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Anoka County Housing and Redevelop ment Author¡ty COUNTY Rehabilitation Loan Program (RLP) Application Packet Dear Program Participant: Thank you for your interest in Anoka County Community Development's Rehabilitation Loan Program (RLP). The RLP provides deferred loan financing to income-eligible homeowners needing to rehabilitate their existing residential housing for the purpose of improving safety, livability or energy efficiency. The RLP provides an interest free, deferred rehabilitation loan for eligible homeowners in Anoka County. Maximum loan amount is 527,000 and for properties taxed as real estate, the loan is forgiven afterthe Borrower remains a primary resident in the home for L5 years. (Loan term may vary for Manufactured Homes.) lf the Borrower sells, transfers title or ceases to occupy the property as his/her Principal Residence during the loan term, the loan will become due and payable. Potential participants must complete the attached RLP application. ln order for your application to be reviewed, all attached forms must be completed and required documentat¡on must be submitted. Any missing or incomplete information will delay the process. Please do not submit original documents with your application as they will not be returned to you. Please read all sections carefully. Submit completed applications to: Hanna Klimmek Anoka County Community Development 2l-00 3'd Ave, Suite 7OO Anoka, MN 55303 [PHONE REDACTED] [EMAIL REDACTED] www.Ano kaCo u ntv. us/CD ---PAGE BREAK--- ),rtgages!atus, Applicant must be current on mortgage loan payments and up to date on real estate taxes. Applicant Estate Taxes must not have a reverse Age Borrower must be eighteen (L8) year of age or older or have been declared emancipated by a court having jurisdiction. Co-signers ARE NOT allowed on Rehabilitation loans. Co.Signèrs Borrowers must have clear title to the subject property and will be evidenced by a title search conducted by Anoka County. For additional information about ownership interest, contact Hanna K I i m m e k at 7 63 -323 -5708 o r h a n n a. kl i m m e k @ co.a n o ka. m n. u s zation As a prerequisite to application, Borrowers must have applied to and documented their eligibility for the Weatherization Program through the MN Department of Commerce. Applicant must meet RLP income requirements, as set by Minnesota Housing. Household annual income maximum based on household size, and income level, Effective 2012 lnèome lf Borrower's gross annual income is zero or a negative amount, the Borrower is ineligible for fi nancing. nce Loan and Terms itation uirements r ncy rement Maximum loan amount ¡s SZZ,000 and for properties taxed as real estate, the loan is forgiven after the Borrower remains a primary resident in the home for 15 years. (Loan term may vary for Manufactured Homes.) lf the Borrower sells, transfers title or ceases to occupy the property as his/her Principal Residence during the loan term, the loan will become due and payable. Construction work requiring a permit must be completed by a licensed contractor, with applicable permits and inspections completed. Use of local contractors ís encouraged. Work can be performed by home owner with certain restrictions and requirements. A home inspection must be completed prior to final loan approval to determine condition of home and needed repairs. Construction/repairs on the home must be completed within 9 months of loan closing. Borrowers may NOT receive any cash back. A credit report or credit check WILL NOT be conducted and lS NOT REQUIRED' Borrower must have owned the property and resided in the property as his/her Principal Residence for at least 6 months. The Borrower must continue to own and regularly reside in the property as his/her Principal Residence during the term of the loan. 201,3 Anoka County RLP Application ---PAGE BREAK--- Rehabilitation Loan Program (RLP) assistance funds will be provided to income qualified households with a qualified, completed application. ln order to be considered for assistance, a complete application must be received. An application will not be processed until all of the documents are completed and received as listed below: lncluded in this application package: I Rehabilitation Loan Proeram Borrower Application (MN Housine form) - must have sþnedsignature poge t*Click on the link above to complete the PDF appl¡cat¡on. Complete the application, print, sign and submit the original application. ! Conflict of lnterest Statement ! oata Privacy form - signed fl nuthorization to Release form - signed Other required documentation: n Copy of applicant(s) photo identification n Copy of applicant(s) Social Security Card and/or Permanent Resident Card n Copy of current mortgage statement n Copy of income documentation from all income sources for all household members age 18 and older I Previous two years oftax returns I Previous three years of W2's n Proof of hazard insurance ! Documentation of Weatherization Program status The walk-away policy will be instituted by the Anoka County HRA when it is determined that it is not economically feasible or possible to bring the unit up to Minnesota Housing Finance Agency's (MHFA) Single Family Rehabilitation Standards (SFRS) and Lead Based Paint standards. The purpose of the "walk-away" policy is to prevent investment in a home which is so deteriorated that compliance with the SFRS and Lead Based Paint standards cannot be achieved within the maximum allowable funding level, lf a property is offered for bid twice and no acceptable bid is received, or if the housing inspector confirms that the property cannot feasibly be rehabilitated to SRFS and Lead Based Paint standards, within the maximum allowable funding level, Anoka County HRA may elect to "walk-away" from that property and take no further action regarding its renovation. The property owner will be notified in writing in a timely manner. 2013 Anoka County RLP Application ---PAGE BREAK--- lfyouselectanyofthefollowingformsofincome,documentationmustbeattachedtothisapplicationforverification. DoNOT submit orisinals. Has any member of the household 18 years and older received, or is expected to receive in the next L2 months, the following: (Two months of documentation must be submitted if any are selected) ! Wages, salaries, overtime pay, commissions, fees, tips, bonuses, or other compensation ! lncome or gain from CD's, money market accounts, brokerage accounts, stocks, bonds, or Treasury Bills I Periodic payments from Social Security, disability/death benefits, pensions, ret¡rement funds, annuities, insurance policies, or similar types of periodic benefits payments ! eayments in lieu of earnings, such as unemployment and disability compensation, workers compensation or severance pay n Welfare assistance or TANF benefits n Cfr¡lO support, spousal support/alimony, or regular contribution or gifts from persons not residing in the household including scholarships, parental gifts for tuition, etc. ! Revocable trust I Lump sum payment or receipt of inheritances, capital gains, lottery winnings, victims' restitution or insurance settlements I neal estate other than the primary residence or other capital investments Does any member of the household have any of the following: (Six months of documentat¡on must be subm¡tted if any are selected) I Checking account I Savings account ! netirement, pension, lRA, Koegh fund accounts ! t-lte insurance policy available before death (whole or universal life insurance) n HolO¡ng of personal property as an ¡nvestment n Mortgage or deed of trust ! tnterest or payments from lndian Land Trust(s) The conflict of interest provision 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 appoínted official of Anoka County HRA, designated public agencies, or subrecipients that are receiving funds for their tenure or for one year after. lf there are questions in regards to your part¡cipation with this program all information needs to be disclosed and Anoka County will work HUD to determine your eligibility. lf it is later found that a conflict of interest occurred and was not reported, the loan balance will immediately become due and payable. n No conflict of interest. I Yes, there is a conflict of interest. Please contact me to discuss my eligibility. Please check items to be considered for improvement: ! neplace/repair roof ! soffits and fascia n s¡o¡ne Other: I neplace furnace I neplace water heater I elumbing fl lnsulation ! Handrails I smoke detectors I windows/doors E Electrical I other, please list below 2013 Anoka County RlP.Á pplication ---PAGE BREAK--- NOTICE OF RIGHTS CONCERNING THE INFORMATION YOU SUPPLY TO ANOKA COUNW COMMUNIW DEVELOPMENT ln 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 Rehabilitation Loan Program (RLP) assistance from Anoka County. 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. lf 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 Rehabilitation Loan Program (RLP). Persons or agencies with whom this information may be shared are: 1. Anoka County personnel involved in administering the Rehabilitation Loan Program (RLP); 2. Authorized personnelfrom the Minnesota Housing Finance Agency; 3. Federal, state, local and contracted auditors; 4. Law enforcement personnel in the case of suspected criminal activity; and, 5. 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: t. 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 government programs. Applicant Date Co-Applicant Date 2013 Anoka County RZP.á pplication ---PAGE BREAK--- Aspartoftheapplicationprocess, 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; bank, money market and other financial account balances; copies of income tax returns and property information. A copy of this authorization may be accepted as an original. Print Name SocialSecurity Number Date Signature Print Name Social Security Number Date Signature 2013 Anoka County RIP;l pplication ---PAGE BREAK--- Minnesbto I Housing I Finoñce Âgency Rehabilitation Loan Program Borrower Application INSTRUCTIONS: Complete all information on this application. Please print, Use ink. Borrower Information Last Name First Name MI Social Security Date of Birth Dependents under 18 Other Dependents Disabled Household Household Size Move in Date Years Employed ) Business Phone Extension Home Phone City Mailing Address Mailing Address 2 State Zip Code 'l i the following information is requested for all borrowers by the federal government for ceftain i I types of loans related to a dwelling in order to monitor the lender's compliance with equal credit i i opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish I I th¡r inforrãtion, but are encouraged to dõ só. The law provides that a lender may not i : ã¡iãririnutã on tne basis of this iñformation, or on whether you choose to furnish it. However, if i , you choose notto furnish the information.and you have.made this applicationin,pl.tol: Tld:i i i federal regulations the lender is required to note ethnicity, race, and sex on the basis of visual ; observation or surname. If you do not wish to furnish the information, please check below. E ¡¿ale E Female Ethnicity Marital Status trEE Married Not Married Separated Race (select 1 or more) E wn¡te I Ç!çer l!=il Asian @ atact< or African American El American Indian or Alaskan Native E ruative Hawaiian or Other Pacific Islander E H¡spanic or Latino @ tttot Hispanic or Latino E I ¿o not wish to furnish this information Clear Reha bS Borrower_Application 1of6 9/05/2012 ---PAGE BREAK--- Co-Borrower Information (Repeat for all Co-Borrowers) Last Name First Name MI Social Security Sex Marital Status Date of Birth E uate E remale trtrE Married Not Married Separated Ethnicity Race (select 1 or more) Etr Hispanic or Latino Not Hispanic or Latino EEEEtr White Asian Black or African American American Indian or Alaskan Native Native Hawaiian or Other Pacific Islander ffi I Oo not wish to furnish this information Relationship to Borrower Etr Co-Head of Household Dependent E other Adult E spouse Household Informat¡on Income List all household members, their ages, and their estimated income (even if it is zero), Income listed should include all income which can be reasonably expected to be received during the next 12 months, Income includes, but is not limited to, the following sources. Base Pav Educational Grants Self-Employment Transfer Payment Income (Unemployment Compensation, Public Assistance, Worker's Compensation, Disability, VA, Pensions, Social Security Benefits) Variable Income (Bonus, Overtime, Shift Pay, Commissions, Tips, Seasonal) Interest/Dividend Flexible Benefit Cash Investment Propefty, etc. (Rental Income, Contract for Deed Payment Income) Housinq CarlAllowance Roommate Rent Child/Spousal Support Income from retirement, 401(k) and Keogh accounts Other Reha bS_Borrower-Appl icatio n 2of6 9/Os/2Ot2 ---PAGE BREAK--- Name of Household Member Age Source Annual Income Total Annual Household Income $ Note: Household Size listed on page 1 and the number of members listed above should match. 0.00 Assets List the cash value of assets held by all household residents. If money is owed on any item, the value listed should equal the market value of the item minus the amount that is owed. Total cash on hand, in checkinq and savinqs accounts: $ Clear Bank Name #1 E cne.K!¡s___ * Bank Name #2 E check¡ns E Savings Bank Name #3 Bank Name #4 E Checking B Savings E checl4g Cash value of life insurance policies. $ Securities or U.S. Savinqs Bonds. $ Market value of all interests in real estate, exclusive of the structure to be improved and a parcel of real property of not more than two contiguous platted lots or 160 continuous acres on which such structure is located' $ Recreational vehicles such as qolf carts, snowmobiles, boats, or $ All other property, excluding household furnishings, clothing, one automobile, and real estate, equipment, supplies, and inventory used in a business' $ All land in which any resident of the household holds title and is selling on a contract-for-deed. Value in this case is defined as the outstanding principal balance expected to exist on the contract one year from the date of application $ Total cash value of retirement, 401(k), Keogh and pension fund $ accounts Institution Name #1 Institution Name #2 Institution Name #3 Life estate value on a property other than the subject propefty' $ Other (e.q. additional land holdings, etc.) $ Total Assets $ 0,00 Reha bS-Borrower-Application 3of6 9/Os/2012 ---PAGE BREAK--- Loan History I/We currently have a Minnesota Homes Rehabilitation Loan Borrower Name Date of Loan List the outstanding balance of all loans/Mortgages/Contract for Deed on the property Bank Name Outstanding_ Balance Current Eves Eruo E Yes E ¡lo Eves Eruo Property Information Address Address 2 MN City County State Zip Code Building Type E Singte Family E Manufactured Home Real Property ll_ll rownnome E ouplex E Manufactured Home Personal Property E Twinhome E Condominium with common areas E Condominium without common areas Mobile Home Park E yes El tt¡o E tr¡ew E ex¡sting Category Year Built Number of Units Value (from current property tax statement) Number of Bedrooms Reha bS_Bo rrower_Appl ication 4of6 9/Os/2OL2 ---PAGE BREAK--- Other Funding Sources Please list any other Funding Sources and amounts that will be used to complete this project: Other Loans, Grants, Local Government Incentives, etc l i I I I I I 0.00 $ $ $ $ $ Total Other Funding Source Amount CeÉifications: . I/We understand loan funds may not be used to pay existing debt or improvements begun or completed before the date of the loan. . I/We understand that all work contained in the Scope of Work must be completed within nine months from the date of the loan commitment. . I/We certify that I/We have not received a Minnesota Housing Rehabilitation Loan within the last five years. I/We understand that for the next five years, I/We will be ineligible to receive furtherfinancing through this program (with the possíble exception for an emergency situation as determined by Minnesota Housing.) Disclosures: . Minnesota Housing Finance Agency, United States Department of Housing and Urban Development or an authorized representative shall have the right to inspect the property to be improved at any time from the date of the Rehabilitation Loan, upon giving due notice to the occupants. . The information requested in this application is legally required to determine if you qualify for participation in this Minnesota Housing program. A portion of the data requested is classified as "private data on individuals" under Minnesota Statute 4624.065. Use of data obtained is limited to that necessary forthe administration and management of this program by Minnesota Housing personnel, those under contract with Minnesota Housing, and other governmental agencies when authorized by state statute or federal law. . The disclosure of your Social Security Number or Minnesota Tax ldentification Number is required for participation in this Minnesota Housing program, by virtue of the Minnesota Revenue Recapture Act of 1980 (Sections 2704.0t to 270A.12 of Minnesota Statutes). Supplying these numbers could result in the application of state tax refunds to the payment of any delinquent indebtedness you may owe to Minnesota Housing under this or any other Minnesota Housing programs. These numbers may be made available to state tax authorities and state personnel involved in the collection of obligations, . Under the Minnesota Criminal Code a person who obtains funds through false representation is guilty of theft and may be prosecuted and sentenced accordingly. . 15 year Mortgage (taxed as real property): If the property ceases to be your principal residence or is sold, title is transferred or conveyed, then the full amount of the loan will be due and payable. . 10 year Mobile Home Note and Security Agreement (taxed as personal property): If, prior to the maturity of the Note, the home ceases to be your principal residence, or is sold, title is transferred or conveyed, the full amount of the loan will be due and payable. . Your ability to use any potential equity in the property will be severely restricted. Subordinations are granted only under strictly limited circumstances. Reha bS_Borrower_Application 5of6 9/0s/2012 ---PAGE BREAK--- Verifications: I/We certify that I/We have received, read, and understand the booklet "Renovate Right: Important Lead Hazard Information for Families, Child Providers and Schools." Care Borrower Initials Each of the undersigned hereby acknowledge that any owner of this loan, its servicers, successors and assigns, may verify or reverify any information contained in this application or obtain any information or data relating to the loan, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency. , ðiã""a*"", ell *tø""it 18 "t ahis .epl""tt* I Signature Date of Application I/We understand that I/We will be provided with any and all lead-based paint inspections, risk assessments and/or clearance examination results. Borrower Initials I/We understand that I/We must apply for the Energy Assistance Program prior to receiving Rehabilitation Loan Program funding. If after application to the Energy Assistance Program it is determined that I/We qualify for a Weatherization loan, I/We will use these funds in conjunction with Rehabilitation Loan Proqram funds. Signature LE trc"-g"t. Date of Application ffitr8";9r; Eco-Borrower tr oiËñ;rt l Date of Application Signature I E Borrower Eco-gorrower E other Adult I Date of Application Estimated Loan Amount Minnesota Housing does not discriminate on the basis of race, color, creed, national origin, sex, religion, marital status, status with regard to public assistance, disability, familial status, or sexual or affectional orientation in the provision of services. Lender Re ha bS-Borrower-Appl ication 6of6 9/05/2012