Form 03 Loan Submission Form

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 ResidentialConstructionPurchase 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: $______

LIENHOLDER INFORMATION

The CSHC/NOHP must provide information for all funding sources (loans, forgivable loans & grants) that will be utilized to complete this loan.

1st 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

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

Name of Lien Holder:

Loan Amount:

Funding Source:

Interest Rate:

Loan Term:

Payments(amount of monthly payment):

EscrowMonthly Amount (taxes):

EscrowMonthly Amount (insurance):

Estimated Closing Date:

1st Payment Due:

Late Charge Amount:

Lien Required: Yes No

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

Form 3-March 2016Page 1 of 3