Dear Program Participant:
Thank you for your interest in the Down Payment Assistance (DPA) Program offered by Anoka County.
The goal of the program is to assist homebuyers with costs associated with the purchase of a home in
Anoka County by providing $1,000 to $10,000 in down payment assistance.
Attached is documentation that is required for your participation in this program. In order for Anoka
County to accept your request for Down Payment Assistance, all attached forms must be completed and
required documentation submitted. Any missing or incomplete information will delay the process.
Completed applications will be awarded funds on a first come first serve basis. This program is subject
to the availability of HOME Investment Partnerships Program (HOME) funds.
Complete, original applications should be mailed or delivered to:
Anoka County Community Development
Attn: Lana Burczek
2100 3rd Ave., Suite 700
Anoka, MN 55303-5024
This program has specific federal requirements that must be met prior to award of funding.
Please read all sections carefully. If you have additional questions, contact:
Anoka County Down Payment Assistance: Program At a Glance
Down Payment Assistance funds will be provided to eligible recipients in an amount not to exceed
$10,000. Funds will be secured against the property as a zero percent (0%) interest deferred loan for
DPA Terms and five (5) years. In the sixth (6) year repayment requirements of down payment assistance funds will be
Conditions: forgiven. If this unit is sold, refinanced or no longer the principle place of residence within the five
year affordability period, the full balance of the down payment assistance funds will be due and
Applicant(s) must be citizens or legal permanent residents of the U.S.A. Households may earn no
more than 80% of the Anoka County / MPLS / STP Metropolitan Area Median Income (AMI), as
Maximum established by the U.S. Department of HUD. Income includes interest earned from assets.
Income Maximum Household annual income based on household size, and % of AMI, effective 7/13/11
Size 1 2 3 4 5 6 7 8
80% $46,312 $52,928 $59,544 $66,160 $71,453 $76,746 $82,038 $87,331
Property Housing must be located in Anoka County. Housing must be the participant’s primary residence.
Requirements Eligible properties are single-family housing defined as one to four family residences, cooperative
units, condominiums, and townhouses. Down Payment Assistance will not be provided for the
purchase of a property that is primarily occupied by tenants.
All properties will have a Purchase Money Mortgage filed against the property. This means that for
five years following the closing of the sale to an eligible buyer, the property will remain the principal
residence of the homebuyer whose family qualifies as a low-income family as defined in 24 CFR
Section 92.254 (a)(3)&(4). If the property is sold , refinanced or no longer the principle place of
residence during those five years, the full balance becomes immediately due. In the sixth (6) year
repayment requirement of down payment assistance funds will be forgiven. Additional terms are
discussed in the Purchase Money Mortgage.
Properties must meet all applicable state and local housing quality standards and code requirements.
If there are no such standards or code requirements, the housing must meet the quality standard in
24 CFR 982.401. An Anoka County representative will complete an inspection prior to closing. This
inspection is NOT to guarantee the condition of the unit but to ensure the unit meets federal program
Non-foreclosed housing unit: An Anoka County representative/program administrator will complete
an inspection prior to closing. Properties must meet the state and local housing quality standards and
have no code violations. If a property fails to meet any of the minimum requirements of the
inspection, the items or conditions that caused the property to fail must be corrected prior to closing
in order to receive down payment assistance.
Foreclosed housing unit: All applicable state and local housing standards and code violations or
identified lead-based paint must be corrected within 120 days of purchase of the property. An Anoka
County representative will complete an inspection prior to closing and a second inspection after the
required 120-day period or sooner if repairs have been completed. Borrower(s) will have to pay back
100% of the HOME funds if the property does not meet inspection requirements within 120 days of
the home purchase.
All participants are encouraged to obtain a Housing Inspection by a certified inspector prior to
purchasing a home.
Anoka County Down Payment Assistance Application Page 2
Anoka County Down Payment Assistance: Program At a Glance
Prime, Fixed Rate, Conforming Mortgage (Conventional, Fannie Mae/Freddie Mac, HUD, VA,)
Primary/First Loan must be fully amortized, fixed rate loan of up to 30 years with an interest rate that does not
Mortgage Loan exceed the prevailing market rates for conforming loans. The borrower(s) must be able to qualify for a
Products VA guaranteed, FHA insured, Fannie Mae/Freddie Mac, or approved conventional fixed rate
conforming mortgage as determined by a participating private lender.
Maximum The homebuyer is expected to pay at least 26% of their income for principal, interest, taxes and
Housing Ratio insurance (PITI), mortgage insurance (PMI or MIP) and/or ground lease payments and owner
association fees. A homebuyer’s PITI cannot exceed 35% of annual gross income.
$2,000 earnest money submitted with Purchase Agreement and recorded on Settlement Statement at
time of sale.
The maximum purchase price (as of 2011) is $276,683 for a single family home.
Borrowers may NOT receive any cash back at closing.
There is no first-time homebuyer requirement.
Borrowers are required to complete a Homebuyer Education Course before the scheduled closing. A
copy of the certificate of completion must be submitted with this application. For a listing of HUD
approved agencies, visit HUD’s Web site:
Anoka County Down Payment Assistance Application Page 3
Down Payment Assistance Applications are accepted on a first come, first serve basis with a completed application. In order to
reserve DPA assistance, a complete application must be received. Submit application and supporting documentation at least three
weeks prior to closing. An application will not be processed until all of the documents are completed and received. The following
documents must be submitted with the application:
Included in this application package:
Application - signed signature page
Conflict of Interest Provision – signed
Program Affidavit - signed
Data Privacy form - signed
Authorization to Release form - signed
Subordination Disclosure form – signed
Inspection Agreement – signed
Voluntary Acquisition / General Information Notice – signed (must be signed and dated by the Seller on or before
the date of an accepted purchase agreement.)
Other required documentation:
Copy of applicant(s) photo identification
Copy of applicant(s) Social Security Card and/or Permanent Resident Card
Copy of Uniform Residential Loan Application - from 1 Mortgage Lender, signed by applicant(s) and lender
Copy of mortgage pre-approval or approval letter
Copy of income documentation from all income sources for all household members, as indicated on page 6
Homebuyer Education certificate from a HUD approved Housing Counseling Agency
The following documents (not listed above) are required to be submitted throughout the home buying process:
A “Voluntary Acquisition Buyer/Seller Certification of Purchase”
Copy of purchase agreement and all subsequent addendums or purchase agreement changes and attachments –
Copy of earnest money contribution
Copy of Lenders Truth-In-Lending Statement - signed
Signed letter from lender specifying borrower’s status as a first time home-buyer (only if applicable).
Copy of lender requested property appraisal
Copy of any housing inspection reports completed in relation to home buying process
Copy of Lead-based Paint Disclosure and borrowers’ receipt of “Protect Your Family from Lead in Your Home”
pamphlet. This is required only on homes built before 1978. OR Not Applicable
Certificate of Occupancy Certificate only if for new construction housing OR Not Applicable
Anoka County Purchase Money Mortgage – signed
Promissory Note – signed
Anoka County HOME Homebuyer Agreement – signed
Inspection Report & Compliance Requirements Document only for those purchasing a foreclosed home. OR
Copy of Settlement Statement - signed
Copy of Warranty Deed
Anoka County Down Payment Assistance Application Page 4
Full Name of Applicant/Head of Household Full name of Co-Applicant
Relationship to Applicant:
Social Security Number: Social Security Number:
U.S. Citizen Legal Permanent Resident U.S. Citizen Legal Permanent Resident
Marital Status Marital Status
Unmarried (widowed, single, or divorced) Unmarried (widowed, single, or divorced)
Current Address Current Address
Phone Number (home): ( ) - Phone Number (home): ( ) -
Alternate Phone: ( ) - Alternate Phone: ( ) -
Drivers License Number: Drivers License Number:
Birth date: Birth date:
Social Security Number: Social Security Number:
Name of Employer: Name of Employer:
Estimated Gross Monthly Income: $ Estimated Gross Monthly Income: $
Number of Years with Employer: Number of Years with Employer:
All applicants are required to attend Home Stretch classes. Have All applicants are required to attend Home Stretch classes. Have
you attended a Homebuyer Education class within the last 12 you attended a Homebuyer Education class within the last 12
months? Yes No months? Yes No
If Yes, please attach a copy of the Homebuyer Education If Yes, please attach a copy of the Homebuyer Education
Completion Certificate. If No, you will be required to attend this Completion Certificate. If No, you will be required to attend this
class before closing on the property. class before closing on the property.
Identify the type of home you wish to purchase: Identify the type of home you wish to purchase:
non-foreclosed home non-foreclosed home
foreclosed home foreclosed home
Identify your status as a homebuyer: Identify your status as a homebuyer:
First time homebuyer First time homebuyer
Non-first time homebuyer Non-first time homebuyer
Anoka County Down Payment Assistance Application Page 5
List the names of all individuals who will reside in the household in addition to the Applicant and Co-Applicant
Relationship to Student Social Security Income
Name Birthdate Applicant/Co-Applicant (Yes or No) Number (Yes or No)
Address of property to be purchased - (If not yet determined, this section may be left blank)
List price of Property: $
Appraised Value of Property: $
Year Property Built:
Is the property currently vacant? YES NO
Identify type of property:
Existing Construction (pre-owned)
New Construction, housing built, not previously occupied
If you select any of the following forms of income, documentation must be attached to this application for verification. Do NOT submit
Has any member of the household 18 years and older received, or is expected to receive in the next 12 months, the following: (Three (3)
months of documentation must be submitted if any are selected)
Wages, salaries, overtime pay, commissions, fees, tips, bonuses, or other compensation
Income or gain from CD’s, money market accounts, brokerage accounts, stocks, bonds, or Treasury Bills
Periodic payments from Social Security, disability/death benefits, pensions, retirement funds, annuities, insurance
policies, or similar types of periodic benefits payments
Payments in lieu of earnings, such as unemployment and disability compensation, workers compensation or
Welfare assistance or TANF benefits
Child support, spousal support/alimony, or regular contribution or gifts from persons not residing in the household
including scholarships, parental gifts for tuition, etc.
Lump sum payment or receipt of inheritances, capital gains, lottery winnings, victims’ restitution or insurance
Real estate other than the primary residence or other capital investments
Does any member of the household have any of the following: (Three (3) months of documentation must be submitted if any are
Retirement, pension, IRA, Koegh fund accounts
Life insurance policy available before death (whole or universal life insurance)
Holding of personal property as an investment
Mortgage or deed of trust
Interest or payments from Indian Land Trust(s)
Anoka County Down Payment Assistance Application Page 6
FHA Conventional Veterans Administration
Type of Loan Fannie Mae / Freddie Mac
Interest Rate: % FIXED RATE for years
Loan Information Loan Officer
Mortgage Lending Company
Realtor Contact Realtor Name
Information, Affiliated Company
if applicable Address
Title Company Title Company Name
Information, Closing Officer Name
if applicable Address
Anoka County Down Payment Assistance Application Page 7
Conflict of Interest Provision
The conflict of interest provision of the federal program applies to any individual, business, or private entity receiving federal
assistance, who has any family, business, contract or subcontract ties to: an employee, agent, consultant, officer, or elected
official or appointed official of Anoka County, HOME/CDBG/NSP designated public agencies, or subrecipients that are
receiving funds for their tenure or for one year after. If there are questions in regards to your participation with this
program all information needs to be disclosed and Anoka County will work with HUD to determine your eligibility. If it is
later found that a conflict of interest occurred and was not reported, the loan balance will immediately become due and
No conflict of interest.
Yes, there is a conflict of interest. Please contact me to discuss my eligibility.
I/We have read and completed the Down Payment Assistance program eligibility application and understand that my/our
answers to all of the previous questions and the statements I/we have made are true and correct to the best of my/our
knowledge and belief. I understand that any conflict of interest must be immediately disclosed. I/we authorize Anoka
County and the US Department of Housing and Urban Development to contact any source to solicit and/or verify information
necessary for an eligibility determination for the purpose of the program. I/we also agree to provide Anoka County with any
information necessary to verify my/our credit worthiness. I/we understand that any discrepancy or omissions in the
information I/we have provided may disqualify me/us from participation in the program. If such discrepancies or omissions
are discovered after any loan is approved or granted to me/us, I/we understand that any outstanding loan balance will
immediately become due and payable.
Signature of Applicant Date
Signature of Co-Applicant Date
WARNING: Title 18, Section 1001 of the U.S. Code states that a person is guilty of a felony for knowingly and willingly making
false or fraudulent statements to any department of the United States Government.
Anoka County Down Payment Assistance Application Page 8
Down Payment Assistance Program Affidavit
I/We certify that the information contained in all required and signed program-related documents submitted is true and correct.
I/We further certify that:
I am (We are) a U.S. citizen or I/we have legal permanent resident status.
The house I/we purchase will be my/our principal place of residence.
I/We will notify Anoka County in writing if the home ceases to be my/our principal residence.
The following is a list of all persons, including myself, who will occupy the home after closing:
Name Age Relationship Gross Monthly Income
Head of Household $
I/We further certify that I/We will comply with the 5-year Affordability Period attached to the property as described in the formal
Purchase Money Mortgage, which will be signed at the closing of the property.
1. I/We agree to take such steps and execute such documents to insure that the housing unit shall be maintained in
compliance with the Federal Act for a period of five(5) years from the date hereof. To that end, I/We hereby agree to the
a. During the Affordability Period the property will be the principal residence of an owner whose family qualifies as
a “low income family” as defined in 24 CFR Section 92.254 (a)(3)&(4), at the time of purchase.
b. If the buyer sells, refinances, or no longer occupies the home as his/her principal residence during the five year
affordability period, the balance of the loan becomes immediately due.
c. These affordability restrictions terminate upon the expiration of the Affordability Period.
I/We certify further certify that:
Down Payment Assistance funds provided will be not less than $1,000 and will not exceed $10,000 in a 0% interest,
deferred forgivable loan.
A Purchase Money Mortgage will be filed against the property.
Properties purchased with Down Payment Assistance funds must meet all applicable state and local housing quality
standards and code requirements as outlined in the Down Payment Assistance Program Policy. If there are no such
standards or code requirements, the housing must meet the quality standard in 24 CFR 982.401.
Borrower(s) purchasing a foreclosed home will have to pay back 100% of the HOME funds if the property does not meet
inspection requirements (as outlined in the Down Payment Assistance Program Policy) within 120 days of the home
At the time of closing, the household may earn no more than 80% median income for Anoka County as established by the
U.S. Department of HUD.
Down Payment Assistance funds will be used for down payment assistance and reflected in the final HUD1 Settlement
The first lien mortgage loan must be a fully amortized, fixed-rate loan of up to 30 years, with an interest rate that does not
exceed the prevailing market rates for conforming loans.
A HUD –Certified homebuyer education class must be completed before closing.
Anoka County Down Payment Assistance Application Page 9
Down Payment Assistance Program Affidavit
Household Demographic Data:
Applicant Name: Co-Applicant Name:
Ethnicity: (select only one) Ethnicity: (select only one)
Hispanic or Latino Hispanic or Latino
Not Hispanic or Latino Not Hispanic or Latino
Gender: Male Female Gender: Male Female
Race: (select one or more) Race: (select one or more)
Black/African American Black/African American
American Indian/Alaska Native American Indian/Alaska Native
Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander
American Indian/Alaska Native & White American Indian/Alaska Native & White
Asian & White Asian & White
Black/African American & White Black/African American & White
American Indian/Alaska Native & American Indian/Alaska Native &
Black/African American Black/African American
Other Multi Racial Other Multi Racial
I/We hereby submit the information contained in the attached Application, income documentation and other
furnished documents to be considered for the Anoka County Down Payment Assistance program.
I (we) read and completed this Affidavit, including income and assets and demographic information in connection
with the Foreclosure Down Payment Assistance Fund application I/we understand that any discrepancy or
omissions in the information I/we have provided may disqualify me/us from participation in the program. If such
discrepancies or omissions are discovered after any loan is approved or granted to me/us, I/we understand that
any outstanding loan balance may immediately become due and payable.
Signature of Applicant Date
Signature of Co-Applicant Date
WARNING: Title 18, Section 1001 of the U.S. Code states that a person is guilty of a felony for knowingly and
willingly making false or fraudulent statements to any department of the United States Government.
Anoka County Down Payment Assistance Application Page 10
Anoka County Down Payment Assistance Program
NOTICE OF RIGHTS CONCERNING THE INFORMATION YOU SUPPLY TO
In accordance with the Minnesota Government Data Practices Act (“MGDPA”), Anoka County (“County”) is required to
inform you of your rights as they pertain to private information collected from you. Private data is that information
held by the county that is available to you but not to the public.
The private data collected from you, or from other agencies or individuals authorized by you, is used to determine your
eligibility for the Anoka County Down Payment Assistance program. You are not required to provide information
relating to your marital status, race, ethnicity, or citizenship, but it is requested for federal reporting, statistical
information and monitoring purposes. All other information is required to determine your eligibility for assistance from
the county. If you choose not to supply the required information, Anoka County will not be able to determine your
eligibility for this program.
The dissemination and use of private data the county collects is limited to that necessary for the administration and
management of the Anoka County Down Payment Assistance program. Persons or agencies with whom this
information may be shared are:
1. Anoka County personnel involved in administering the Anoka County Down Payment Assistance program;
2. Anoka County personnel involved in administering the Home Investment Partnerships program;
3. Authorized personnel from the United States Department of Housing and Urban Development;
4. Federal, state, local and contracted auditors;
5. Law enforcement personnel in the case of suspected criminal activity; and,
6. Those individuals or agencies to which you give your express written permission for release of information.
Unless otherwise authorized by state or federal law, other government agencies utilizing the reported private data
must also treat the information as private.
You may wish to exercise your rights as contained in the MGDPA. Those rights include:
1. The right to see and obtain copies of the data maintained on you.
2. The right to be told the contents and meaning of the data.
3. The right to contest the accuracy and completeness of the data.
I have read and understand the above information regarding my rights relative to the collection of personal data for
Applicant Date Co-Applicant Date
Anoka County Down Payment Assistance Application Page 11
Authorization to Release Information
I have applied for a loan or grant through Anoka County. As part of the application process, employees of Anoka
County may verify information contained in my/our loan or grant application and in other documents required in
connection with the loan, including, but not limited to employment history, income, assets, bank, money market and
other financial account balances; credit history; child care expenses; handicap assistance expenses; medical expenses;
copies of income tax returns and property information.
A copy of this authorization may be accepted as an original.
Applicant (Print Name) Social Security Number Date
Co-Applicant (Print Name) Social Security Number Date
Anoka County Down Payment Assistance Application Page 12
If you wish to refinance your home or take out a home equity loan in the future, please review carefully!
FYI: Anoka County’s Purchase Money Mortgage is, by state law, considered a “special mortgage” and, as such, the homeowner
may be required to attend debt counseling as part of the refinance process.
The County records liens on property according to the date they were filed. The older the date the higher the payoff position.
Usually, the primary mortgage is in 1st position, the next lien in order of date is in 2nd position, and so on. If you chose to sell or
refinance your property, whatever is left over after payment of all liens on the property is considered “equity” for the homeowner.
All lenders want to be in the highest payoff position possible because they have a better chance of being fully repaid. As a result,
the lender you use to refinance your current mortgage or to obtain a home equity loan may approach the holder of your existing
lien (in this case, Anoka County) to request that they subordinate, or allow the new loan to take a higher payoff position than the
county’s existing lien. For Anoka County to agree to subordinate, certain requirements as noted below must be met.
1. Subordination Requests - Requests for subordination of an Anoka County lien will be considered after the lender has
completed and submitted a Subordination Request form (Anoka County will provide upon request) which includes the
a. The reason for the subordination.
b. Info on all active loan(s) including: current balance, term, interest rate and whether the rate is fixed or
c. The amount of the new loan, the term, interest rate and whether the rate is fixed or adjustable.
d. The full name of the lending institution as it would appear on the subordination, if granted.
e. A copy of the prepared title work which shows any other lien/s secured by the property.
f. A copy of the current property appraisal.
g. A copy of the Good Faith Estimate signed and dated by the applicant/s.
h. Income verification.
i. Upon closing, submit a completed HUD-1 (Closing Statement) form signed by applicant/s.
2. Approved Costs and Liens
a. Borrowers shall be allowed to include reasonable closing costs and settlement costs to the extent typical in the
industry for a new mortgage.
b. Only existing mortgages that were originated prior to the Anoka County Lien may be included in the new
3. Denial of Subordination Requests - Anoka County will not subordinate it’s lien in situations including, but not limited to:
a. The proposed mortgage does not conform to current State of Minnesota lending practices as regulated by
Minnesota Statutes 58 et seq.
b. Mortgages using more than 40% of the gross monthly household income towards P.I.T.I (principal, interest, taxes
& insurance). If taxes and insurance are not included in the monthly mortgage payment, Anoka County will
divide annual costs by 12 months and add to the proposed monthly payment to determine payment to income
c. Consolidation of mortgages originated after the Anoka County lien.
d. If the annual household income exceeds 80% of the area median income.
e. The borrower is receiving cash back from the mortgage company or other source as a result of the refinance.
f. The funds secured by the proposed new mortgage are being provided for consolidation and payoff of personal
debts of the borrower or another.
g. The borrower is delinquent, or in arrears, on payment of their real estate taxes, federal or state income tax, or
h. The county’s payoff position moves to 3rd or lower than it currently is.
i. Reverse Mortgages will not be subordinated.
Anoka County Down Payment Assistance Application Page 13
j. Down Payment Assistance and NSP Incentive Fund Assistance received from Anoka County will not be
4. Subsequent Subordination Requests - Subordination requests are handled on a case-by-case basis. If a subordination is
granted, only one per property will be allowed.
5. Processing Subordinations
a. Please allow a minimum of ten (10) working days for the county to process requests for subordinations. The 10-
day minimum starts once the county has received the required documentation from the party requesting the
b. Subordination requests will be processed by the Community Development department staff, who will then
submit the request, with a recommendation for action, to the Division Manager. The Division Manager will
approve or deny all requests for subordination.
6. Satisfaction of Mortgage/Agreement
If the property is being sold or if the subordination is denied and the client wants to continue the refinance, the county’s
lien must be paid in full. Upon request, the county will provide a payoff statement to the lender or title company. At
closing, a payoff check should be cut and delivered to Anoka County. A Satisfaction of Agreement will be drafted and
recorded on the property. The recorded Satisfaction of Agreement removes the existing Anoka County lien from the
I have read the Anoka County Subordination Policy and understand the requirements that apply should I choose to refinance or
obtain a new mortgage on my property.
I understand what a Satisfaction of Mortgage/Agreement is and how it applies to me if I do not qualify for a subordination or
choose to sell my home.
Anoka County Down Payment Assistance Application Page 14
FOR THE ANOKA COUNTY DOWN PAYMENT ASSISTANCE PROGRAM
INSPECTION STANDARDS / VISITABILITY
I, , as an applicant(s) to the Anoka County Down Payment
Assistance (DPA) program hereby agree to and understand the following:
An inspection is required of each property purchased with DPA funds. This inspection will be
performed by an Anoka County representative prior to closing. Properties must meet all
applicable state and local housing quality standards and code requirements. If there are no such
standards or code requirements, the housing unit must meet the quality standard in 24 CFR
982.401. This inspection is NOT to guarantee the condition of the property but to ensure the
property meets federal program requirements.
This inspection in no way should serve in lieu of a pre-purchase inspection of the property.
Anoka County encourages the Buyer/Purchaser to obtain a separate inspection or report that
addresses the condition of the home.
I (we) understand that all utilities must be functioning for the inspection to occur.
I (we) understand that if purchasing a non-foreclosed home, all repairs identified through the
inspection must be completed prior to closing, as a condition of participation in the DPA
I (we) understand that if purchasing a foreclosed home, all repairs identified through the
inspection must be completed within 120 days of closing, as a condition of participation in the
DPA program. Follow up inspections will be required to assure that necessary repairs identified
in the initial inspection are completed satisfactorily. Borrower(s) who purchase a foreclosed
home will have to pay back 100% of the Down Payment Assistance funds if the property does
not meet inspection requirements within 120 days of the home purchase.
If lead-based paint hazards are found at the time of the inspection, a certified contractor must
remove or abate the hazards using HUD’s safe work practice methods.
Subject Property Address:
Signature of Applicant Date
Signature of Co-Applicant Date
Anoka County Down Payment Assistance Application Page 15
ANOKA COUNTY DOWN PAYMENT ASSISTANCE PROGRAM
Voluntary Acquisition/General Information Notice
Property Address being sold:
The property referenced above is believed to be owned by you and is being considered for purchase. Because
Federal funds may be used in the purchase of your property, we are required to disclose the following information
by the U.S. Department of Housing and Urban Development (HUD) in accordance with the Uniform Relocation
Assistance and Real Property Acquisition Policies Act as amended (URA), Section 24.101(b)(2):
1. The proposed sale is voluntary. In the event negotiations fail to result in an agreement, the property will
not be acquired by either voluntary purchase or eminent domain.
2. The fair market value of the property is estimated to be $ . However, since this
transaction is voluntary, current or future negotiations may result in a difference price that may be the
same, higher or lower than this amount.
An owner-occupant who sells his or her property under these terms does not qualify as a displaced person for
relocation payment. Additionally, any person who occupies the property for the purpose of obtaining assistance
under the URA does not qualify as a displaced person. However, tenant-occupants displaced as a result of a
voluntary acquisition may be entitled to URA relocation assistance and must be informed in writing as soon as
In accordance with HUD requirements, if the information provided above is disclosed after an option to purchase
or contract has been executed between the Buyer(s) and the Seller(s), the Seller(s) must be provided the
opportunity to withdraw from the agreement.
Any title deficiencies, liens, or encumbrances on the property must be cleared prior to any closing. Generally, this
is a cost that is borne by the Seller(s) of the property; however, payment of these costs may be negotiated
between the Buyer(s) and Seller(s). No federal funds can be used to pay these costs.
Again, please understand that if you do not wish to sell your property, no further action will be taken to acquire it.
If you have questions about this notice or the URA Appraisal requirements, please contact, Lana Burczek at 763-
The undersigned (Seller) hereby acknowledges receipt of this Voluntary Acquisition Information Notice dated
Anoka County Down Payment Assistance Application Page 16
I/We hereby submit the information contained in the attached Application, including submission of income and asset
documentation, and other furnished documents to be considered for the Anoka County Down Payment Assistance Program. I/We
have read and completed all forms in connection with this application. I/We understand that any discrepancy or omissions in the
information I/we have provided may disqualify me/us from participation in the program. If such discrepancies or omissions are
discovered after any loan is approved or granted to me/us, I/we understand that any outstanding loan balance may immediately
become due and payable.
Applicant Signature Date
Co-Applicant Signature Date
WARNING: Title 18, Section 1001 of the U.S. Code states that a person is guilty of a felony for knowingly and willingly making false
or fraudulent statements to any department of the United States Government.
Anoka County Down Payment Assistance Application Page 17