Florida Real Estate Contract by wka64484

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Florida Real Estate Contract document sample

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									                  A           B   C         D                E          F             G               H
 1   FILE NAME:                                                                  PURCHASE
 2   DATE:
 3
 4
 5   ALL BUYER(S):
 6   BUYER 1 NAME                                                AGE        44
 7   BUYER 1 SS#
 8   BUYER 2 NAME                                                AGE
 9   BUYER 2 SS#
10   CURRENT ADDRESS:
11
12   E-MAIL ADDRESS
13   HOME PHONE
14   WORK PHONE
15   CURRENT RENT
16   LONG TERM DEBT                   (from credit report)
17   CREDIT ANALYSIS                  (Good or Fair)
18
19   FOLIO #:
20   PROPERTY ADDRESS:
21
22   LEGAL DESCRIPTION:
23
24
25   CENSUS TRACT #
26   # OF BEDROOMS
27   ASSESSED VALUE
28   APPRAISED VALUE
29   HISTORIC CLASS (Y/N)
30   NEW (X if yes)
31   EXISTING (X if yes)
32   SALES PRICE
33   CURRENT OWNER                                    Address
34   DEPOSIT/DOWN PMT.
35   YEAR BUILT
36
37   DPL AMOUNT:
38   SHIP OR HOME
39   GRANT AMOUNT:
40   SHIP OR HOME
41   MAXIMUM DPL AMOUNT
42
43   LENDER:                                                                     DU   Yes   No
44   ADDRESS
45   CITY/STATE/ZIP CODE
46   CONTACT
47   PHONE/FAX
48   LENDER E-MAIL
49   LOAN AMOUNT
50   TYPE LOAN
51   INTEREST RATE                                                     TERM                 480 (This will be the nu
52   FHA 30-year rate                                                                         0 (Don't touch this fi
53   LENDER'S APR from TIL
54
55
56   SELLER PD CC
57   BUYER PD CC                                                           DPL DOC STAMPS             $0.00
58                                                                     DPL RECORDING FEES             $69.50
59   MONTHLY TAXES                    From Tax Estimator                      MONTHLY P&I             $0.00
60   Lender Estimated Taxes           From Lender GFE
61   # OF MONTHS (TAXES)              From Lender GFE
62   ANNUAL INSURANCE                 From Ins Binder
63
64
65   TITLE COMPANY
66   CONTACT
67   PHONE/FAX
68
69   CONTRACTOR
70   PHONE
71   ADDRESS
72
73   INSURANCE COMPANY
74   CONTACT
                 A                  B               C            D             E      F             G                H
 75   PHONE
 76   ADDRESS
 77
 78
 79   WHITE:                               0                                                        x           Copy of Loan Appro
 80   BLACK:                               0                                                                    Handwritten Loan A
 81   HISPANIC                             0                                                                    Credit Report
 82   ASIAN                                0                                                                    Verification of Incom
 83   INDIAN                               0                                                                    Verification of Depo
 84   OTHER                                0                                                                    Sales Contract
 85   # 0-25                               0                                                                    Market Value Appra
 86   # 26-40                              0                                                        x           GFE
 87   # 41-61                              0                                                                    Truth in Lending
 88   #62+                                 0                                                                    Bank Loan Commitm
 89                                                                                                 x           COT Mortgage Doc
 90                              MEMBERS:                   RELATIONSHIP:           AGE:            x           SunTrust Deposit A
 91                          1   na                         Applicant                  na           x           Additional Loss Pay
 92                          2   na                         na                         na                       Bank Other:
 93                          3   na                         na                         na                       Bank Other:
 94                          4   na                         na                         na                       Bank Other:
 95                          5   na                         na                         na                       Title Other:
 96                          6   na                         na                         na                       Title Other:
 97                          7   na                         na                         na                       Instructions:
 98
 99
100
101
102                              ASSETS:                                   CASH VALUE:                          INCOME FROM AS
103                          1   na                                                 $0.00
104                          2   na                                                 $0.00
105                          3   na                                                 $0.00
106                          4   na                                                 $0.00
107                          5   na                                                 $0.00
108                          6   na                                                 $0.00
109                          7   na                                                 $0.00
110                                                                                 $0.00
111   CASH VALUE X 2% =                                           $0.00
112   AMOUNT FOR 2% BOX:                                          $0.00             AMOUNT TO CARRY OVER:
113
114                              WAGES:                     BENEFITS (SS/SSI):      PUB. ASSIST.:               OTHER INCOME (C
115                          1                      $0.00                     $0.00                     $0.00
116                          2                      $0.00                     $0.00                     $0.00
117                          3                      $0.00                     $0.00                     $0.00
118                          4                      $0.00                     $0.00                     $0.00
119                          5                      $0.00                     $0.00                     $0.00
120                          6                      $0.00                     $0.00                     $0.00
121                          7                      $0.00                     $0.00                     $0.00
122                                                 $0.00                     $0.00                     $0.00
123
124                              TYPE OF OTHER INCOME:
125
126
127                  VERY LOW, LOW, OR MODERATE                        0
128                             MEDIAN INCOME (%)                    0%
129                                         LIMIT                 $0.00
130
131   VERY LOW (CHECK "X"):                    na                 LIMIT:                  na
132   LOW (CHECK "X"):                         na                 LIMIT:                  na
133   MODERATE (CHECK "X"):                    na                                         na
134
135   PROGRAM: (CHECK "X") DPA/CC                              NP INFILL
136
137   TARGET AREA (Enter ET)
138   CITYWIDE (CHECK "X")
                       I            J           K      L
            1 (Enter Purchase, NP Infill or DPA/CC)
            2
            3
            4
            5
            6
            7
            8
            9
           10
           11
           12
           13
           14
           15
           16
           17
           18
           19
           20
           21
           22
           23
           24
           25
           26
           27
           28
           29
           30
           31
           32
           33 City,State/Zip:
           34
           35
           36
           37
           38
           39
           40
           41
           42
           43 (X for Yes or No)
           44
           45
           46
           47
           48
           49
           50
           be
(This will 51 the number of months of the First mortgage)
           52
(Don't touch this field)
           53
           54
           55
           56
           57
           58
           59
           60
           61
           62
           63
           64
           65
           66
           67
           68
           69
           70
           71
           72
           73
           74
                        I         J   K   L
            75
            76
            77
            78
            79
Copy of Loan Approval Sheet
            80
Handwritten Loan Application
            81
            82
Verification of Income
            83
Verification of Deposit
            84
Sales Contract
            85
Market Value Appraisal
            86
            87
Truth in Lending
            88
Bank Loan Commitment
            89
COT Mortgage Document
            90
SunTrust Deposit Agreement
            Loss
Additional 91 Payee
            92
            93
            94
            95
            96
            97
            98
            99
           100
           101
INCOME 102 FROM ASSETS:
           103             0.00
           104             0.00
           105             0.00
           106             0.00
           107             0.00
           108             0.00
           109             0.00
           110             0.00
           111
           112            $0.00
           113
           114
OTHER INCOME (CH SUPP):
           115            $0.00
           116            $0.00
           117            $0.00
           118            $0.00
           119            $0.00
           120            $0.00
           121            $0.00
           122            $0.00
           123
           124
           125
           126
           127
           128
           129
           130
           131
           132
           133
           134
           135
           136
           137
           138
                                                      CASE APPROVAL SHEET

CITY OF TAMPA                                                                                                             CT:                          0
Department of Growth Management & Development Services
HOUSING & COMMUNITY DEVELOPMENT                                                           FOLIO:       0
2105 N. Nebraska Avenue, Tampa, FL 33602


TYPE OF LOAN                                      LOAN AMOUNT
                                                                                                       INVESTOR:          $0.00
LENDER FINANCING:                             0                                   $0.00                AGENCY:            HCD
DPL LOAN 1:       0                               DPL LOAN 1:                     $0.00                PROCESSOR:         0
DPL LOAN 2:                                       DPL LOAN 2:                     $0.00                LENDER:            0

MORTGAGORS/BORROWERS                                                                      PROPERTY TO BE PURCHASED

Borrower Name:             0                                                              No. of Units: Before:       1     After:                     1
                                                                                          No. of Bedrooms:            0
SS#:                       000-00-0000            Age:                    44
                                                                                          Residence Address:      0
Co-Borr. Name:             0                                                                                      0
                                                                                          Project Address:        0
SS#:                       000-00-0000            Age:                        0                                   0

Borrower Gross Pay:                                                    $0.00              Appraised Value:    $0.00
Co-Borrower/Others Gross Pay:                                          $0.00              Tax Assessed Value: $0.00
Soc. Sec. or SSI:                        $0.00                                            Hist. Class:        0
Other Income:                            $0.00
Descr:                0                                                                   LOAN REQUIREMENTS

Gross Monthly Income Total:                                            $0.00              Purchase Price (if app.)                             $0.00
                                                                                          Hazard Insurance (903)                               $0.00
Gross Yearly Income Total                                              $0.00              Real Estate Tax (1004)                               $0.00
                                                                                          COT Closing Costs                                  $381.50
          0%               % Income Category                           $0.00              Other Estimated Closing Costs                         $0.00
                                                                                          Amount Needed to Close                             $381.50
Family Size:               0
                                                                                          LESS:
Income Level: (Mod; Low; Very Low):               0
                                                                                          Buyer's Down Payment                                  $0.00
MONTHLY HOUSING EXPENSE                           Present          Proposed               Seller Paid Closing Costs                             $0.00
                                                                                           First Mortgage Loan                                   $0.00
1st Mortgage (P&I)/Rent                                     0.00       $0.00              Other                                                 $0.00
2nd Mortgage (P&I)                                          0.00       $0.00
New Loan (P&I)                                              0.00       $0.00              City of Tampa DPA       0                          $381.50
Mortgage Insurance                                          0.00       $0.00
Hazard Insurance                                            0.00       $0.00              Loan Term (yrs):     40 Int. Rate %:      0.0000%
Real Estate Taxes                                           0.00       $0.00              DPL Assumption ___ Modification ____ PMM ____
Other:                                                      0.00       $0.00
Total Monthly Payment (PITI)                                0.00       $0.00              POSITION OF NEW MORTGAGES:

Long Term Debt:                                           $0.00                                PRESENT ENCUMBRANCES ON PROPERTY
PITI/Income =         DU           Yes   No           #DIV/0!
(LTD + PITI)/Income =                                 #DIV/0!                             DPL Mortgages & Obligations                           $0.00
                                                                                          Mortgages/Line of Credit                              $0.00
CREDIT ANALYSIS: (Good or Fair):                               0                          Other Liens:________________                          $0.00
                                                                                          Total Encumbrances                                    $0.00
LOAN TO VALUE                  Purchase Price:    $0.00                                   Less Borrower Assumption                              $0.00
First Mortgage Amt.                    $0.00      LTV Ratio:        #DIV/0!               Total (Payable to City of Tampa)                      $0.00
New DPL Amt.                           $0.00      LTV Ratio:        #DIV/0!
Total Loans+Encumbrances               $0.00      LTV Ratio:        #DIV/0!               PROPERTY TITLE (Clear or Correctable):                 Clear

Transaction Type:                    P            Project Code:                           INSURANCE:         Fire X       Flood _              Zone C
HUD/IDIS ACTIV#                                   FY 1: 0       FY 2: 0

Current FHA 30-year fixed rate                           0.0000%                          SUBMITTED BY:
(at date of lender commitment)                                                                                    Redevelopment Counselor II    date
                                                                                          APPROVED BY:
Lender APR from TIL                               0.0000%                                                         Sr Redevelopment Counselor date
(Must be within 2% of the FHA 30-year fixed rate)
                                                                                          APPROVED BY:
Year Built:                          0                                                                            Chief Underwriting Supervisor date

ETHNICITY                  Other                                                          APPROVED BY:
CLOSING AGENT:             0                                                                                      HCD, Manager                  date
CONTRACTOR:
                                                                                          PROJECT FUNDED:
                                                                                                                  Accountant                   date
                             CITY OF TAMPA
                   HOUSING & COMMUNITY DEVELOPMENT
                      LENDER PACKAGE CHECKLIST

DATE:         July 10, 2010
LENDER        0
CONTACT       0
E-mail        0
APPLICANT'S NAME:               0

PROPERTY ADDRESS:               0

APPLICANT INCOME LEVEL:                          0%

LDR      HCD
               LENDER LOAN COMMITMENT LETTER                   CONV:              BOND:           FHA:
                                                               DU:          YES              NO

               LENDER COMMITMENT REQUEST FORM COPY (signed by lender and City)

               LENDER CERTIFICATION OF INCOME AND ASSETS

               CITY LOAN APPLICATION ( with id: Dr Lic., Social Sec cards, IRS form, Separation Affidavit)

               INCOME CERTIFICATION

               INCOME WORKSHEET

               VERIFICATION OF INCOME

               CERTIFICATION OF ZERO INCOME (if applicable)

               2 MOST RECENT IRS FORMS (IF SELF EMPLOYED)

               STATEMENT OF INCOME & EXPENSES (P&L) (IF SELF EMPLOYED)

               CHILD SUPPORT/ALIMONY AFFIDAVIT (if applicable)

               VERIFICATION OF DEPOSIT

               VERIFICATION OF ASSETS (OTHER)

               VERIFICATION OF ASSETS DISPOSED

               CREDIT REPORT

               REAL ESTATE SALES CONTRACT

               CERTIFICATION OF NON RENTAL HOUSING & VOLUNTARY SALE

               APPRAISAL

               HQS INSPECTION                         OR CERTIFICATE OF OCCUPANCY

               LEAD-BASED PAINT FREE HOUSING CERTIFICATION

               GOOD FAITH ESTIMATE

               TRUTH IN LENDING

               ADDITIONAL LOSS PAYEE OR INSURANCE BINDER WITH CITY AS LOSS PAYEE

               HOMEBUYER CLASS CERTIFICATE

Prepared By:
                                Lender



      REV 020808
                   CITY OF TAMPA DOWN PAYMENT ASSISTANCE PROGRAM
                                  INCOME AND ASSETS
                              LENDER CERTIFICATION FORM



Borrower:


Address:


Date:


I hereby certify that we have properly verified and determined the above borrower’s income
and assets using the prescribed methods as allowed by the State Housing Initiatives Partnership
(SHIP) and/or HOME Investment Partnership Program (HOME) Programs, and according to
the City of Tampa "Down Payment Assistance Program Guidelines”.




Lender Signature                                 Date


Print Name


Name of Company
                             City Of Tampa Housng and Community Development Division
                                  Down Payment Assistance Loan Commitment Form
IDENTIFICATION INFORMATION                                                               FOLIO #:
Lender:                                            Contact:
Telephone:                                         FAX:


Applicant:
                          Mailing Address                                                 Property Address
Street:                                                    Street:
City:                                Zip:                  City:                                 Zip:
Phone Numbers              Home:                                         Work:
Household Income:                                          Maximum Income:
Number in Household:


CLIENT FINANCIAL INFORMATION                       %AMI:
             Annual Gross Income:
            Monthly Gross Income:                                        Housing Exp. Ratio: (Front End)
                First Mtg. Amount:                                             Monthly Payments (PITI):
             Second Mtg. Amount:
                Total Mtg. Amount:                                   Proj. Debt/Income Ratio: (Back End)
          Monthly Mtg. Payment(s):


FUNDING INFORMATION (City Use Only)
        CDBG:
       HOME:
          SHIP:
          Grant:
       Total:



Property Information:
                           Sales Price:                                                  1st Mortgage
           Date Sales Contract Expires                                                  Buyers Funds
          Appraised or Assessed Value:                                                 Owner's Funds
                                                                                     FTHB Assistance
                                                                                              TOTAL=




Signature Blocks for Approval:


Lender Representative Signature             Date                          Chief Underwriting Supervisor          Date



Printed Name



Lender Manager Signature                    Date                      Sharon M. West, HCD Division Manager       Date



Printed Name



           THIS LOAN COMMITMENT WILL AUTOMATICALLY EXPIRE 30 DAYS FROM APPROVAL
THIS FORM MUST BE TYPED



                                                                                                             Rev020808
                             HOUSING & COMMUNITY DEVELOPMENT DIVISION
                             APPLICATION FOR HOUSING ASSISTANCE


                                                                  Annual Income:
Type of Assistance:                                               Inc Category (VL,LI,MI,CF):

GENERAL INFORMATION                       APPLICANT                                  CO-APPLICANT
Name (Include Jr. or Sr. if applicable)
Date of Birth / Age
Marital Status                            Married                                   Married               Unmarried
                                          Separated               Yrs. School         Separated           Yrs. School
Home Phone (Incl. Area Code)
E-Mail Address
Present Address (Street)
City, State, Zip Code
             Own                          Rent                    No. Yrs.      Monthly rent/mortgage $
Landlord/Apartment Name:                                                             Telephone:
Address:


 Former Address (if residing at present address less than two years
Former Address (Street)
City, State, Zip Code
             Own                    Rent                 No. Yrs.               Monthly rent/mortgage $
Landlord/Apartment Name:                                                             Telephone:
Address:


Other Household Members                   No. of Dependents:
Name(s)                                                           Date of Birth/Age Relationship to Applicant           Employed?
                                                                                                                        Yes No
                                                                                                                        Yes No
                                                                                                                        Yes No
                                                                                                                        Yes No
                                                                                                                        Yes No
                                                                                                                        Yes No

Is Applicant, Co-Applicant, or any other household member, age 18 or older, a full-time student?
If yes, please list name:

Employment Information:           APPLICANT                                          CO-APPLICANT
Employer Name
Employer Address
E-Mail Address
Employer Phone Number
Position/Title
Time/Dates Employed
Pay Rate / Pay Frequency/ # Hours

If employed in current position for less than two years or If currently employed in more than one position
complete the following:
Employment Information:               APPLICANT                                CO-APPLICANT
Employer Name
Employer Address
E-Mail Address
Employer Phone Number
Position/Title
Time/Dates Employed
Pay Rate / Pay Frequency/ # Hours
Note: Attach additional sheets as necessary for all household members 18 years and over

                                          Initials:   Applicant                    Co-Applicant:
                      HOUSING & COMMUNITY DEVELOPMENT DIVISION
                         APPLICATION FOR HOUSING ASSISTANCE

Other Sources of Income
 (For ALL Household Members 18 and Over). List Business or Rental Net
Income, Child Support, Alimony, Social Security, Pensions, Unemployment or Workers
Compensation, Welfare Payments, etc.
Name                               Type of Income                         Gross Annual Amount




                                                                         Total $
ASSETS AND ASSET INCOME:
(For ALL Household Members, Including Minors)
List Checking and Savings Accounts, IRA, CD, Bonds, Stocks, Property Equity, Cash Value of Pensions and Insurance
Policies, etc.
 Asset Value           Bank/Co. Name                           Account #                     Annual Asset Income




Total Value $                                                           Total Asset Income $
LIABILITIES:
(For ALL Household Members 18 and Over)
List Credit Card Debt, and Automobile, Real Estate and Mortgage Loans, etc.
Account#                 Creditor's Name                                  Balance Owed




                                                               Total Monthly Payments:      $


ETHNICITY/SPECIAL NEEDS:
(For reporting purposes only, please check all that apply for Head of Household only):
( ) White ( ) Black ( ) Hispanic ( ) Asian/Pacific Islander( ) Native American
( ) Farmworker ( ) Disabled or Disabled Minor ( ) Elderly ( ) Homeless ( ) Other:________________

I/We understand that Florida Statute 817 provides that willful false statements or misrepresentation
concerning income; asset or liability information relating to financial condition is misdemeanor of the first
degree, punishable by fines and imprisonment provided under Statutes 775.082 or 775.83. I/We further
understand that any willful misstatement of information will be grounds for disqualification. I/We certify that
the application information provided is true and complete to the best of my/our knowledge. I/We consent to
the disclosure of information for the purpose of income verification related to making a determination of
my/our eligibility for program assistance. I/We agree to provide any documentation needed to assist in
determining eligibility and are aware that all information and documents provided are a matter of
public record.




Applicant Signature              Date                Co-Applicant Signature                 Date
                                  HOUSING & COMMUNITY DEVELOPMENT DIVISION
                             SUPPLEMENTAL APPLICATION FOR HOUSING ASSISTANCE


            ASSETS                                               DECLARATIONS
Real Estate owned (enter                        If you answer "yes to any questions a through i,                   Borrower   Co-Borrower
market value)                                   please use continuation sheet for explanation.                  Yes    No     Yes   No
Vested interest in retirement fund              a. Are there any outstanding judgments against you?


Net Worth or Business(es) Owned                 b. Have you been declared bankrupt within the past 7 years
(attach financial statement)
                                                c. Have you had property foreclosed upon or given title
Automobiles owned (make and year)                 or deed in lieu in the last 7 years?


                                                d. Are you party to a lawsuit?


                                                e. Have you directly been obligated on any loan which
                                                  resulted in foreclosure, transfer of the title in lieu of
                                                foreclosure, or judgment?


Other Assets (Itemize)                          f. Are presently delinquent or in default on any Federal debt
                                                  or any other loan, mortgage, financial obligation, bond,
                                                 or loan guarantee? If yes give details.


                                                g. Are you obligated to pay alimony, child support, or
                                                   support maintenance?


         LIABILITIES                            h. Is any part of the down payment borrowed?


Alimony/Child Support/Separate                  i. Are you a co-maker or endoser on a note?
Maintenance Payments Owed to:
                                                j. Are you a U.S. citizen?


                                                k. Are you a permanent resident alien?


Job Related Expenses (child care,               l. Do you intend to occupy the property as your primary
union dues, etc.                                   residence? If yes complete question below.


                                                m. Have you had an ownership in a property in the last
                                                   three years?
                                                (1) What type of property - principal residence (PR),
                                                 scecond home (SH), or investment property (IP)
                                                (2) how did you hold title to home - soley by yourself (S),
                                                 jointly with your spouse (SP), or jointly with other (O)?


The applicant understands that this pre-qualification process is a screening process to ensure potential buyers meet
the minimum requirements and that this pre-qualification does not guarantee that the Applicant(s) has or will
qualify for housing assistance.                                                      Applicant's Initials

The undersigned specifically acknowledge(s) and agree(s) that the verification of any information contained in the
application may be made at any time by the Lender, its agents, successors and assigns, either directly or through a credit
reporting agency, from any source named in this application, and the original copy of this application will be retained
by the lender, even if the loan is not approved.



Borrower’s Signature                 Date                        Co-Borrower’s Signature                        Date


         REV 012508
      CERTIFICATION OF NON-RENTAL HOUSING
Re:   0
      Down Payment Assistance Application


This is to certify that the property located at:

0
0

is not currently being used as rental property.




It is currently (check one):

_____ Vacant (for more than 60 days)

_____Owner-occupied (lived in by the seller)

_____New construction




___________________________                        ____________________________
Signature of Property Seller                       Date

___________________________
Print or Type Name of Seller


______________________________________             ____________________________
Signature of Property Seller                       Date

___________________________
Print or Type Name of Seller



CC:   0
                                       City of Tampa, Florida
                    Pam Iorio, Mayor Department of Growth Management & Development Services
                                    Housing & Community Development Division




July 10, 2010


0
0
0

Re:                     Voluntary Sale

Dear Sir or Madam:

This is to inform you that          0
has/have applied to the City of Tampa, Housing & Community Development Division, for
down payment and closing cost assistance in purchasing the property located at :

0
0

if a satisfactory agreement can be reached. The contract for sale states the
sales price is     $0.00              to pay for clear title to the property.

Because Federal funds may be used in the purchase, however, we are
required to disclose the following:

                 1. The sale is voluntary. If you do not wish to sell, the buyer(s),
                              0
                 will not acquire your property. The buyer does not have the power to acquire
                 your property by condemnation (i.e., eminent domain).

Since the purchase will be a voluntary, arm’s length transaction, you are not eligible for
relocation payments or other relocation assistance under the Uniform Relocation Assistance
and Real Property Acquisition Policies Act of 1970 (URA), or any other law or regulation. Also,
as indicated in the attached form, this offer of assistance to the buyer, is made on the
condition that no tenant will be permitted to occupy the property before the sale is completed.



          2105 North Nebraska Avenue · Tampa, Florida 33602 · (813) 274-7954 · FAX: (813) 274-7745

                                                 www.tampagov.net
Page 2
July 10, 2010

Again, please understand that if you do not wish to sell your property, we will provide no further
assistance to   0                                           to acquire it. If you are willing to sell
the property under these conditions, please sign the attached document, and return it to this
office.

If you have any questions, please contact Fred Meyer, Chief Underwriting Supervisor, at
(813) 274-7988.

Sincerely,


0
0

Enclosure

Cc: Fred Meyer, Chief Underwriting Supervisor, HCD




             2105 North Nebraska Avenue · Tampa, Florida 33602 · (813) 274-7954 · FAX: (813) 274-7745

                                                www.tampagov.net
                                      PROCESSING CHECKLIST

NAME     0                                                        HOME PHONE:        0
                                                                  WORK PHONE:        0
E-MAIL ADDRESS  0
CURRENT ADDRESS                0
                               0

PROPERTY ADDRESS               0                                              FOLIO: 0.0000
                               0                                              CT:    0

OWNER/DEV:          0                          SELLER:     0

ASSESSED VALUE: $0.00                          DATE REC'D:                           EXCEL:   1/0/00

CITY LOAN TYPE:     PURCHASE                               CITY LOAN AMOUNT:         $0.00

LENDER E-MAIL   0
LENDER/CONTACT: 0                                                 Lender Loan Amt.: $0.00
                0


DPL PROGRAM:                           0                   MAX DPL AMOUNT:           $0.00

MAX MEDIAN INCOME:                    $0.00                % INCOME CATEGORY:        0%

TITLE COMPANY:      0                          CONTACT: 0                     PHONE/FAX:      0


DATE OF INTAKE

ITEMS NEEDED                                   ORDERED            RECEIVED           COMMENTS

AUTHORIZATION:                                 _________          _________

LENDER COMMITMENT LETTER

CREDIT REPORTS                                 _________          _________

EXPLANATION LETTER(S)/RECEIPTS:                _________          _________

BORROWER VOE 1                                 _________          _________

BORROWER VOE 2                                 _________          _________

CO-BORROWER/VOE 1                              _________          _________

CO-BORROWER/VOE 2                              _________          _________

OTHER INCOME 1      (CS,SSA/I, ALIMONY,AFDC)   _________          _________

OTHER INCOME 2      (CS,SSA/I, ALIMONY,AFDC)   _________          _________

INCOME TAX RETURN (S)                          _________          _________

VOD 1                                          _________          _________

VOD 2                                          _________          _________

BANK STATEMENT(S)                              _________          _________

REAL ESTATE CONTRACT                           _________          _________

ENVIRONMENTAL STATUTORY CHECKLIST              TO ACQUISITION SPECIALIST:                     RECEIVED:

FUNDING COMMITMENT                             TO ACCOUNTANT:                                 RECEIVED:

URA TO SELLER                                  _________          _________

HQS FORM TO/FROM APPLICANT                     _________          _________          REVIEWER: _____ FROM _______

HQS REPAIRS REQD. TO/FROM APP:                 _________          _________          REVIEWER: _____ FROM _______

LEAD BASED PAINT CERTIFICATION:                _________          _________          REVIEWER: _____ FROM _______

CHECK CODE LIENS                               _________          _________          NOTIFIED TITLE CO _________

                                               TELEPHONE LOG
DATE     INITIALS   COMMENTS


________ _______

________ _______

________ ________

________ ________

________ _______

________ ________
                               TELEPHONE LOG
DATE     INITIALS   COMMENTS


________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______

________ ______
0

PURCHASE PRICE     $0.00
1ST MORTGAGE       $0.00
1ST LENDER CC      $0.00
DOWN PAYMENT       $0.00
ADDITIONAL DP      $0.00

NEEDED TO CLOSE     $0.00
CITY CC           $171.50 TAX SVC. FEE             $67.00
CITY DPL          $171.50 US ESCROW DPL            $10.00
                          RECORDING FEES           $69.50
                          DOC. TAX STAMPS - MTG.    $0.00   $0.00   $0.00
                          SUNBANK ESCROW SETUP     $25.00



PURCHASE PRICE      $0.00
DOWN PAYMENT        $0.00
TOTAL EST. CC       $0.00
AMT. NEEDED         $0.00
CITY DPL          $171.50
1ST MORTGAGE        $0.00

CITY DOC STAMPS     $0.00
CITY GFE          $171.50
TOTAL EST. CC       $0.00
CITY DPL          $171.50
INCOME CALCULATION WORKSHEET
(for file use only)
                                                                         # in HH:
                                                                         Total HH Income:$
APPLICANT NAME: 0
                                                                         DPL Type:
                                                                         Income Category:
                                                                         Income %:
                                                                         Category Cap Amount:$



Directions:              Complete one sheet for each member of household with income. Please write out
                         calculation method to determine amount for each income source and total the individual
                         amounts.

TYPE OF INCOME:                              CALCULATION METHOD                                         ANTICIPATED
                                                                                                        ANNUAL INCOME

Employment Job 1                                                                                        $


Employment Job 2         _______________________________________________________________                $


Employment Job 3         _______________________________________________________________                $


Overtime                                                                                                $

Bonus/Commission                                                                                        $

SSI for                                                                                                 $
Dependent
Children

Social                                                                                                  $
Security

Pensions                                                                                                $


Child Support                                                                                           $



Other Income                                                                                            $


Asset Income             All household members (including minors)       (The greater of lines B & C)    $__________________

                      Asset Description                        Cash Value             Income from
na                                                                          $0.00               0.00
na                                                                          $0.00               0.00
na                                                                          $0.00               0.00
na                                                                          $0.00               0.00
na                                                                          $0.00               0.00
na                                                                          $0.00               0.00
na                                                                          $0.00               0.00
Total Cash Value of Assets                    (A)                           $0.00
Total Income from Assets                                             (B)                         0.00
If line A is greater than $5000, multiply amount by 2% and enter results in C;                   0.00
otherwise leave blank.                                            (C)


Redevelopment Counselor:                                                            TOTAL INCOME: $__________________
                                     0
Date                     July 10, 2010
INCOME CALCULATION WORKSHEET
(for file use only)
                                                                         # in HH:
                                                                         Total HH Income:$
APPLICANT NAME: 0
                                                                         DPL Type:
                                                                         Income Category:
                                                                         Income %:
                                                                         Category Cap Amount:$



Directions:              Complete one sheet for each member of household with income. Please write out
                         calculation method to determine amount for each income source and total the individual
                         amounts.

TYPE OF INCOME:                              CALCULATION METHOD                                         ANTICIPATED
                                                                                                        ANNUAL INCOME

Employment Job 1                                                                                        $


Employment Job 2         _______________________________________________________________                $


Employment Job 3         _______________________________________________________________                $


Overtime                                                                                                $

Bonus/Commission                                                                                        $

SSI for                                                                                                 $
Dependent
Children

Social                                                                                                  $
Security

Pensions                                                                                                $


Child Support                                                                                           $



Other Income                                                                                            $


Asset Income             All household members (including minors)       (The greater of lines B & C)    $

                      Asset Description                        Cash Value            Income from
na                                                                          $0.00              0.00
na                                                                          $0.00              0.00
na                                                                          $0.00              0.00
na                                                                          $0.00              0.00
na                                                                          $0.00              0.00
na                                                                          $0.00              0.00
na                                                                          $0.00              0.00
Total Cash Value of Assets                    (A)                           $0.00
Total Income from Assets                                             (B)                         0.00
If line A is greater than $5000, multiply amount by 2% and enter results in C;                   0.00
otherwise leave blank.                                            (C)

Redevelopment Counselor II:                                                         TOTAL INCOME: $
                                    0

Date                     July 10, 2010
INCOME CALCULATION WORKSHEET
(for file use only)
                                                                         # in HH:
                                                                         Total HH Income:$
APPLICANT NAME:
                                                                         DPL Type:
                                                                         Income Category:
                                                                         Income %:
                                                                         Category Cap Amount:$



Directions:              Complete one sheet for each member of household with income. Please write out
                         calculation method to determine amount for each income source and total the individual
                         amounts.

TYPE OF INCOME:                              CALCULATION METHOD                                         ANTICIPATED
                                                                                                        ANNUAL INCOME

Employment Job 1                                                                                        $


Employment Job 2         _______________________________________________________________                $


Employment Job 3         _______________________________________________________________                $


Overtime                                                                                                $

Bonus/Commission                                                                                        $

SSI for                                                                                                 $
Dependent
Children

Social                                                                                                  $
Security

Pensions                                                                                                $


Child Support                                                                                           $



Other Income                                                                                            $


Asset Income             All household members (including minors)       (The greater of lines B & C)    $__________________

                      Asset Description                        Cash Value             Income from
na                                                                          $0.00               0.00
na                                                                          $0.00               0.00
na                                                                          $0.00               0.00
na                                                                          $0.00               0.00
na                                                                          $0.00               0.00
na                                                                          $0.00               0.00
na                                                                          $0.00               0.00
Total Cash Value of Assets                    (A)                           $0.00
Total Income from Assets                                             (B)                         0.00
If line A is greater than $5000, multiply amount by 2% and enter results in C;                   0.00
otherwise leave blank.                                            (C)

Redevelopment Counselor II:                                                         TOTAL INCOME: $__________________
                                    0

Date                     July 10, 2010
                      REQUEST FOR VERIFICATION OF EMPLOYMENT
July 10, 2010

Employer Name and Address:


State and/or Federal regulations require us to verify employment history and income information
for the person listed below, in order to determine their eligibility for program assistance. Your
cooperation in providing the requested information below is most appreciated.

Applicant Name:          0                                              SSN:      000-00-0000
A copy of the executed authorization for release of this information is attached.

Please return information to:         0




Position:                                                       Date Employed:

Current Gross Base Pay (Enter Amount and Check Period)                          $
   Annual       Monthly    Weekly      Bi-Weekly       Hourly       Specify Number of hours
Other(Specify)


Date of applicant's next pay increase___________Projected amount of next pay increase _________
Average Overtime Hours/week_______       Bonus YES_____NO_____
                              GROSS EARNINGS
TYPE           YEAR TO DATE           PAST YEAR
               THRU
BASE PAY          $                                $
OVERTIME      $                    $
COMMISSIONS $                      $
BONUS         $                    $
OTHER         $                    $                    EXPLAIN:____________________
TOTAL         $_________________  $____________________
TOTAL GROSS ANNUAL INCOME, INCLUDING OTHER COMPENSATION, FOR THE NEXT 12
MONTHS: $______________________.
Signature
Printed Name:                                   Title:
Date:                                           Phone:

Warning: Florida Statue 817 provides that willful false statements or misrepresentation concerning income,
asset or liability information relating to financial condition is a misdemeanor of the first degree, punishable
by fines and imprisonment provided under Statutes 775.082 or 775.83.
                      REQUEST FOR VERIFICATION OF EMPLOYMENT
July 10, 2010

Employer Name and Address:


State and/or Federal regulations require us to verify employment history and income information
for the person listed below, in order to determine their eligibility for program assistance. Your
cooperation in providing the requested information below is most appreciated.

Applicant Name:          0                                              SSN:                             000-00-0000
A copy of the executed authorization for release of this information is attached.

Please return information to:         0




Position Title:                                                Date Employed:

Current Gross Base Pay (Enter Amount and Check Period)                          $
   Annual     Monthly      Weekly     Bi-Weekly       Hourly    Specify hours
Other(Specify)


Date of applicant's next pay increase___________Projected amount of next pay increase _________
Average Overtime Hours/week_______       Bonus YES_____NO_____
                              GROSS EARNINGS
TYPE           YEAR TO DATE           PAST YEAR
               THRU
BASE PAY          $                               $
OVERTIME      $                     $
COMMISSIONS $                       $
BONUS         $                     $
OTHER         $                     $                   EXPLAIN:____________________
TOTAL         $_________________ $____________________
TOTAL GROSS ANNUAL INCOME, INCLUDING OTHER COMPENSATION, FOR THE NEXT 12
MONTHS: $______________________.
Printed Name:                                    Title:
Date:                                            Phone:

Warning: Florida Statue 817 provides that willful false statements or misrepresentation concerning income,
asset or liability information relating to financial condition is a misdemeanor of the first degree, punishable
by fines and imprisonment provided under Statutes 775.082 or 775.83.
                 REQUEST FOR VERIFICATION OF DEPOSIT OR ASSETS
July 10, 2010                                                                                                     0

Institution Name and Address:




State and/or Federal regulations require us to verify asset income information for the person listed below,
in order to determine their eligibility for program assistance. Your cooperation in providing the requested
information below is most appreciated. You may mail the completed verification to the address
below, or fax to: 813-274-7945. If you have any questions, I can be reached at 813-274-7954.

Applicant Name:               0                                                           SSN:          000-00-0000

A copy of the executed authorization for release of this information is attached.

Please return information to:         0




Please complete the sections below:
Checking Account #
Average Monthly Balance (last 6 months): $                        Interest Rate:                                  %
Savings Account #                           Balance/Interest Rate:$                       %
Certificate of Deposit #:                           Amount: $
Interest Rate: %                      Withdrawal Penalty:
IRA, Keogh, Retirement Account: #                               Amount: $
Interest Rate: %                      Withdrawal Penalty:
Other Account #                           Balance/Interest Rate:$                     %
Signature of authorized representative:
Printed Name:                                           Title
Date:                                                     Phone:

Warning: Florida Statue 817 provides that willful false statements or misrepresentation concerning income,
asset or liability information relating to financial condition is a misdemeanor of the first degree, punishable
by fines and imprisonment provided under Statutes 775.082 or 775.83.
                 REQUEST FOR VERIFICATION OF DEPOSIT OR ASSETS
July 10, 2010                                                                                                     0

Institution Name and Address:




State and/or Federal regulations require us to verify asset income information for the person listed below
in order to determine their eligibility for program assistance. Your cooperation in providing the requested
information below is most appreciated. You may mail the completed verification to the address
below, or fax to: 813-274-7945. If you have any questions, I can be reached at 813-274-7954.

Applicant Name:               0                                                           SSN:         000-00-0000

A copy of the executed authorization for release of this information is attached.

Please return information to: 0




Please complete the sections below:
Checking Account #
Average Monthly Balance (last 6 months): $                        Interest Rate:                                  %
Savings Account #                          Balance/Interest Rate:$                        %
Certificate of Deposit #:                           Amount: $
Interest Rate: %                      Withdrawal Penalty:
IRA, Keogh, Retirement Account: #                               Amount: $
Interest Rate: %                      Withdrawal Penalty:
Other Account #                         Balance/Interest Rate:$                       %
Signature of authorized representative:
Printed Name:                                           Title
Date:                                                  Phone:

Warning: Florida Statue 817 provides that willful false statements or misrepresentation concerning income,
asset or liability information relating to financial condition is a misdemeanor of the first degree, punishable
by fines and imprisonment provided under Statutes 775.082 or 775.83.
                REQUEST FOR VERIFICATION OF BENEFITS/PENSION

July 10, 2010

Name and Address:


State and/or Federal regulations require us to verify all income information for the person
listed below, in order to determine their eligibility for program assistance. Your cooperation
in providing the requested information below is most appreciated.

Applicant Name:      0                                           SSN:        000-00-0000
A copy of the executed authorization for release of this information is attached.

Please return information to:   0




GROSS MONTHLY BENEFIT/PENSION              $


Verified By:
Signature:
Printed Name:                                                    Title:
Date:                                                            Phone:
                        REQUEST FOR VERIFICATION OF BENEFITS/PENSION

            July 10, 2010

            Name and Address:


            State and/or Federal regulations require us to verify all income information for the person
            listed below, in order to determine their eligibility for program assistance. Your cooperation
            in providing the requested information below is most appreciated.

            Applicant Name:      0                                           SSN:        000-00-0000
            A copy of the executed authorization for release of this information is attached.

            Please return information to:       0




            GROSS MONTHLY BENEFIT/PENSION                   $


Verified By:
Signature:
Printed Name:                                                                        Title:
Date:                                                                                Phone:



Warning: Florida Statue 817 provides that willful false statements or misrepresentation concerning income,
asset or liability information relating to financial condition is a misdemeanor of the first degree, punishable
by fines and imprisonment provided under Statutes 775.082 or 775.83.
                                     AFFIDAVIT
                         STATEMENT FOR SEPARATED PERSONS

STATE OF FLORIDA

COUNTY OF HILLSBOROUGH

BEFORE ME, the undersigned authority, personally appeared
who after being first duly sworn deposes and says that my husband/wife and I have been
separated for ______ year(s)/month(s). I contribute      $         each month toward
household expenses. We have no plans to reconcile within the foreseeable future.

I am willing to execute the mortgage, as required, to facilitate rehabilitation or purchase of the
property located at     0                                    0                                   .

CERTIFICATION:            I/We certify that the information provided is true and correct as of the date
set forth opposite my signature and acknowledge my understanding that any intentional or
negligent misrepresentation(s) of the information contained in this statement may result in civil
liability and/or criminal penalties including, but not limited to, fine or imprisonment or both
under the provisions of Title 18, United States Code, Section 1001, et seq. And liability for
monetary damages to the Lender, its agents, successors and assigns, insurers and any other
person who may suffer any loss due to reliance upon any misrepresentation which has been
made.


Date                                            Signature


STATE OF FLORIDA

COUNTY OF HILLSBOROUGH

The foregoing instrument was acknowledged befor me this ______ day of _____________, 20___.
He/She is personally known to me or has produced ____________________________________
as identification and who did/did not take an oath.


                                                Signature of Person Taking Acknowledgement



                                                Name of Acknowledger, typed, printed or stamped

                                                NOTARY PUBLIC
                                                State of Florida at Large

                                                Serial Number (if any):


                                                My Commission Expires:
                THIRD -PARTY VERIFICATION OF INCOME FROM BUSINESS

July 10, 2010

State and/or Federal regulations require us to verify business income information
for the person listed below, in order to determine their eligibility for program assistance. Your
cooperation in providing the requested information below is most appreciated.

Applicant Name:             0                                                 SSN:               000-00-0000
A copy of the executed authorization for release of this information is attached.

Please return information to:               0




Dates Business Transacted from:                                          Gross Income:

Expenses (Provide Amounts for Applicable Expenses):

Interest on Loans:                                      Cost of Goods/Materials:

Rent:                                                   Utilities:

Wages/Salaries:                                         Employee Contributions:

Federal Withholding Tax:                                State Withholding Tax:

FICA:                                                   Sales Tax:

Other:                                                  Other:

Straight Line Depreciation:                             Total Expenses:

Net Income:

Signature of Authorized Representative:
Printed Name:                                                            Title:
Date:                                                                    Phone:

Warning: Florida Statue 817 provides that willful false statements or misrepresentation concerning income,
asset or liability information relating to financial condition is a misdemeanor of the first degree, punishable
by fines and imprisonment provided under Statutes 775.082 or 775.83.
            CHILD SUPPORT/ALIMONY AFFIDAVIT

Please check the boxes which apply below:



            I do not have a court order for child support for the following dependents:




            I do have a court order for child support for the following dependents
            (attach a copy of the court order & current payment statement):




            I do not have a court order for alimony.

            I do have a court order for alimony (attach a copy of the court order &
            current payment statement).


                                                                       July 10, 2010
0


Warning: Florida Statue 817 provides that willful false statements or misrepresentation concerning
income, asset or liability information relating to financial condition is a misdemeanor of the first
degree, punishable by fines and imprisonment provided under Statutes 775.082 or 775.83.
                                 CERTIFICATION OF ZERO INCOME
(To be completed by adult household members only, (if appropriate)

Name of household member:


1           I hereby certify that I do not individually receive income from any of the following sources
            (check all that apply). Documentation should be provided for any unchecked items:

                        Wages from employment (including commissions, tips, bonuses, fees, etc.);

                        Income from operation of a business;

                        Rental income from real or personal property;

                        Interest or dividends from assets;

                        Social Security payments, annuities, insurance policies, retirement funds, pension,
                        or death benefits;

                        Unemployment or disability payments;

                        Public assistance payments;

                        Periodic allowances such as alimony, child support, or gifts received from persons not
                        living in my household;

                        Sales from self-employed resources (Avon, Mary Kay, Shaklee, etc.);

                        Any other source not named above.

2           I currently have no income of any kind and there is no imminent change expected in my financial
            status or employment status during the next 12 months.

3           I will be using the following sources of funds to pay for rent and other necessities:




Under penalty of perjury, I certify that the information presented in this certification is true and accurate to the
best of my knowledge. The undersigned further understands that providing a false representation herein
constitutes an act of fraud.




Signature                                                     Date
FLORIDA HOUSING FINANCE CORPORATION
227 North Bronough Street, Suite 5000 Tallahassee, Florida 32301-1329

                      RESIDENT INCOME CERTIFICATION - HOME OWNER
                           State Housing Initiatives Partnership (SHIP) Program

Effective Date:__________________________                        Allocation Year:

A.        Recipient Information (select one)
          a. _____ Current homeowner
          b. X       Home buyer:
                                    0     Existing Dwelling           0     Newly Constructed Dwelling

B.        Subsidy Use (check all that apply)
             X     Down Payment Assistance                       Principal Buy Down
             X     Closing Costs                                 Rehabilitation
                   Interest Subsidy                              Emergency Repair
                   Other

C.        Household Information
          Member             Names - All Household Members                     Relationship                Age
             1     na                                                       Applicant                na
             2     na                                                       na                       na
             3     na                                                       na                       na
             4     na                                                       na                       na
             5     na                                                       na                       na
             6     na                                                       na                       na
             7     na                                                       na                       na

D.        Assets: All household members including minors
                                                                                                          Income
                                                                                                            from
            Member                       Asset Description                        Cash Value              Assets
                1      na                                                                    $0.00             $0.00
                2      na                                                                    $0.00             $0.00
                3      na                                                                    $0.00             $0.00
                4      na                                                                    $0.00             $0.00
                5      na                                                                    $0.00             $0.00
                6      na                                                                    $0.00             $0.00
                7      na                                                                    $0.00             $0.00
          Total Cash Value of Assets                              D(a)                       $0.00
          Total Income from Assets                                                            D(b)            $0.00
          If line D(a) is greater than $5,000, multiply that amount by the rate specified by
          HUD (applicable rate 2.0% and enter results in D(c), otherwise leave blank. D(c)                    $0.00




SHIP-RIC (Owner)
Rev. 04/1999
                                                 Page 1 of 3
E.       Anticipated Annual Income: Includes unearned income and support paid on behalf of minors.
                          Wages/
                          Salaries
                       (include tips
                       commission,       Benefits/        Public         Other
         Member          bonuses)        Pensions       Assistance      Income          Asset Income
             1                     $0.00     $0.00                $0.00 $0.00
             2                     $0.00     $0.00                $0.00 $0.00             (Enter the
             3                     $0.00     $0.00                $0.00 $0.00              greater of
             4                     $0.00     $0.00                $0.00 $0.00            box D(b) or
             5                     $0.00     $0.00                $0.00 $0.00              box D(c),
             6                     $0.00     $0.00                $0.00 $0.00           above, in box
             7                     $0.00     $0.00                $0.00 $0.00            E(e) below)
                            (a)             (b)             (c)           (d)                 (e)
          Totals                   $0.00     $0.00                $0.00 $0.00                         $0.00

         Enter total of items E(a) through E(e)
         This amount is the Annual Anticipated Household Income                                        $0.00

F.       Recipient Statement: The information on this form is to be used to determine maximum
         income for eligibility. I/We have provided, for each person set forth in Item C, acceptable
         verification of current and anticipated income. I/We certify that the statements are true
         and complete to the best of my/our knowledge and belief and are given under penalty
         of perjury.

         WARNING: Florida Statute 817 provides that willful false statements or misrepresentation
         concerning income and assets or liabilities relating to financial condition is a
         misdemeanor of the first degree and is punishable by fines and imprisonment provided
         under S 775.082 or 775.83.



         Signature of Head of Household                                   Date




         Signature of Spouse or Co-Head of Household                      Date




SHIP-RIC (Owner)
Rev. 04/1999
                                                Page 2 of 3
G.       SHIP Administrator Statement: Based on the representations herein, and upon proofs
         and documentation submitted pursuant to item F, hereof, the family or individual(s)
         named in item C of this Resident Income Certification is/are eligible under the provisions
         of Chapter 420, Part V, Florida Statutes, the family or individual(s) constitute(s) a:
         (check one)

             na   Very Low Income (VLI) Household means individuals or families whose annual
         income does not exceed 50% of the area median income as determined by the U.S.
         Department of Housing and Urban Development with adjustments for household size
         (maximum Income Limit:                 na         ).

             na    Low Income (LI) Household means individuals or families whose annual income
         does not exceed 80% of the area median income as determined by the U.S. Department
         of Housing and Urban Development with adjustments for household size (maximum
         Income Limit:                na          ).

             na   Moderate Income (MI) Household means individuals or families whose annual
         income does not exceed 120% of the area median income as determined by the U.S.
         Department of Housing and Urban Development with adjustments for household size
         (maximum Income Limit:                 na         ).

         Based upon the 2008 (year) income limits for Tampa-Hillsborough Metropolitan
         Statistical Area (MSA) or County, Florida.

         Signature of the SHIP Administrator or his/her Designated Representative:

                                                                 Date
         (Signature)

         Name      Fred Meyer

         Title     Chief Underwriting Supervisor

H.       Household Data (to be completed by Administrator or designee)
                                              Number of Persons
                                               By Race/Ethnicity
          White      Black    Hispanic   Asian     American Indian                      Other
            0          0         0         0               0                              0
                                                   By Age
                0-25                26-40                41-61                           62+
                 0                     0                   0                              0

                                         Special Target/Special Needs
                                             (Check all that apply)
             Farmworker          Developmentally Disabled       Homeless             Elderly          Other


         Note:       Information concerning the race or ethnicity of the occupants is being gathered
         for statistical use only. No occupant is required to give such information unless he or she
         desires to do so, and refusal to give such information will not affect any right he or she
         has as an occupant.

SHIP-RIC (Owner)
Rev. 04/1999                                       Page 3 of 3
                                           City of Tampa, Florida
                  Pam Iorio, Mayor, Department of Growth Management & Development Services
                                                       Housing & Community Development Division

                                COMMITMENT/AWARD LETTER
July 10, 2010



0
0
0

RE:                   SHIP Award - Down Payment and Closing Cost Assistance

Dear      0

This letter is to certify that the City of Tampa Housing & Community Development Division has reviewed
and verified your household annual income. According to the information provided, you meet the income
eligibility requirements for the SHIP program as established by the Florida Housing and Finance
Corporation and the City of Tampa SHIP program.

According to our guidelines, you are eligible with the       0        income category.
You have been approved for downpayment and closing costs up to                      in assistance
for the purchase of a Tampa home located at                        0
This award is contingent upon your receiving a commitment from a first mortgage lender.

You will be required to execute a second (or third) mortgage and note that is deferred and has a zero
percent interest rate. No repayment on the deferred loan is required as long as the property remains your
primary homesteaded residence. You are also required to attend a homeownership training program.

This award letter is valid for a period of 180 days from the date of this letter. Your household's annual
income will be re-calculated, based on any changes, up to the date when assistance is provided.

Respectfully yours,


Fred Meyer
Chief Underwriting Supervisor

HCD/hgs

       2105 North Nebraska Avenue  Tampa, Florida 33602  (813) 274-7954  FAX: (813) 274-7745
                         VERIFICATION OF ASSETS DISPOSED
I/We certify that during the 2-year (24-month) period preceding the effective date of my certification or
recertification of eligibility for program participation, I/we (_____ have) (_____ have not) disposed of more than
$1,000 in asset(s) for less than fair market value.

If asset(s) were disposed of for less than fair market value, describe:
                            Asset                                                Date of Disposition
1.
2.
3.


Amount received for asset(s) disposed of:

1.
2.
3.




0                                                                         Date


0                                                                         Date


Borrower(s):            0




Warning: Florida Statue 817 provides that willful false statements or misrepresentation concerning income,
asset or liability information relating to financial condition is a misdemeanor of the first degree, punishable
by fines and imprisonment provided under Statutes 775.082 or 775.83.
                                   City of Tampa, Florida
                        Pam Iorio, Mayor, Department of Growth Management & Development Services
                                                            Housing & Community Development Division




July 10, 2010



0
0
0

RE:                    Additional Loss Payee

Dear Title Company:

Please list the City of Tampa as additional loss payee on the insurance policy as follows:

                       City of Tampa
                       By and Through
                       Housing and Community Development
                       2105 N. Nebraska Avenue
                       Tampa, FL 33602


Thank you.



Signature of Buyer                                                    Date




Signature of Co-Buyer (if any)                                        Date



PROPERTY ADDRESS:                  0
                                   0
This instrument prepared by:
Housing & Community Development
2105 N. Nebraska Avenue
Tampa, FL 33602


                                            CITY OF TAMPA MORTGAGE
                                      TO SECURE A DEFERRED PAYMENT LOAN


THIS MORTGAGE made on or as of the _____ day of _________________________, 20_____, between
0
hereinafter, and if more than one party jointly and severally, called "Borrower", residing at
0                                                    0
in the City of Tampa, County of Hillsborough, and State of Florida, and the Mortgagee, The City of Tampa, a
municipal corporation organized and existing under the laws of the State of Florida, whose principal address
is 315 E. Kennedy Boulevard, Tampa, Florida 33602, hereinafter called "Lender".

                                                         WITNESSETH:

THAT to secure the payment of an indebtedness in the principal amount of

Dollars ($             ) with interest thereon, which shall be payable in accordance with that certain Note,
bearing even date herewith, inclusive of the signature of the Borrower, marked "Schedule A," and is affixed
hereto and made a part hereof, and all other indebtedness which the Borrower is obligated to pay to the
Lender pursuant to the provisions of the Note and this Mortgage, the Borrower(s) hereby grant(s), convey(s)
and mortgage(s) to the Lender:

ALL THAT certain lot, piece or parcel of land situated in the City of Tampa, County of Hillsborough and State of
Florida, bounded and described as follows:

Street Address:           0
                          0

Legal Description:        0
                          0
                          0

TOGETHER with all the improvements now or hereafter effected on the property, and all easements, rights,
appurtenances, rents, royalties, mineral, oil and gas rights and profits, water rights, and water stock, and all
fixtures now or hereafter attached to the property, all of which, including replacements and additions hereto, shall
be deemed to be and remain a part of the property covered by this Mortgage, and all of the foregoing,
together with said property are herein referred to as the "Property".

TOGETHER with any and all awards now or hereafter made for the taking of the property mortgaged hereby,
or any part thereof (including any easement) by the exercise of the power of eminent domain, including any
award for change of grade or location of any street or other roadway, which awards are hereby assigned to the
Lender and are deemed a part of the property mortgaged hereby; and the Lender is hereby authorized to collect
and receive the proceeds of such awards, to give proper receipts and acquittances therefore, and to apply
the same toward the payment of indebtedness secured by this Mortgage, notwithstanding the fact that the
amount thereon may not then be due and payable; and
then be due and payable; and

TOGETHER with all rights, title and interest of the Borrower in and to the land lying in the streets, roads, or


                                                           Page 1 of 8
alleys adjoining to the above-described land. All the above described land, buildings, other structures, fixtures,
articles of personal property, awards and other rights and interests being hereinafter collectively called the
"mortgaged property".

TO HAVE AND TO HOLD the mortgaged property and every part thereof unto the Lender, its successors and
assigns forever for the purposes and uses herein set forth.

AND the Borrower further covenants and agrees with the Lender, as follows:

          1               PAYMENT OF PRINCIPAL AND INTEREST.

The Borrower shall promptly pay the principal of and interest on the indebtedness evidenced by the Note and
all other charges and indebtedness provided therein and in this Mortgage, at the times and in the manner
provided in the Note and in the Mortgage.

          2               FUNDS FOR TAXES, ASSESSMENTS AND LIENS.

The Borrower shall pay when due, as hereinafter provided, all taxes, assessments, and other governmental
charges, fines and impositions, of every kind and nature whatsoever, now or hereafter imposed on the
mortgaged property, or any part thereof, and will pay when due every amount of indebtedness secured by any
lien to which the lien of this Mortgage is expressly subject.

          3               COMPLETION OF IMPROVEMENTS.

This Mortgage and the attached Note were executed and delivered to secure monies advanced or to
be advanced in full to the Borrower by the Lender as or on account of a loan evidenced by the Note
for the purpose of rehabilitating the structure(s) located on the herein described real estate and for
such other purposes, which have been previously agreed to by the Borrower and the Lender and
hereinafter collectively called "Improvements". The Borrower shall make or cause to be made all
Improvements. If the construction or installation of the Improvements shall not be carried out with
reasonable diligence, or shall be discontinued at any time for any reason other than strikes,
lock-outs, acts of God, fires, floods, or other similar catastrophes, such as riots, war or
insurrection, the Lender, after due notice to the Borrower, is hereby authorized (A) to enter upon
the mortgaged property and employ any watchmen, protect the Improvements from depredation or
injury and to preserve and protect such property, (B) to carry out any and all of the Improvements,
(C) to make and enter into additional contracts and incur obligations for the purposes of completing
the Improvements pursuant to the obligations of the Borrower hereunder, either in the name of the
Lender or the Borrower, and (D) to pay and discharge all debts, obligations and liabilities incurred by
reason of any action taken by the Lender as provided in this Paragraph, all of which amounts so paid
by the Lender, with interest thereon from the date of each such payment at the rate of 12% per
annum, shall be payable by the Borrower to the Lender on demand and shall be secured by this
Mortgage.

          4               BUILDING REMOVAL, ADDITIONS AND COMPLIANCE WITH REQUIREMENTS

No building, structure, improvement, fixture or personal property mortgaged hereby shall be removed
or demolished without the prior written consent of the Lender. The Borrower will not make, permit,
or suffer any alteration of or addition to any building structure or improvement which may hereafter
be erected or installed upon the mortgaged property, or any part thereof, except the improvements
required to be made pursuant to Paragraph 3 hereof, nor will the Borrower use, or permit or suffer
the use of, any of the mortgaged property for any purpose other than the purpose or purposes for
which the same is now intended to be used, without the prior written consent of the Lender. The
Borrower will maintain the mortgaged property in good condition and state of repair and will not
suffer or permit any waste to any part thereof, and will promptly comply with all the requirements of
Federal, State and local governments or of any departments, divisions, or bureaus thereof,
pertaining to such property or any part thereof.


                                                          Page 2 of 8
          5               CHARGES AND LIENS.

The Borrower will not voluntarily or involuntarily create, or permit or suffer to be created or to exist, on or
against the mortgaged property or any part thereof, any lien superior to the lien of this Mortgage, exclusive of
the lien or liens to which this Mortgage is expressly subject, and will keep and maintain the same free from the
claims of all parties supplying labor and/or materials which will enter into the construction or installation of
the Improvements.

          6               NOTICE OF FIRE OR CASUALTY.

The Borrower will give immediate notice by registered or certified mail to the Lender of any fire, damage or
other casualty affecting the mortgaged property, or of any conveyance, transfer or change in ownership
of such property, or any part thereof.

          7               COVERAGE OF INSURANCE POLICIES.

(a)          The Borrower will keep all buildings, other structures and improvements, including equipment, now
existing or which may hereafter be erected or installed on the land mortgaged hereby, insured against loss
by fire and other such hazards, casualties and contingencies in such amounts and manner and for such
period as may be required by the Lender; all such insurance policies must include standard fire and
extended coverage in amounts not less than necessary to comply with the coinsurance clause percentage of
the value applicable to the location and character of the property to be covered. All such insurance shall
be carried by companies approved by the Lender, and all policies shall be in such form and shall have
attached hereto loss payable clauses in favor of the Lender and any other parties as shall be satisfactory
to the Lender. All such policies and attachments thereto shall be delivered promptly to the Lender,
unless they are required to be delivered to the holder of a lien or a mortgage or similar instrument to which
this Mortgage is expressly subject, in which latter event certificates thereof, satisfactory to the Lender, shall
be delivered promptly to the Lender. The Borrower will pay promptly when due, as herein provided, any
and all premiums on such insurance, and in every case in which payment thereof is not made from the
deposits therefore required by this Mortgage, promptly submit to the Lender for examination receipts or
other evidence of such payment as shall be satisfactory to the Lender. The Lender may obtain and pay the
premium of (but shall be under no obligation to do so) every kind of insurance required hereby if the amount
of such premium has not been deposited as required by this Mortgage, in which event the Borrower will pay
to the Lender every premium so paid by the Lender. Any amounts disbursed by Lender pursuant to this
paragraph shall become additional indebtedness of Borrower secured by this Mortgage.

(b)            In the event of loss or damage to the mortgaged property, the Borrower will give to the Lender
immediate notice thereof by mail, and the Lender may make and file proof of loss if not made otherwise
promptly by or on behalf of the Borrower. Unless Borrower and lender otherwise agree in writing, insurance
proceeds shall be applied to restoration or repair, provided such restoration or repair is economically feasible
and the security of this Mortgage is not thereby impaired. If such restoration or repair is not economically
feasible or if the security of this Mortgage would be impaired, the insurance proceeds shall be applied to
the sums secured by this Mortgage with the excess, if any, paid to Borrower. If the Property is abandoned
by Borrower, or if Borrower fails to respond to Lender within 30 days from the date notice is mailed by
Lender to Borrower that the insurance carrier offers to settle a claim for insurance benefits, Lender is
authorized to collect and apply the insurance proceeds at Lender's option either to restoration or repair of the
Property or to the sums secured by this Mortgage. In the event of foreclosure of this Mortgage, or of any
transfer of title to the mortgaged property in extinguishment of such indebtedness, all right, title and
interest of the Borrower in and to every such insurance policy then in effect, subject to the rights and interest
of the holder of any such prior lien, shall pass to the grantee acquiring title to the mortgaged property
together with such policy and appropriate assignment of such right, title, and interest which shall be
made by the Borrower.

          8               TAXES.

In order to protect more fully the security of this Mortgage, the Borrower shall promptly submit to the


                                                           Page 3 of 8
Lender upon request, or Lender's designated agent, the Hillsborough County Tax Invoice for the
mortgaged property. Such invoice shall either show that no taxes are due or be accompanied by a
receipt showing taxes have been paid in full.

          9               MUNICIPAL ORDINANCES.

The Improvements and all plans and specifications shall comply with all applicable municipal
ordinances, regulations and rules made or promulgated with lawful authority.

         10               PROTECTION OF LENDER'S SECURITY.

If Borrower fails to perform the covenants and agreements contained in this Mortgage, excluding any
lien to which this Mortgage is expressly subject, or if any action or proceeding is commenced which
materially affects Lender's interest in the Property, including, but not limited to eminent domain,
insolvency, code enforcement, or arrangements or proceedings involving a bankrupt or decedent, then
Lender at Lender's option, upon notice to Borrower, may make such appearances, disburse such
sums, and take such action as is necessary to protect Lender's interest, including, but not limited to,
disbursement of reasonable attorney's fees and entry upon the Property to make repairs.

Any amounts disbursed by Lender pursuant to this paragraph with interest thereon, shall become
additional indebtedness of Borrower secured by this Mortgage. Unless Borrower and Lender agree
to other terms of payment, such amounts shall be payable upon notice from Lender to Borrower
requesting payment thereof, and shall bear interest from the date of disbursement at the rate
payable from time to time on outstanding principal under the Note unless payment of interest at such
time would be contrary to applicable law, in which event such amounts shall bear interest at the
highest rate permissible under applicable law. Nothing contained in this paragraph shall require
Lender to incur any expense or take any action hereunder.

         11               LENDER INSPECTIONS.

The Lender, or any of its Agents or Representatives, shall have the right to inspect the mortgaged
property at any reasonable hour of the day. Should the mortgaged property, or any part thereof,
require repair, care or attention, then, after notice as provided herein (Paragraph 16) to the Borrower,
the Lender may enter or cause entry to be made upon the mortgaged property and repair, protect
and maintain the property as the Lender may deem necessary. Any and all money that the Lender
must pay to accomplish the proper maintenance on the mortgaged property shall become due and
payable under the provision of Paragraph 10.

         12               EVENT OF DEFAULT.

An Event of Default will be the occurrence of any one of the following events, and upon that occurrence the
Lender may, at Lender's option, declare all sums secured by this Mortgage to be immediately due and payable.

(a)         Failure to pay the amount of any installment of principal and interest, or other charges payable on
the Note, which shall have become due, prior to the due date of the next such installment;

(b)          Nonperformance by the Borrower of any covenant, agreement, term, or condition of this Mortgage,
or of the Note, or of any other agreement made by the Borrower with the Lender in connection with
such indebtedness, after the Borrower has been given due notice (Paragraph 13) by the Lender of
such nonperformance;

(c)           Failure of the Borrower to perform any covenant, agreement, term or condition in any instrument
creating a lien upon the mortgaged property, or any part thereof, which shall have priority over the
lien of this Mortgage;

(d)           The Lender's discovery of the Borrower's failure in any application of the Borrower to the Lender to

                                                           Page 4 of 8
disclose any fact deemed by the Lender to be material, or the making therein, or in any of the
agreements entered into by the Borrower with the Lender (including, but not limited to, the Note and
this Mortgage) of any misrepresentation by, on behalf of, or for the benefit of the Borrower;

(e)            IF BORROWER DOES NOT REMAIN OWNER-OCCUPANT, OR IF ALL OR ANY PART OF THE
PROPERTY OR AN INTEREST THEREIN IS RENTED, LEASED, SOLD, OR TRANSFERRED BY
BORROWER WITHOUT LENDER'S PRIOR WRITTEN CONSENT, LENDER MAY AT LENDER'S
OPTION DECLARE ALL THE SUMS SECURED BY THIS MORTGAGE TO BE IMMEDIATELY
DUE AND PAYABLE. Lender shall have waived such option to accelerate under this sub-paragraph
if prior to the sale or transfer, Lender and the person to whom the Property is to be sold or
transferred reach agreement in writing that the credit of such person is satisfactory to Lender and
that the interest payable on the sums secured by this Mortgage shall be at such rate as Lender
shall request.

(f)           Failure by the Borrower to submit promptly to the Lender or Lender's designated agent proof of
payment of all insurance and taxes, as required herein. If Lender exercises such option to
accelerate, Lender shall mail Borrower's notice of acceleration in accordance with Paragraph 16
hereof. Such notice shall provide a period of not less than 30 days from the date the notice is mailed
within which Borrower may pay the sum declared due, or cure the specific identifiable breach as
delineated in the aforementioned written notice. If Borrower fails to pay such sums or cure the
identified breach prior to the expiration of such period, Lender may, without further notice or demand
on owner, invoke any remedies permitted in Paragraph 13 hereof.

         13               OPTION OF MORTGAGEE UPON EVENT OF DEFAULT.

Upon the occurrence of a default, Lender, prior to acceleration, shall mail notice to the Borrower as
is provided in Paragraph 16 hereof, specifying:

(a)           The breach;
(b)           The action required to cure such breach;
(c)           A date not less than thirty (30) days from the date the notice is mailed to Borrower by which such
              breach must be cured; and
(d)           That failure to cure such breach on or before the date specified in the notice may result in
              acceleration of the sums secured by this Mortgage, foreclosure by judicial proceedings, and sale
              of the property. The notice shall further inform Borrower of the right to assert in the foreclosure
              proceeding the non-existence of a default, or any other defense of Borrower to acceleration and
              foreclosure.

If the breach is not cured on or before the date specified in the notice, Lender, at Lender's option,
may declare all of the sums secured by this Mortgage to be immediately due and payable without
further demand and may foreclose this Mortgage by judicial proceeding. Lender shall be entitled
to collect in such proceedings all expenses of foreclosure, including, but not limited to, reasonable
attorney's fees and costs of documentary evidence, abstract, title reports, and court costs.

         14               APPOINTMENT OF RECEIVER.

The Lender in any action to foreclose this Mortgage may be entitled to have a receiver appointed by
a Court of Law as a matter of right and without regard to the value of the Mortgaged Property or the
solvency of the Borrower or other parties liable for the payment of the Note and other indebtedness
secured by this Mortgage. Said receiver shall enter upon, take possession of, and manage the
Property, and will collect payments of the costs of management of the Property and collection of
rents, including, but not limited to, receiver's fees, premiums on receiver's bonds, and reasonable
attorney's fees, and then to the sums secured by this Mortgage. The receiver shall be liable to
account only for those rents actually received.




                                                           Page 5 of 8
         15               FORBEARANCE BY LENDER NOT A WAIVER.

Any forbearance by Lender in exercising any right or remedy hereunder, or otherwise afforded by
applicable law, shall not be a waiver of or preclude the exercise of any such right or remedy. The
procurement of insurance or the payment of taxes or other liens or charges by Lender shall not be
a waiver of Lender's right to accelerate the maturity of the indebtedness secured by this Mortgage.

         16               NOTICE.

Except for any notice required under applicable law to be given in another manner, (a) any notice to
Borrower provided for in this Mortgage shall be given by mailing such notice by certified mail
addressed to Borrower at the property address or at such other address as Borrower may designate
by notice to Lender as provided herein, and (b) any notice to Lender shall be given by certified mail,
return receipt requested, to Lender's address stated herein or to such other address as Lender may
designate by notice to Borrower as provided herein. Any notice provided for in this Mortgage shall
be deemed to have been given to Borrower or Lender when given in the manner designated herein.

         17               ONE PARCEL.

In case of a foreclosure sale of the Mortgaged Property, it may be sold in one parcel.


         18               BORROWER'S COPY.

Borrower shall be furnished a conformed copy of the Note and of this Mortgage at the time of
execution or after recordation thereof.

         19               LAWFULLY SEIZED.

The Borrower is lawfully seized of the Mortgaged Property and has good right, full power, and
lawful authority to sell and convey the same in the manner above provided, and will warrant and
defend the same to the Lender forever against the lawful claims and demands of any and all parties
whatsoever.

         20               BORROWER NOT RELEASED.

Extension of the time for payment or modification of amortization of the sums secured by this
Mortgage granted by Lender to any successor in interest of Borrower shall not operate to release in
any manner the liability of the original Borrower and Borrower's successors in interest. Lender shall
not be required to commence proceedings against such successor or refuse to extend time for
payment or otherwise modify amortization of the sums secured by this Mortgage by reason of any
demand made by the Original Borrower and Borrower's successors in interest.

         21               CAPTIONS.

The captions of this Mortgage are for convenience only and shall not be construed as defining or
limiting the scope or intent of the provision hereof.

         22               SUCCESSORS AND ASSIGNS.

This Mortgage and all covenants, agreements, terms, and conditions herein contained shall be
binding upon and inure to the benefit of the Borrower, and, to the extent permitted by law, every and
inure to the benefit of the Lender and its assigns. If the Borrower, as defined herein, consists of two




                                                          Page 6 of 8
or more parties, this and severally, and they shall be obligated jointly and severally under all the
provisions hereof and under the Note. The word "Lender" shall include any person, corporation, or
other party who may from time to time be the holder of this Mortgage. Whenever used herein, the
singular number shall include the plural, the plural number shall include the singular, and the use
of gender shall be applicable to all genders wherever the sense requires.

IN WITNESS WHEREOF, this Mortgage has been duly signed and sealed by the Borrower on or as of
the day and year first above written.

Signed, sealed and delivered
in the presence of:

_____________________________
(SEAL)                                                          0
Witness


_____________________________
(SEAL)                                                          0
Witness




                                             INDIVIDUAL ACKNOWLEDGMENT

STATE OF FLORIDA
COUNTY OF HILLSBOROUGH

I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State aforesaid and
in the County aforesaid to take acknowledgments personally appeared _________________________
to me known to be the person(s) described in and who executed the foregoing instrument and
acknowledged before me that ________ executed the same for the purpose therein expressed.

WITNESS my hand and official seal in the County and State last foresaid, this _____ day of
_______________________________, 20_____.


                                                                ____________________________________
                                                                NOTARY PUBLIC

                                                                NOTARY PUBLIC

                                                                MY COMMISSION EXPIRES:____________




                                                         Page 7 of 8
                                      DEFERRED PAYMENT LOAN PROMISSORY NOTE

                                                         "SCHEDULE A"

Case Number:              0                                        Date:

Amount:                                                            Property Address:
                                                                   0
                                                                   0

FOR VALUE RECEIVED, the undersigned jointly and severally promise to pay to the order of the
City of Tampa, a municipal corporation of the State of Florida, herein referred to as the "City",
or its successors, the sum of _________________________________________________________
($_____________________) Dollars. Payment of the principal amount of this Note is deferred
while the undersigned remains fee simple owner(s) and reside(s) at the noted property. If the
undersigned remains fee simple owner(s) for the term of thirty (30) years from the date above then this
mortgage will be considered satisfied.

During the deferment this Note will not accrue interest. The City shall have the optional right to
declare the amount of the total unpaid balance hereof to be due and forthwith payable in advance of
the maturity date of any sum due or installment, as fixed herein, after notice has been given in
accordance with the terms and conditions in the Mortgage securing this Note, upon the occurrence
of any Event of Default or failure to perform in accordance with any of the terms and conditions in
the Mortgage securing this Note. IF THE BORROWER DOES NOT REMAIN OWNER-OCCUPANT,
OR IF ALL OR ANY PART OF THE PROPERTY OR AN INTEREST THEREIN IS RENTED,
LEASED, SOLD, OR TRANSFERRED BY BORROWER WITHOUT LENDER'S PRIOR WRITTEN
CONSENT, LENDER MAY AT LENDER'S OPTION, DECLARE ALL THE SUMS SECURED BY
THIS NOTE TO BE IMMEDIATELY DUE AND PAYABLE.

Failure of the City to declare a default shall not constitute a waiver of such default. Upon default,
this Note will accrue interest at the highest rate permissible under applicable law, or, if this Note
were reduced to judgment, such judgment should bear interest at the highest rate permissible
under applicable law.

The undersigned reserve(s) the right to prepay at any time all or any part of the principal amount of
the Note without the payment of penalties or premiums. Any payment of this Note prior to default
of the deferment shall be applied to the principal due on the Note.

If suit is instituted by the City to recover this Note, the undersigned agree(s) to pay all costs of such
collection including reasonable attorney's fees and court costs.

THIS NOTE IS secured by a Mortgage of even date duly filed for record in the Circuit Court of
Hillsborough County, Florida.

IN WITNESS WHEREOF, this Note has been duly executed by the undersigned, as of the above date.


Return Instrument to:
City of Tampa                                        0
Mortgage Servicing
2105 N. Nebraska Avenue
Tampa, FL 33602                                      0




                                                            Page 8 of 8
                                             City of Tampa, Florida
                         Pam Iorio, Mayor,    Department of Growth Management & Development Services
                                                                 Housing & Community Development Division




                       Statement of Gift for Down Payment Assistance
         I,                                           , will provide     $           to

0                                            for down payment assistance for the property located at

                   0               0                            . These funds will be deposited in the

escrow account for 0                                  with the 0                               and

receipt of said funds will be provided to the City of Tampa prior to approval for closing.

These funds are given as a gift and I have no expectation of repayment.



0                                                     DATE
Gift Recipient



Gift Contributor                                      DATE
                     Housing & Community Development
                                CLOSING INSTRUCTIONS



BUYER'S NAME(S): 0

FOLIO #:             0

ADDRESS:             0
                     0

PLEASE SEND FINAL HUD1 (HUD 1, PAGE ONE, MUST BE STAMPED OR WRITTEN AT BOTTOM
"FINAL" ), AND CITY MORTGAGE (pages 1, 7 and 8) FILLED IN FOR SIGNATURE FOR OUR REVIEW
AND APPROVAL PRIOR TO CLOSING.
           ATTENTION: Carolyn Jones FAX 813-274-7945 or E-mail: Carolyn.Jones@TampaGov.net
                 THESE DOCUMENTS NEEDED TO ORDER FUNDS:
THE FOLLOWING DOCUMENTS NEED TO BE COMPLETED:
MORTGAGE:        Page 1: Date, written loan amount, dollar amount and legal description;
                 Page 7: Buyer(s) signature Line (how mortgage will be signed at closing);
                 Page 8: Date, Amount (Written amount, Dollar amount), Buyer(s) signature line (How
                 Note will be signed at closing).
         IMPORTANT: Record original 8 pages INCLUDING NOTE and return to my attention
Other Documents: Insurance Binder showing City as Secondary Loss Payee.
PLEASE NOTE: Buyer is NOT allowed to receive funds from closing. The City DPL may need to be
reduced if this were the case. Buyer MUST provide a minimum Down Payment of $500.00 from
their own funds.
FUNDS:               Our funds are typically available within 24 hours after the FINAL HUD1 and completed
                     City Mortgage and Note are approved by HCD. The Closing Approval Form will then be
                     faxed to you. Please contact Karyn M. Graham at SunTrust Bank for confirmation that funds
                     are available. TAKE ORIGINAL DEPOSIT AGREEMENT SIGNED BY BUYER(S) AND
                     SUNTRUST'S $25.00 SET UP FEE TO THE OFFICE LOCATED AT 401 E Jackson
                     Street, 10th Floor in downtown Tampa. Karyn's telephone number is (813) 224-2183
                     Fax (813) 224-2283. The hours available are Monday- Friday 8:30 AM to 4:00 PM.
                     Please note that SunTrust will not issue a check after 4:00 PM.
                     Please have your courier bring their parking ticket to the office to be validated.

OUR CLOSING PACKAGE NEEDS THE FOLLOWING DOCUMENTS:
                   1 Original Executed HUD1 - signed and dated by Buyer, Seller and Preparer.
                   2 A Copy of the signed and notarized City Mortgage and Note- REMEMBER TO RECORD
                      THE NOTE with the mortgage. Return the recorded Mortgage and Note to my attention.
                   3 Copy of Homeowner Insurance Binder- showing City as an additional Loss Payee
                   4 Check(s) to Amerinational for City DPL
                   5 Copy of Primary Lender Truth In Lending form- signed and dated by Buyer
                   6 Other:
Please Mail ALL Closing Documents to my Attention:      Carolyn Jones, (813) 274-7920/ Fax(813) 274-7945
                                                        2105 North Nebraska Avenue
Thank you.                                              Tampa, FL 33602

								
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