NSP Homebuyer Activity Completion Report

NEIGHBORHOOD STABILIZATION PROGRAM 1 (NSP1) CHECK THE APPROPRIATE BOX (CHECK ONLY ONE) ACTIVITY COMPLETION REPORT Original Submission

NEBRASKA DEPARTMENT OF ECONOMIC DEVELOPMENT Revision - # 1st, 2nd etc

HOMEBUYER ACTIVITIES ONLY Activity Number

Instructions: Report is due to NDED 30 days from final disbursement per activity.

Name of Grantee Grant Number Federal Tax Identification Number DUNS Number DED Program Representative Lynn Franzen Contact Name Contact Phone Contact Fax Contact Email

A. TYPE OF ACTIVITY (CHECK ALL THAT APPLY) B. TYPE OF PROPERTY/STRUCTURE (SELECT ALL THAT APPLY) C. ACTIVITY ADDRESS Homebuyer Purchase Rehab Resale Abandoned Street Address Homebuyer New Construction Blighted City Demolition/Clearance Demolished County Foreclosed Zip Code Vacant

D. NSP1 ELIGIBLE ACTIVITY (CHECK ALL THAT APPLY) A. Establish financing mechanism for the purchase and redevelopment of foreclosed upon homes and residential properties, including such mechanisms as soft-seconds, loan loss reserves, and shared-equity loans for low-and moderate-income homebuyers. B. Purchase and rehabilitate homes and residential properties that have been abandoned or foreclosed upon, in order to sell, rent, or redevelop such homes and properties. C. Demolish blighted structures. D. Redevelop demolished or vacant properties.

E. PERIOD OF AFFORDABILITY: F. % MEDIAN INCOME G. TYPE OF HOMEBUYER EDUCATION RECEIVED BY HOMEBUYER: Resale Provision (# of Years) 0-50% HUD-Approved Housing Counseling

Recapture Provision (# of Years) Above 50% - 120% REACH Approved Housing Counseling

Area of Presumed Affordability

H. ACTIVITY NARRATIVE

Revised 10/7/2010 NSP – Completion Report (Homebuyer Only) Page 1 of 4 I. RACE AND ETHNICITY OF HEAD OF HOUSEHOLD J. SIZE OF HOUSEHOLD K. ANNUAL INCOME Choose from the dropdown list 1 Person Annual Household Income: HISPANIC/LATINO HEAD OF HOUSEHOLD YES NO 2 Persons FEMALE HEAD OF HOUSEHOLD YES NO 3 Persons 4 Persons L. SALE PRICE 5 Persons Sale Price of House 6 Persons 7 Persons 8 Persons

M. MAXIMUM SALES PRICE OF PROPERTY (ONLY COMPLETE N. FINAL BUDGET FOR ABANDONED AND FORECLOSED PROPERTIES) Code Description NSP Funds Other Funds Total Funds Acquisition Cost 0452 Relocation/Reasonable Benefits Redevelopment or Rehabilitation Cost 0531 SF Purchase/Rehab/Resale Subtotal (Maximum Sales Price of Property): 0542 SF New Construction Homebuyer Disposition Costs/Carrying Costs (i.e. lawn care, Demolition/Clearance 0522 snow removal, insurance, etc.) w/Redevelopment TOTAL TOTAL PROJECT COSTS Original Appraised Value of House Note: Please do not use cents.

Department of Economic Development Use Only Approved By: Date Processed In DRGR: Other Notes:

Revised 10/7/2010 NSP – Completion Report (Homebuyer Only) Page 2 of 4 CDBG NSP1 ACTIVITY SET-UP REPORT INSTRUCTIONS

Name of Grantee: Name of local unit of government or 501(c)(3) organization awarded funds (must match name in CDBG NSP1 Contract). Grant Number: Grant number listed in CDBG NSP1 Contract (i.e. 093ND82). Federal Tax Identification Number: Tax ID number of local unit of government or 501(c)(3) organization (must match number in CDBG NSP1 Contract). DUNS Number: DUNS Number of local unit of government or 501(c)(3) organization. DED Program Representative: Your contact for program questions (identified in award letter). Contact Name: Individual completing the set-up report on behalf of grantee. Contact Phone, Fax, and E-mail: Phone, fax number, and e-mail address of individual completing Activity Set-Up Report. A. Type of Activity: Read the list of possible activity types and check each box that corresponds to each activity conducted. Each activity must be listed in the CDBG NSP1 Contract. B. Type of Property/Structure: Choose the type of property/structure that is being worked with for this activity. Choose all that apply. C. Activity Address: Enter the street address, city, county and zip code for the property/structure being impacted by this activity. D. NSP1 Eligible Activity: Select all NSP Eligible Activities being conducted under this activity. E. Period of Affordability: Identify whether Resale Provisions or Recapture Provisions are being enforced or if the grantee is working in an Area of Presumed Affordability. If Resale Provisions are being enforced identify the number of years the Resale Provisions are in effect for. If Recapture Provisions are being enforced identify the total number of years the Recapture Provisions are being enforced. F. % Median Income: Select the Median Income Level of the household benefiting. G. Type of Homebuyer Education Received By Homebuyer: Identify whether the homebuyer received HUD- Approved Housing Counseling or REACH Approved Housing Counseling. H. Activity Narrative: Provide a detailed activity narrative for the project completed. I. Race And Ethnicity of Head Of Household: From the dropdown list provided select the appropriate race for the Head of Household. Select whether or not the Head of Household is Hispanic/Latino. Select whether the Head of Household is female. J. Size of Household: Identify the number of people residing in the NSP assisted house. K. Annual Income: Provide the annual income of the homebuyer, using the Section 8, 24 CFR Part 5 annual gross income calculation, consistent with the Nebraska HOME program guidelines. L. Sale Price: Identify the final sales price the home was sold to the homebuyer for. M. Maximum Sales Price of Property (ONLY COMPELTE FOR ABANDONED AND FORECLOSED PROPERTIES):  Acquisition Cost: Identify the acquisition cost for the local unit of government or 501c(3) organization to purchase the property.  Redevelopment or Rehabilitation Cost: Identify the total amount of funds contributed to the property to redevelop or rehabilitate the property.  Subtotal (Maximum Sales Price of Property): Acquisition Cost + Redevelopment or Rehabilitation Cost.  Disposition Costs/Carrying Costs: Identify the total amount of disposition costs/carrying costs which would include but not limited to lawn care, snow removal and insurance.  Total: Subtotal + Disposition Costs/Carrying Costs.  Original Appraised Value of House: Identify the appraised value of the property prior to the local unit of government or 501c(3) organization purchasing the property. N. Final Budget: Provide the final activity budget information. Save a copy for the Grantee’s files and email to: [email protected] Contact Information: Lynn Franzen, 402-471-3781

Revised 10/7/2010 NSP – Completion Report (Homebuyer Only) Page 3 of 4 *Code 0181 General Administration does not need to be reported on the “Activity Completion Report”.