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