Mortgage Deed Form

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					                                       FHLBank Topeka                    AHP OWNER REHABILITATION
                                       PO Box 176                        DISBURSEMENT REQUEST
                                       Topeka, KS 66601                     Shaded sections not applicable to rehab disbursement
                                       (785) 233-0507 Fax (785) 234-1765    requests


 A. FHLB Member                                                                     B. Owner
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
1. Loan Application Form signed by borrower                                        5. Invoices, Bids Estimates to support rehab costs
2. Draft AHP Note and Mortgage/Deed of Trust                                       6. AHP Eligibility Checklist
3. Verification of Income Documentation                                            7. Closing date: ______________________________ Is at least
4. FHLB Income Calculation Worksheet                                               10 business days after submission of complete disbursement request?


      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 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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Description: Mortgage Deed Form document sample