Email Address:

Birth Date:

Number of Dependents:

Gender:

Marital Status:                                                     ted




Race:

                                           / Pacific Islander

                                                     -Hispanic



                                                     -Hispanic



Citizenship:



                                         - Resident
                                                         Tell Us About Yourself
Print clearly. Use additional sheets if necessary.

Information will not be shared with any third party (e.g. credit agency or lender) without your explicit signed authorization.
                                                            CO-APPLICANT

Last Name:

First Name:

Middle Name:

Suffix (Sr., Jr., etc.)

Social Security Number:

Home Phone:

Alternate Phone:

Email Address:

Birth Date:

Number of Dependents:

Gender:

Marital Status:




                                                           ast 3 Years

Race:



                                                     -Hispanic



                                                     -Hispanic



Citizenship:

                                            ent Resident

                                         - Resident
                                                 Address & Employment



Street Address:

City:                                                              State:          Zip:

Residency Status:                                                  Monthly Payment Amount:

County:

Length of Occupancy:             Years:                            Months:
Previous Address (enter if the current address is less than two years)

Street Address:

City:                                                              State:          Zip:

Residency Status:                                                  Monthly Payment Amount:

County:

Length of Occupancy:             Years:                            Months:

Employment

Employer Name:

Street Address:

City:                                                              State:          Zip:

Phone Number:                                                      Ext.

Position / Title:


                         Start Date:                 End Date:                  Self Employed:

Previous Employment (enter if within the last two years)

Employer Name:

Street Address:

City:                                                              State:          Zip:

Phone Number:                                                      Ext.

Position / Title:


                         Start Date:                 End Date:                  Self Employed:
                                                 Address & Employment
Address                                                 - APPLICANT


Street Address:

City:                                                              State:          Zip:

Residency Status:                                                  Monthly Payment Amount:

County:

Length of Occupancy:             Years:                            Months:
Previous Address (enter if the current address is less than two years)

Street Address:

City:                                                              State:          Zip:

Residency Status:                                                  Monthly Payment Amount:

County:

Length of Occupancy:             Years:                            Months:

Employment

Employer Name:

Street Address:

City:                                                              State:          Zip:

Phone Number:                                                      Ext.

Position / Title:


                         Start Date:                 End Date:                  Self Employed:

Previous Employment (enter if within the last two years)

Employer Name:

Street Address:

City:                                                              State:          Zip:

Phone Number:                                                      Ext.

Position / Title:


                         Start Date:                 End Date:                  Self Employed:
                                                      Financials

Income
Owner:            If there are multiple clients, enter the name of the one responsible for the income.
Type of Income:   Specify the type of income: salary, commissions, bonuses, etc.
Pay Cycle:        Indicate how frequently the client receives this income: weekly, biweekly, hourly, monthly, etc.

Owner:                 Type of Income:                          Amount:                    Pay Cycle:


Owner:                 Type of Income:                          Amount:                    Pay Cycle:


Owner:                 Type of Income:                          Amount:                    Pay Cycle:


Owner:                 Type of Income:                          Amount:                    Pay Cycle:


Owner:                 Type of Income:                          Amount:                    Pay Cycle:


Assets
Owner:            If there are multiple clients, enter the name of the one who owns the asset.
Type of Asset:    Describe the nature of the asset: checking account, savings account, stock, pending tax return, etc.
Institution:      Enter the name of the bank or other financial institution holding the asset.


 Owner                           Type of Asset                                    Asset Value

 Institution Name                                            Available Funds



 Owner                           Type of Asset                                    Asset Value

 Institution Name                                            Available Funds


 Owner                           Type of Asset                                    Asset Value

 Institution Name                                            Available Funds


 Owner                           Type of Asset                                    Asset Value

 Institution Name                                            Available Funds


 Owner                           Type of Asset                                    Asset Value

 Institution Name                                            Available Funds
                                                     Financials (cont.)

Liabilities
Owner:                    If there are multiple clients, enter the name of the one who has the liability
Type of Liability:        Describe the nature of the liability: credit line, mortgage, taxes, etc.

 Owner                          Creditor Name                                         Account #

 Type of Liability                                 Balance                            Delinquent?

 Owner                          Creditor Name                                         Account #

 Type of Liability                                 Balance                            Delinquent?

 Owner                          Creditor Name                                         Account #

 Type of Liability                                 Balance                            Delinquent?

 Owner                          Creditor Name                                         Account #

 Type of Liability                                 Balance                            Delinquent?

 Owner                          Creditor Name                                         Account #

 Type of Liability                                 Balance                            Delinquent?

Declarations (Credit Issues)
Owner:           If there are multiple clients, enter the name of the one who had the issue
Action Type:     Specify one of the following: bankruptcy, foreclosure, judgment, lien, party to lawsuit, repossession.
Owner:                   Action Type:                        Date Occurred:                 Resolved Date:

Owner:                   Action Type:                       Date Occurred:                    Resolved Date:

Owner:                   Action Type:                       Date Occurred:                    Resolved Date:

Non- Traditional Credit
Owner:           If there are multiple clients, enter the name of the one responsible for this credit.
Credit Type:     Specify one of the following: auto insurance, cable TV, child care, electric, gas, homeowner/renter’s
                 insurance, life insurance, local merchant account, medical bill, medical insurance, rent, school tuition,
                 telephone or water.

Owner:                 Credit Type:                             Monthly Payment:

Owner:                 Credit Type:                             Monthly Payment:

Owner:                 Credit Type:                             Monthly Payment:

Owner:                 Credit Type:                             Monthly Payment:

Owner:                 Credit Type:                             Monthly Payment:
1. Have any of your children been tested for lead paint poisoning?       ____ Yes ____ No
2. Have you, your spouse, or co-applicant owned residential property within the past 3-years? ____Yes ____ No
3. Have you, your spouse or co-applicant ever declared bankruptcy? If yes, Date Filed ____________________________
4. Is Applicant/Co-Applicant currently pregnant? ____ Yes ____ No

Please explain if you answered "Yes " to any question above. ________________________________________________
__________________________________________________________________________________________________

5. Are you, your spouse or co-applicant related to an employee of the Provo City Economic or Redevelopment Agency, or
  any appointed or elected Provo City Official? ____ Yes ____ No
        If yes, Name: _______________________________________________________
        Department or Office: ________________________________________________
        Relationship: _______________________________________________________

6. Have you ever received any type of Federal assistance? If yes, please explain: ________________________________
__________________________________________________________________________________________

7. How many years of school has the applicant completed? _____________ Co-Applicant? ________________
   (Elementary, High School, Technical or Certificate Programs, College, Post Graduate, etc.)

                                         Equity Sharing Income Limits

           Family        Very Low                 Low                 Moderate              Ineligible
            Size            30%                   50%                   80%                Above 80%
             1           $0-$13,200          $13,201-$22,000       $22,001-$35,200          $35,201 +
             2           $0-$15,100          $15,101-$25,150       $25,151-$40,250          $40,251 +
             3           $0-$16,950          $16,951-$28,300       $28,301-$45,250          $45,251 +
             4           $0-$18,850          $18,851-$31,450       $31,451-$50,300          $50,301 +
             5           $0-$20,350          $20,351-$33,950       $33,951-$54,300          $54,301 +
             6           $0-$21,850          $21,851-$36,500       $36,501-$58,350          $58,351 +
             7           $0-$23,350          $23,351-$39,000       $39,001-$62,350          $62,351 +
             8           $0-$24,900          $24,901-$41,500       $41,501-$66,400          $66,401 +

                                             Application Checklist
                                  Incomplete applications will not be processed.

          Complete all pages and questions included in this application
          Be sure to sign and date in all of the appropriate places
          Include copies of Federal Tax Forms for the previous three years for all household members who
           are/were employed.
          Include copies of the last three months pay stubs or other income verification for all household
           members who are/were employed.
          Include copies of the last three months bank statements
          Include $25.00 cash or check when submitting application for a credit report.
          Home Improvement Applicants must include three contractor bids or three material bids.

Neighborhood Housing Services of Provo reserves the right to terminate assistance and recover funds expended
if the applicant/co-applicant is found to have willfully withheld accurate information or to have deliberately
falsified this application.
                         Credit Report Authorization And Privacy Disclosure Form


I hereby authorize and instruct Neighborhood Housing Services of Provo (hereinafter “NHS”) to obtain and
review my credit report. My credit report will be obtained from a credit-reporting agency chosen by NHS. I
understand and agree that NHS intends to use the credit report for the purpose of evaluating my financial
readiness to purchase a home.

My signature below also authorizes the release to credit reporting agencies of financial or other information that
I have supplied to NHS in connection with such evaluation. Authorization if further granted to the credit-
reporting agency to use a copy of this form to obtain any information the credit reporting agency deems
necessary to complete my credit report.

In addition, in connection with determining my ability to obtain a loan, I

       ____ Authorize

       ____ Do Not Authorize

NHS to share with potential mortgage lenders, counseling agencies and/or Provo City Redevelopment Agency
my credit report and any information that I have provided, including any computations and assessments that
have been produced based upon such information. These lenders may contact me to discuss loans for which I
may be eligible, and these counseling agencies may contact me to discuss counseling services.

I understand that I may revoke my consent to these disclosures by notifying NHS in writing.



____________________________________                         __________________________________
Applicant’s Name (Print)                                     Co-Applicant’s Name (Print)



____________________________________                         __________________________________
Applicant’s Signature                                        Co-Applicant’s Signature


____________________________________                         __________________________________
Social Security Number                                       Social Security Number


____________________________________                         __________________________________
Date                                                         Date
Borrower Signature Authorization

Privacy Act Notice: This information is to be used by the agency collecting it or its assignees in determining whether you qualify as a
prospective mortgagor under its program. It will not be disclosed outside the agency except as required and permitted by law. You do
not have to provide the information, but if you do not your application for approval as a prospective mortgagor or borrower may be
delayed or rejected. The information requested in this form is authorized by Title 38, USC, Chapter 37 (if VA); by 12 USC, Section
1701 et. Seq. (if HUD/CPD); and Title 42 USC, 1471 et. Seq., or 7 USC, 1921 et. Seq. (if USDA/FmHA).
Part I – General Information
1. Borrower(s)                                                       2. Name and address of Lender/Broker

                                                                     Neighborhood Housing Services of Provo
                                                                     39 West 300 North
                                                                     Provo, Utah 84601
                                                                     TEL: (801) 375-5820 FAX: (801) 375-5966
3. Date                                       4. Loan Number


Part II – Borrower Authorization

I hereby authorize the Lender/Broker to verify my past and present employment earnings records, bank
accounts, stock holdings, and any other asset balances that are needed to process my mortgage loan application.
I further authorize the Lender/Broker to order a consumer credit report and verify other credit information,
including past and present mortgage and landlord references. It is understood that a copy of this form will also
serve as authorization.

The information the Lender/Broker obtains is only to be used in the processing of my application for a mortgage
loan.



_________________________________________________                                ___________________________________
Borrower Signature                                                               Date


_________________________________________________                                ___________________________________
Borrower Signature                                                               Date
STATEMENT REGARDING REFUNDS OF FEES AND DEPOSITS

This form has been provided by the joint efforts of the Utah Bankers Association, the Utah League of Insured
Savings Institutions, and the Utah Mortgage Bankers Association. This form has been reviewed for compliance
with Section 70D-1-5 of the Utah Code and approved as to form by the Utah Department of Financial
Institutions. (Utah Bankers Assoc., Utah League of Insured Savings Institutions, Utah Mortgage Bankers Assoc.
1990 -- All Rights Reserved)



1.     Appraisal Fee                                               $____________________
2.     Credit Report Fee                                           $____________________
3.     Preliminary Report of Title Insurance Cancellation Fee      $____________________
4.     Application Processing Fee                                  $____________________
5.     Lock Fee                                                    $____________________
6.     ____________________________________________                $____________________

Total Fees and Deposits                                            $____________________

Except as shown (checked) below, the fees and deposits paid by you are not refundable.

_____ Denial of Loan Application. In the event your loan application is denied, the lender will refund to you
      any portion of the fees and deposits shown in part A above (other than the loan application fee) which
      has not previously been spent in connection with your loan. The loan application fee is deemed earned
      upon payment to the lender and is not refundable.

_____ Special Conditions. The following fee or deposits will be refunded to you under the considerations
      stated (if there are special conditions under which fees or deposits may be refunded, list them here and
      state the conditions.):
      ____________________________________________________________________________
      ____________________________________________________________________________
      ____________________________________________________________________________
      ____________________________________________________________________________

_____ For Qualified Refinance Loans Only. The loan for which you have applied is subject to certain
      rescission rights under Federal law. A notice will be delivered to you at closing explaining the manner
      and time in which your rescission right must be exercised. If you rescind your loan, Federal law requires
      the lender to return to you any money or property you have paid to the lender in connection with this
      loan.



__________________________________                                                _________________
Borrower Signature                                                                Date


__________________________________                                                _________________
Borrower Signature                                                                Date

				
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