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Housing Rental Contract

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					Energy$avers Loan Application
Project Name:

Site Location:



Type of Project:
            Single Family Rental                                             Apartments
            Single Family Homeownership                                      Other:
            Manufactured Housing - Rental
            Manufactured Housing - Homeownership
Do you currently have control of the site (i.e., purchase contract, option agreement, deed, etc.)?
           Yes                      No            Expiration Date:

Area of site:                         total acres      (or)                  square feet
Type of Energy$avers financing needed:
           OPTION A: Individual Energy Efficiency Improvements (short-term loan)
           OPTION B: HERS Index (long-term loan)


Total Development Budget:
Total Energy Efficiency Improvements Budget:
Amount Requested:
Interest Rate Requested:
Term Requested (years):

Are other financial sources committed at this time? If so, identify source and amount.
Financial Source                  Amount                     Financial Source                      Amount



Other MFA funding applied for or received?
           Home                                     Housing Trust Fund
           Risk-sharing                             Low Income Housing Tax Credit
           Primero                                  Other ________________________________

Income Targeting:
  # Units for households with incomes at, or below                  %        of the median area income.
          for households with incomes at, or below                           of the median area income.
          for households with incomes at, or below                           of the median area income.
          for households with incomes at, or below                           of the median area income.
          for households with incomes at, or below                           of the median area income.
          will be for households at market rates.
          will be manager's unit(s)
          Total Units
Special Needs (elderly, homeless, physically or mentally disabled, etc.)?:
Proposed Affordability Period (≥ 10 years):

Project Contact Information:
Name:                                               Company:
Address:
Fax:                                                Phone:
Email:

				
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