Offer to Purchase Land Form

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Offer to Purchase Land Form document sample

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							                                                                              NSP Grant #______________
                                                                              FOR INTERNAL USE ONLY
                         NEW YORK STATE HOUSING FINANCE AGENCY
                          NEIGHBORHOOD STABILIZATION PROGRAM
                                 INITIAL PROPERTY SET-UP


SECTION 1: GRANTEE INFORMATION



Grantee Name                         Address, City and State                        Zip Code


Contact Name                            Phone Number             Email



Program Partner                      Address, City and State                        Zip Code


Contact Name                            Phone Number             Email



Program Partner                      Address, City and State                        Zip Code



Contact Name                            Phone Number             Email



SECTION 2: NSP ACTIVITY INFORMATION: (Select all that apply)
   A: Financing Mechanisms              B: Acquisition/Rehab –           B: Acquisition/Rehab –
      Acquisition                       Homeownership or                    Rental
      Disposition*                      Homeownership/Rental                Acquisition
      Relocation                           Acquisition                      Disposition*
      Direct Homeownership                 Disposition*                     Relocation
      Assistance                           Relocation                       Rehabilitation
      Rehabilitation                       Rehabilitation
                                           Direct Homeownership
                                           Assistance
   C: Land Banking                      D: Demolition                    E: Redevelopment
      Acquisition                          Clearance                        Acquisition
      Disposition*                                                          Disposition*
                                                                            Public Facilities and
                                                                            Improvements
                                                                            New Construction
                                                                            Rehabilitation
                                                                            Direct Homeownership
                                                                            Assistance
*Disposition includes carrying costs and property maintenance.



                                                 Page 1 of 4                                   Version April 2010
                                                                                                 NSP Grant #______________
                                                                                                 FOR INTERNAL USE ONLY

SECTION 3: PROPERTY INFORMATION

Address


City                            State                        Zip Code              County

Census Tract                                                 Block Group (if applicable)

Estimated Construction/                                      Estimated Construction/
Rehab Start Date                                             Rehab Completion Date

PROPERTY STATUS: (select one)
  Foreclosed  Abandoned (per NSP definition)                            Blighted           Vacant Residential Structure

   Non-Residential Vacant Structure             Vacant Lot - Date structure removed
SOURCE OF PROPERTY: (select one)
  Tax Lien Foreclosure REO       Privately Owned                                           Publicly Owned
PURCHASE INFORMATION: (Fill in this section only if NSP funds are being used for acquisition.)
Purchase Price:              $
Purchase Price Discount Percentage                                  %     Date of Final Offer
(Fill in only if funds are being used for Types A, B or C)                to Purchase
As is Appraised Value                       $                             Proposed or Actual
                                                                          Closing Date
Value Upon Completion (if available) $                                    Date of Appraisal
                                                                              Must be within 60 days prior to
OCCUPANCY COMPLIANCE:                                                      ( Final Offer to Purchase.           )
1) Was the URA seller notification delivered?
     Yes           No
2) Was there a bonafide tenant in the property at time of foreclosure?
     Yes           No
     a) If yes, do you or the successor in interest have documentation that complies with NSP's 90 day notice?
                Yes           No
                i) If no, are you assuming the responsibilities for any penalties that may be required?
                              Yes         No
ENVIRONMENTAL REVIEW:
  Environmental review complete; did not require published notice and Request for Release of Funds (RROF).
   Environmental review complete; did require published notice and Request for Release of Funds (RROF).
               Authority to Use Grant Funds (AUGF) received. Date:
               Statutory Checklist and required documents submitted to and approved by HFA.
               Date:                     (if a Non-Profit Grantee)
               Statutory Checklist completed and required documents collected and maintained by Grantee.
               (if a Municipal Grantee)


                                                         Page 2 of 4                                                Version April 2010
                                                                                         NSP Grant #______________
                                                                                         FOR INTERNAL USE ONLY

SECTION 4: PROPOSED REUSE

   Single Family                  # of units (1-4 units)     Homeownership         Rental         Both
                                                             # of Homeowner Units
                                                             # of Rental Units
                                                             # of Low Income (≤ 50% AMI) Units
                                                             # of Moderate Income (> 50% to ≤ 80% AMI) Units
                                                             # of Middle Income (> 80% to ≤ 120% AMI) Units
   Multifamily                    # of units                 Rental Only
                                                             # of Low Income (≤ 50% AMI) Units
                                                             # of Moderate Income (> 50% to ≤ 80% AMI) Units
                                                             # of Middle Income (> 80% to ≤ 120% AMI) Units


   Land Banking Only:
Interim Use:




SECTION 5:                                       TOTAL                    NSP                 AMOUNT OF
PROPOSED BUDGET *                              BUDGETED                BUDGETED                NSP FUNDS
                                                AMOUNT                  AMOUNT                OBLIGATED
Acquisition
Demolition
Soft Costs
Hard Costs
Disposition/ Holding Costs
Housing Counseling
Other Costs
Developer Fee
                           TOTAL                           $0.00                 $0.00                   $0.00

Homebuyer Assistance Only

* Preliminary budget acceptable if property is at acquisition stage.




                                                     Page 3 of 4                                    Version April 2010
                                                                                  NSP Grant #______________
                                                                                  FOR INTERNAL USE ONLY
Please check below each document being submitted with this form. All required documents indicated
below must be submitted; disbursements will not be processed without all required documentation.
Please name each file by the title indicated in italicized brackets below. This form and all
accompanying files should be submitted in one email. (Note: These documents do not need to be
submitted if activity is limited to Homebuyer Assistance)
      Disbursement Form (if requesting disbursement at this time) [Disbursement Form]
      Copies of Property Insurance Certificate, updated annually (Uses B, C, and E) [Property Insurance]
      Purchase Agreement (or other documentation confirming site control for Use D) [Purchase Agreement]
      Appraisal Report indicating As-is Value (required) & Value Upon Completion (if available)
      (Uses B, C and E)     [Appraisal]
      Proof of Abandonment (Use B) or Foreclosure (Uses A, B and C) as applicable
      [Proof of Abandonment] or [Proof of Foreclosure]
      Proof of Blight (Use D) [Proof of Blight]
      Proof of Vacancy (Use E) [Proof of Vacancy]
      Title Report and Title Policy Proposal [Title Report] and [Title Policy Proposal]
      Evidence of Funding Commitments for all Project Costs, as applicable [Evidence of Funding
                                                                           Commitments]

The Grantee certifies the following as of the date of submission of this Initial Property Set-Up form:
●     The above information is true and correct and has complied with all terms, conditions and requirements of
      the New York State Housing Finance Agency Neighborhood Stabilization Program ("NSP") including but
      not limited to documentation of eligible activities, required property acquisitions limitations, appraisal
      requirements, and documentation of household income limitations;
●     The original copies of the documents submitted as part of this Initial Property Set-Up form are on file
      with the Grantee at their place of business and are identical to the documents that have been submitted;
●     The property financed with NSP funds will meet the housing quality standards as set forth in the New
      York State HFA NSP Substantial Amendment;
●     The property financed with NSP funds will meet the lead-based paint requirements of 24CFR Part 35;
●     The above referenced property and proposed activity(ies) are an eligible use of NSP funds;
●     The Local Program is in an Area of Greatest Need and directly benefits Low Income, Moderate Income
      and/or Middle Income residents;
●     The Grantee has obtained, or has reasonable assurances that it will obtain, all federal, state and local
      government approvals and reviews required by law to be obtained by the Grantee for the Project.




      Signature of Officer or Authorized Non-Officer                           Date




                                                  Page 4 of 4                                      Version April 2010