FHLBank Topeka PO Box 176 Topeka, KS 66601 AHP HABITAT DISBURSEMENT REQUEST (785) 233-0507 Fax (785) 234-1765 A. FHLB Member B. Purchaser 1. AHP Project # 1. Name 2. Project Name 2. Property Address 3. Institution 3. County 4. Contact 4. City, State Zip 5. Phone 5. Annual Income 6. Fax 6. Monthly Income 7. Email 7. % of Area Median 8. Household Size C. Monthly Housing 1. Payment (P & I) 2. Taxes 7. Loan Amount 3. Insurance 8. Term in Months 4. Mortgage Insurance 9. Interest 5. Other________________ 6. Total Housing Cost 0 10. Front Ratio #DIV/0! (Housing Cost/Monthly Income) D. Uses of Funds E. Sources of Funds 1. Purchase Price 1. First Mortgage Lender Name 2. Rehabilitation Costs 2. First Mortgage Loan Amount 3. Closing Costs 3. Second Mortgage Loan 4. Homebuyer Counsel Fee 4. Borrower Down Payment 5. Other Specify_________ 5. Other Specify____________ 6. Other Specify_________ 6. Other Specify____________ 7. Other Specify_________ 7. AHP Funds Requested 8. Total Uses [Sum 1 - 7] $0.00 8. Total Sources [Sum 2 - 7] $0.00 Total Sources and Uses Must Be Equal and Should Agree To Closing/Settlement Statement F. Required Documentation Check if attached Check if attached 1. Loan Application Form signed by borrower 6. Homeownership Education/Counseling Certification 2. Draft AHP Note and Mortgage/Deed of Trust 7. 3 BR documentation (if applicable) 3. Verification of Income Documentation 8. Habitat Needs Analysis/5 RI 99 3 4. Invoices, Bids Estimates to support rehab costs 9. Actual Cost Certification Form and Income/HH Size Cert. Form 5. Certification Letter 10. AHP Eligibility Checklist 11. FHLB Income Calculation Worksheet G. Application Commitments and AHP Eligibility Check all of the following scoring factors that apply to this unit or borrower and that have supporting documentation attached. Application commitments are detailed in AHP Agreement. 1.Targeting: Household Income 10. Urban: Infill (post-2006) < 50% of median Urban Rehabilitation < 60% of median 11. Community Involvement: Tax Abatement < 70% of median Fee Waiver < 80% of median Volunteer Labor 2. Donated Property Private Contributions 3. Homeless Unit Zoning Changes/Variances (post-2006) 4. Empowerment: Mandatory Homeownership Counseling Infrastructure Improvements Sweat Equity Private Contributions Other______________________ Other______________________ 5. Stability: Rehabilitation of Existing Home 12. District Priority Infill Construction (pre-2007) Support Services: Health Services Neighborhood Revitalization Plan Support Services: Credit Counseling Other______________________ Support Services: Other 6. Rural Financial Support: HUD Pgms HOME, CDBG 7. Member Financial Participation___________________ Financial Support: Native Amer. Self Det Act 8. First-time homebuyer Check this box to certify that Financial Support: USDA borrower is a first-time buyer Employment Related: Farm Worker 9. Special Needs: Large Units 3-BR (pre-2007) Employment Related: Employer Assisted Disabled Employment Related: Non-metro econ. growth Handicapped Accessible Housing 3-BR or larger Elderly Other______________________ AHP Eligibility Check the following boxes to confirm compliance with these AHP eligibility requirements. 11. Retention Documents – Member acknowledge that the original executed note, final, signed settlement statement and original executed and recorded AHP mortgage/deed of trust will be provided to FHLBank Topeka within 60 days of disbursement. 12. Project Sponsor – Project sponsor continues to be integrally involved in the projects as described in the approved application 13. Fair Housing – The affirmative fair housing marketing commitments made in the approved application remain in place for this project. H. The above information and attached supporting documentation concerning this homeowner or buyer is correct to the best of my knowledge. This disbursement request meets AHP eligibility requirements, AHP regulations and is consistent with the commitments and terms of the approved AHP application. AHP funds not provided to borrower within 60 days of disbursement must be returned to FHLBank Topeka. Signature of Stockholder Representative Authorized to Sign for FHLB Topeka Borrowings Date Printed Name and Title For FHLB Use: Complete information was received to process this request on: _________________________________________________ Federal Home Loan Bank of Topeka AHP Owner Disbursement Request Section Item Instruction/Issues A. FHLBank Member A-1 AHP Project # Enter the AHP project number e.g. 2001B1022 A -2 Project Name Enter the project name A-3 Institution Name Provide the name of the FHLB member stockholder institution approved to participate in the AHP. A-4 Contact Provide the name of the individual to be contacted with questions regarding the AHP disbursement request submitted. A-5 Phone Provide the area code and phone number of the contact person. Please include extension if applicable. A-6 Fax Provide the area code and fax number of the contact person. A-7 Email Provide the email address of the contact person. B. Purchaser B-1 Name Provide the complete name/names of purchaser. B-2 Property Address Provide the address of the property being purchased (do not list purchaser's current address). B-3 City, State, Zip List the city, state and zip for the property being purchased. B-4 Annual Income Provide the borrower/borrowers current annual income. This amount should agree to the income information submitted with the disbursement request (i.e., pay stubs, VOE, child support, SSI, etc.) If this amount does not equal documentation submitted, please provide explanation. B-5 Monthly Income Provide the borrower/borrowers current monthly income. B-6 % of Area Median Using the most current income limits, find the appropriate county and household size. Divide the annual income by the median AMI for that household size. All borrowers must have incomes at or below the income limits detailed in the AHP Agreement. B-7 Household size Provide the number of people that will be living in the household. This number should equal the household size indicated on the loan application. C. Monthly Housing Costs C-1 Payment (P&I) Provide the amount of the principal and interest payment. If this amount is not a standard calculation please provide an explanation of how P&I was calculated (i.e., subsidized payments, Rural Development loans, etc.) C-2 Taxes Provide the amount of the monthly tax payments. If detailed on the settlement statement or good faith estimate, the amount should be the same as indicated on the AHP disbursement request. C-3 Insurance Provide the amount of the monthly insurance payments. If detailed on the settlement statement or good faith estimate, the amount should be the same as indicated on the AHP disbursement request. C-4 Mortgage Insurance Provide the amount of the monthly mortgage insurance premium if applicable. If detailed on the settlement statement or good faith estimate, the amount should be the same as indicated on the AHP disbursement request. C-5 Other List other housing related expenses such as flood insurance, 2nd mortgage payment amounts, homeowners association dues etc. Utilities and other non-housing related debt should not be included. C-6 Total Housing Cost This amount should equal the total of the monthly housing costs listed in C-1 through C-5. C-7 Loan Amount Provide the first mortgage loan amount. This amount must agree to the amount detailed on the settlement statement or good faith estimate. C-8 Term Provide the term of the first mortgage. C-9 Interest Provide the interest rate of the first mortgage. C - 10 Front Ratio Total housing cost/monthly income. Please attach explanation if front ratio is over 33%. Calculate this ratio by dividing Item C6 by Item B5 D. Use of Funds D -1 Purchase Price Provide the purchase price of the property. This amount must agree to the purchase price detailed on the settlement statement or good faith estimate. D-2 Rehabilitation Costs Provide the amount of rehabilitation costs if applicable. This amount should be the same as the amount of rehabilitation costs detailed on the settlement statement or good faith estimate. Please provide invoices, contracts, signed bids or estimates to substantiate rehabilitation costs. If the loan is closed at the time of disbursement and a signed settlement statement is submitted, receipts are not required. D-3 Closing Costs Provide the amount of estimated closing costs. If the loan has closed, please provide a copy of the final, signed settlement statement. D-4 Homebuyer Provide the amount to be paid for homeownership counseling Counseling/Education fee and education. D - 5 D - 6 D - 7 Other Costs Specify Provide the amount and an explanation of any other costs associated with the use of funds. D-8 Total Uses (The total amount of uses of funds). This amount must be equal to the total sources of funds. E. Sources of Funds E-1 First Mortgage Loan Provide the name of the first mortgage lender. Lender Name E-2 First Mortgage Loan Provide the amount of the first mortgage. This amount must Amount agree with the first mortgage loan amount indicated on the settlement statement and should agree to line C - 7. E-3 Second Mortgage Loan Provide the amount of the second mortgage loan if applicable. This amount must agree with the amount shown on the settlement statement or good faith estimate. E-4 Borrower down payment Provide the amount of the borrower down payment. This amount should be at least $500 and agree with the amount shown on the settlement statement or good faith estimate. If money is going back to the borrower, please ensure that the borrower's down payment will still be at least $500. If there are charges Paid Outside of Closing (POC) please indicate the amount of the POC. The POC must be evident on the settlement statement. E - 5 and E-6 Other Specify Provide the amount of other sources of funds and specify what they are (i.e. taxes) E-7 AHP Funds Requested Provide the amount of AHP funds requested. This amount must agree to the amount provided on the settlement statement or good faith estimate. E-8 Total Sources (The total amount of sources of funds) This amount must be equal to the total uses of funds. F. Required Documentation F-1 Loan Application Form Provide the loan application signed by the borrower or the signed by borrower interviewer. The total number of people in the household shown on the loan application should be the same number entered in B- 7 (household size) on the AHP disbursement request. F-2 Draft AHP Note and Provide a copy of the draft AHP Note and Mortgage/Deed of Mortgage/Deed of Trust Trust. The documents must be filled out correctly and consistent with the information provided on the AHP disbursement request form. After the loan has closed, an original note and recorded deed of trust/mortgage must be returned to FHLBank within 60 days of closing. F-3 Verification of Income Provide verification of the annual income of the Documentation borrower/borrowers (i.e., VOE/VOI, pay stub, child support, SSI, etc.). The total amount of the documents submitted must equal the amount listed on B-4 of the AHP disbursement request form. If the amounts are different, please provide an explanation. F-4 Invoices, Bids, Estimates If the AHP disbursement request includes rehabilitation to support rehab costs expenses, provide invoices, contracts, signed bids or estimates to substantiate rehabilitation costs. If the loan is closed at the time of disbursement and a signed settlement statement is submitted, receipts are not required. F-5 Final Draft or Signed Provide a final draft of the closing/settlement statement if loan Closing/Settlement has not closed. The amounts detailed on these documents Statement should agree to the information submitted on the AHP disbursement request form. If the loan is closed at the time of disbursement, please provide the final, signed settlement statement. F-6 Homeownership If applicable, enclose a copy of the certification or equivalent Education/Counseling documentation that the household completed a homeownership Certification education training session. This requirement applies to all owner programs that committed to mandatory homebuyer education in the Empowerment portion of the application. G. AHP Requirements The purpose of section G is to identify the characteristics of the home buying household that are consistent with the commitments made by the applicant in the AHP application that must be met in order to comply with the terms of the AHP Agreement. The appropriate boxes should be checked that correspond to the commitments that apply to this project. G-1 Targeting Indicate which level of median income the homebuyer household falls within. The % of area median should be calculated and shown on line B - 6. G-2 Donated Property Check this box if the property or land was donated. G-3 Homeless Unit Check this box if the household to occupy the unit meets the definition of homeless household. G-4 Empowerment Check the appropriate box for the empowerment characteristic of this household. Check the homebuyer counseling box if the homebuyer has completed a homebuyer education/counseling program prior to AHP funds disbursement. A certificate signed by the trainer must be included in the AHP funds disbursement documentation submitted by the FHLB stockholder. Check the sweat equity box if the homebuyer has completed the sweat equity requirement for their participation in this program. G-5 Community Stability Check the applicable box that applies to this buyer for commitments made for this project. G-6 Rural Check this box if the property being purchased is located in a rural area. G-7 Member Financial Check this box if the member institution is providing financing Participation other than the pass through of AHP funds. Type in the nature of the financing provided such as first mortgage loan. G-8 First-Time Homebuyer Check this box if the borrower is a first-time homebuyers according to the AHP guidelines definition of a first-time homebuyer. G-9 Special Needs Check the applicable box if the homebuyer or the home meet one of the special needs categories such as 3-BR home. G - 10 Community Support Check the applicable boxes if any of the listed community support criteria apply to this households purchase of a home. e.g. The CDBG/HOME box should be checked if the sources of funds for this household's purchase includes HUD Home or CDBG funding. H. Member Certification H Member Certification The disbursement form must be signed by an officer or employee of the FHLBank member institution who is on the list of persons authorized to execute credit transaction with the FHLBank of Topeka. Please be sure to provide the typed or printed name of the signer.
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