Cherokee County HOME Rehabilitation Program Eligibility Criteria

Cherokee County HOME Rehabilitation Program Eligibility Criteria Cherokee County has funds available to provide loans for housing rehabilitation repairs to qualified homeowners. This money can be used to fix problems that pose dangers to the homeowner and occupants health and safety and to bring homes up to current Cherokee County Code standards. For consideration of HOME Repair Funds, the homeowner MUST meet the following: 1. The homeowner must be 62 years of age or older. 2. The homeowner must own and reside in the home being considered for home repair. 3. The family/household income must meet HUD s low to moderate Income Limits (see application). The family/household must provide written evidence of income for everyone residing in the home (Income Tax Returns (2 years), 3 months each of paycheck stubs and bank statements). 4. If there is a mortgage on the home, your mortgage can be no more than 90% of the fair market value of the home. (Proof of Homeowners Insurance is required and a document such as your mortgage statement showing balance owed, etc. will need to be provided). 5. The homeowner must provide a copy of the deed, as well as a copy of Driver s License and Social Security card for all family members who reside in the home. 6. The homeowner must comply with local Cherokee County Code standards. 7. The home repairs will not exceed 40,000 per home. 8. The recipient of the loan must own and reside in the home for a minimum of five (5) years upon completion of the home repair. If, for some reason, the homeowner sells the property or relocates, the loan would become due based on number of months remaining on the loan (the balance due being prorated based on actual number of months you are in the home during the loan period). If the homeowner dies or requires nursing home care, the loan will be forgiven. 9. Homes built before 1978 must be inspected for Lead based paint hazard. 10. General property improvements are not allowed, such as remodeling, additions or upgrades. 11. HOME funds can fix housing code issues like leaky roofs, plumbing, heating, and electrical problems. 12. The recipient must sign a contractual agreement with a Cherokee County approved contractor or one selected by the homeowner and approved by Cherokee County, to make the necessary home repairs. Call the Cherokee County CDBG Program for additional information about the HOME Repair Program, and we will be glad to address your questions. We will make an appointment with you to see if you qualify for home repair work. Call 770-721-7807. Funding for this program is provided under the HOME Program by the Federal Department of Housing and Urban Development and the Cherokee County Board of Commissioners. Special Notation: The HOME Funds Program is not an emergency home repair program. Each home will be carefully inspected by a certified professional inspector to ensure the home can be brought up to Cherokee County code. * Funds are limited and not all who apply will be guaranteed assistance. Cherokee County HOME Program 1 Revised 3/5/13

CHEROKEE COUNTY HOME PROGRAM 1130 Bluffs Parkway CANTON, GEORGIA 30114 RFB# HOUSING REHABILITATION PROGRAM APPLICATION APPLICANT: LAST: FIRST: MIDDLE: AGE: SOCIAL SECURITY NUMBER: HOME PHONE: CELL PHONE: WORK PHONE: EMAIL: CO APPLICANT: LAST: FIRST: MIDDLE: AGE: SOCIAL SECURITY NUMBER: HOME PHONE: CELL PHONE: WORK PHONE: EMAIL: STREET: PROPERTY ADDRESS: PRINCIPAL RESIDENCE? YES NO CITY: STATE: ZIP: MAILING ADDRESS IF DIFFERENT FROM ABOVE: STREET: CITY: STATE: ZIP: NUMBER OF BEDROOMS: YEAR HOUSE WAS BUILT: NUMBER OF BATHROOMS: IF BUILT BEFORE 1978, HOME MUST BE INSPECTED FOR LEAD HOUSEHOLD COMPOSITION: NUMBER OF OCCUPANTS: FULL NAME RELATIONSHIP SSN # BIRTHDATE AGE SEX DISABLED 1. 2. 3. 4. 5. 6. Cherokee County HOME Program 2 Revised 3/5/13

ANTICIPATED INCOME WAGES / SALARIES FROM YOUR EMPLOYER HOUSEHOLD MEMBER NAME 1. 2. 3. 4. EMPLOYER NAME (If Applicable) HOW LONG? EMPLOYER PHONE EMPLOYER ADDRESS PAID HOW FREQUENTLY? GROSS AMOUNT WEEKLY BI WEEKLY SEMI MONTHLY MONTHLY WEEKLY BI WEEKLY SEMI MONTHLY MONTHLY WEEKLY BI WEEKLY SEMI MONTHLY MONTHLY WEEKLY BI WEEKLY SEMI MONTHLY MONTHLY SOCIAL SECURITY INCOME / PENSIONS / OTHER INCOME * [INCLUDES CHILD SUPPORT, ALIMONY, ETC.] HOUSEHOLD MEMBER NAME MONTHLY SSI MONTHLY PENSION PENSION SOURCE [NAME OF COMPANY] (If applicable) PUBLIC ASSISTANCE PUBLIC ASSISTANCE SOURCE OTHER INCOME* OTHER INCOME SOURCE* 1. 2. 3. 4. 5. 6. Cherokee County HOME Program 3 Revised 3/5/13

REAL ESTATE OWNED PROPERTY ADDRESS DATE PURCHASED MORTGAGE CO. ACCOUNT # MORTGAGE BAL. MARKET VALUE* Street: City: State: Zip: Street: City: State: Zip: Street: City: State: Zip: * Provide property tax or appraisal if less than 6 months old. HOMEOWNER DEBT CREDITOR DESCRIPTION (LINE OF CREDIT, REVOLVING, ETC.) UNSECURED / SECURED AMOUNT Cherokee County HOME Program 4 Revised 3/5/13

APPLICANT CERTIFICATION: I, THE UNDERSIGNED, CERTIFY THAT ALL INFORMATION IN THIS APPLICATION AND ALL INFORMATION FURNISHED IN SUPPORT OF THIS APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. VERIFICATION MAY BE OBTAINED FROM ANY SOURCE NAMED HEREIN. I HAVE RECEIVED A COPY OF THE TERMS AND CONDITIONS AND AGREE TO ABIDE BY THOSE REQUIREMENTS IN CONNECTION WITH ANY LOAN AND/OR LOAN THAT MAY BE MADE BY THE CHEROKEE COUNTY HOUSING AND COMMUNITY DEVELOPMENT PROGRAM PURSUANT TO THIS APPLICATION. I HEREBY AUTHORIZE CHEROKEE COUNTY TO TAKE ANY PHOTOGRAPHS OR VIDEOS NECESSARY IN ORDER TO ASSIST IN THE EVALUATION AND BIDDING PROCESS FOR THE USE OF CHEROKEE COUNTY HOME PROGRAM. I HEREBY AUTHORIZE ALL STAFF, WORKERS AND CONTRACTORS AUTHORIZED BY CHEROKEE COUNTY TO MAKE REPAIRS TO THE ABOVE DWELLING. I HEREBY RELEASE AND PLEDGE TO HOLD HARMLESS ALL STAFF, WORKERS AND CONTRACTORS FROM ANY LIABILITY WHATSOEVER IN THE PERFORMANCE OF THE AUTHORIZATION OR EVENTUALLY ARISING THEREFROM. I CERTIFY THAT I AM THE OWNER OCCUPANT AND THIS IS MY PRINCIPAL RESIDENCE AND THAT I HOLD FEE SIMPLE TITLE TO THE ABOVE PROPERTY. FAILURE TO DISCLOSE ALL INCOME, OR REPORTING OF INACCURATE OR FALSE INFORMATION WILL RESULT IN DISAPPROVAL OF ASSISTANCE AND WILL BE CONSIDERED FRADULENT. WARNING: SINCE THESE FUNDS ARE FROM THE FEDERAL HOME PROGRAM, SECTION 1001 OF TITLE 18 OF THE U.S. CODE MAKES IT A CRIMINAL OFFENSE TO MAKE WILLFUL FALSE STATEMENTS OR MISREPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE U.S. AS TO ANY MATTER WITHIN ITS JURISDICTION. APPLICANT S SIGNATURE CO APPLICANT S SIGNATURE DATE DATE TO BE COMPLETED BY CHEROKEE COUNTY HOUSING AND COMMUNITY DEVELOPMENT PROGRAM STAFF OFFICIAL APPLICATION DATE NOTE: This application will not be dated and considered accepted until the applicant has provided all of the requested information and submitted the required supporting documentation. This application is approved for: TOTAL DPL Loan amount TOTAL Lead Loan Amount Housing Programs Coordinator / Housing Programs Specialist Date This application is disapproved. Housing Programs Coordinator / Housing Programs Specialist Date Cherokee County HOME Program 5 Revised: 3/5/13

Cherokee County Board of Commissioners 1130 Bluffs Parkway Canton, Georgia 30114 (770) 721 7806 (Phone) (678) 493 6035 (Fax) Photograph/Video Waiver I,, Owner(s) of the property located at, hereby authorize Cherokee County HOME Program Inspector(s) to take photographs and video footage of my home and property, where necessary in order to assist with evaluating and bidding on the rehabilitation of the property listed above. It is my understanding that these photographs or video footage will be maintained and used only for the purposes outlined above. Date Date (Owner) (Inspector) Cherokee County HOME Program 6 Revised: 3/5/13

SAVE AFFIDAVIT O.C.G.A. 50-36-1(e)(2) Affidavit By executing this affidavit under oath, as an applicant for a public benefit, as referenced in O.C.G.A. 50-36-1, from Cherokee County Board of Commissioners, the undersigned applicant verifies one of the following with respect to my application for a public benefit: 1) I am a United States citizen. 2) I am a legal permanent resident of the United States. 3) I am a qualified alien or non-immigrant under the Federal Immigration and Nationality Act with an alien number issued by the Department of Homeland Security or other federal immigration agency. My alien number issued by the Department of Homeland Security or other federal immigration agency is:. The undersigned applicant also hereby verifies that he or she is 18 years of age or older and has provided at least one secure and verifiable document, as required by O.C.G.A. 50-36-1(e)(1), with this affidavit. The secure and verifiable document provided with this affidavit can best be classified as:. In making the above representation under oath, I understand that any person who knowingly and willfully makes a false, fictitious, or fraudulent statement or representation in an affidavit shall be guilty of a violation of O.C.G.A. 16-10-20, and face criminal penalties as allowed by such criminal statute. Executed in (city), (state). SUBSCRIBED AND SWORN BEFORE ME ON THIS THE DAY OF, 20 NOTARY PUBLIC My Commission Expires: Signature of Applicant Printed Name of Applicant Cherokee County HOME Program 7 Revised: 3/5/13

HOME Financial Affidavit (Initial or check/ X on the blank line) I understand that the Cherokee County HOME Program does not accept subordinations from neither lenders nor financing for either reverse or second mortgages applied for by the homeowner. If homeowner should refinance during the 5 year loan period, repayment of loan amount in full is required. In making the above representation under oath, I understand that any person who knowingly and willfully makes a false, fictitious, or fraudulent statement of representation in an affidavit shall be guilty of a violation of Code Section 16 10 20 of the Official Code of Georgia. Signature of Applicant Date Printed Name SUBSCRIBED AND SWORN BEFORE ME ON THIS THE DAY OF 20 Notary Public My Commission Expires: Cherokee County HOME Program 8 Revised: 3/5/13

GENERAL AUTHORIZATION TO WHOM IT MAY CONCERN: I/WE HEREBY AUTHORIZE YOU TO RELEASE ANY INFORMATION CONCERNING MY CREDIT, INCOME, SOCIAL SECURITY, RETIREMENT, EMPLOYMENT, ASSETS OR MORTGAGE IN CONNECTION WITH THE PROCESS OF OBTAINING A HOUSING REHABILITATION LOAN TO: CHEROKEE COUNTY HOME PROGRAM 1130 Bluffs Parkway CANTON, GEORGIA 30114 A COPY OF THIS RELEASE IS ALSO AN ACCEPTABLE AUTHORIZATION. APPLICANT / SIGNATURE DATE SOCIAL SECURITY # CO APPLICANT / SIGNATURE DATE SOCIAL SECURITY # Cherokee County HOME Program 9 Revised: 3/5/13

2013 HOME Program Income Limits* Family Size Extremely Low 30% Effective December 11, 2012 Very Low Income 50% Low Income 60% Moderate Income 80% 1 13,950 23,250 27,900 37,150 2 15,950 26,550 31,860 42,450 3 17,950 29,850 35,820 47,750 4 19,900 33,150 39,780 53,050 5 21,500 35,850 43,020 57,300 6 23,100 38,500 46,200 61,550 7 24,700 41,150 49,380 65,800 8 26,300 43,800 52,560 70,050 Source: U. S. Department of Housing and Urban Development [HUD] *Income of all persons living in the household Section 221(d)(3) Limits Effective: FY 2013 (10/01/2012) SUSPENDED, EXCEPT for LIHTC The Most HOME Dollars You Can Spend Per Unit # of Bedrooms Limit Base Limit High Cost % High Cost 0 52,586 182% 55,339 1 60,632 182% 63,438 2 73,124 182% 77,140 3 93,601 182% 99,794 4 104,275 182% 109,543 Maximum Property Value Effective: March 29, 2012 The value of the HOME assisted property AFTER rehabilitation must not exceed 95 percent of the Median Purchase Price for the area (please see below, published by FHA for its 203 (b) program) One family 171,000 Two family 218,914 Three family 264,619 Cherokee County HOME Program 10 Revised: 3/5/13