Form 03 Loan Submission Form

TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS OFFICE OF COLONIA INITIATIVES TEXAS BOOTSTRAP LOAN PROGRAM Form 3 Loan Submission Form Owner-Builder Applicant: Owner-Builder Co-Applicant: Property Address: City, State & Zip Code: Census Tract Number: Set-Aside: Two-Third One-Third (Statewide)

Flood Zone: Yes No

PURPOSE OF LOAN Interim Construction Residential Construction Purchase Money

Existing New Construction

NONPROFIT OWNER-BUILDER HOUSING PROIVDER INFORMATION NOHP: NOHP Address: City, State & Zip Code: NOHP Contact: L.O.A. NUMBER: NOHP Email Address: NOHP Phone Number: TITLE COMPANY INFORMATION Title Company Name: Title Company Address: City, State & Zip Code: Contact Name: Email Address: Phone Number:

TDHCA USE ONLY County: ______Household Size: ______

60% AMFI: $______Household Income: $______

Statewide AMFI: $______Qualifying Income: $______

Form 3-March 2016 Page 1 of 3 LIENHOLDER INFORMATION The CSHC/NOHP must provide information for all funding sources (loans, forgivable loans & grants) that will be utilized to complete this loan.

1 st Lien Holder

Name of Lien Holder:

Loan Amount:

Funding Source:

Interest Rate:

Loan Term:

Payments (amount of monthly payment):

Escrow Monthly Amount (taxes):

Escrow Monthly Amount (insurance):

Estimated Closing Date:

1st Payment Due:

Late Charge Amount:

Lien Required: Yes No

Lien Holder

Loan Amount:

Funding Source:

Interest Rate:

Loan Term:

1st Payment Due:

Late Charge Amount:

Form 3-March 2016 Page 2 of 3 Lien Holder

Loan Amount:

Funding Source:

Interest Rate:

Loan Term:

1st Payment Due:

Late Charge Amount:

Lien Holder

Loan Amount:

Funding Source:

Interest Rate:

Loan Term:

1st Payment Due:

Late Charge Amount:

Form 3-March 2016 Page 3 of 3