HOME IMPROVEMENT LOAN APPLICATION

HOME IMPROVEMENT LOAN APPLICATION
Applicant does not have any past due debts owed to the Housing Authority

Applicant(s) have participated in a Housing Authority approved or sponsored Homebuyer Education Program to obtain information about the loan process and Homeownership responsibilities.

Applicant’s debt to Income Ratio is not more than 41%.

Proof of Income

Current copy of Credit Report (within last 30 days)

Property Lease had an initial term of 50 years to assure that the term of the Lease is longer that the term of the loan and is assignable if there is need for a foreclosure and reselling to another qualified Homebuyer.

Applicant is maintaining the dwelling as their primary place of residence for the period of the loan.

Applicant has submitted in writing the specific proposed us of loan funds.

If repair work is needed, it will be done by a Licensed Contractor that is responsible for Insurance and Liability during and once the repairs/addition are completed.

Additions - A written proposal with the following need to be submitted:
- Floor Plan of existing home
- Drawing of proposed addition
- Estimated cost for material and labor
- Licensed Contractor who will do the work
- Estimated schedule outlining beginning to completion
Repayment agreement signed before funds are paid out

Insurance requirements: Applicant(s) know that they are required to pay for additional coverage for the additional square footage and must have current Insurance for existing home. Proof of Insurance must be submitted to the Housing Insurance from the Insurance Company.

HOME IMPROVEMENT LOAN PROGRAM
The Information in this application is being collected to identify eligible families or individuals to participate in the Home Improvement Loan Program and will be used to determine priority for funding. Incomplete information and/or false statements will subject this application to rejection for this program.
APPLICANT INFORMATION
Full Name*

First NameMILast Name
Maiden (if any
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone No.: Area Code* Phone Number*
Work No.: Area Code* Phone Number*
Date of Birth*

MonthDayYear
SSN: * - -
Enrollment No.*
Tribe*
Marital Status*

MarriedSingleOther
Name of Spouse

First NameMILast Name
Maiden (if any)
Date of Birth

MonthDayYear
SSN No: Type a label - Type a label - Type a label
Enrollment No.
Tribe
Do you have unpaid debts owing to the Spokane Indian Housing Authority?*

YesNo
If so, how much and what is the debt from?
Note: The disclosure of your Social Security Numbers are requested in order to keep your record straight, because other people may have the same name and birth date. The numbers will also be used, if necessary, to verify income and to avoid duplication of Housing Assistance

FAMILY INFORMATION:*

	Name	Relation to Head	Date of Birth	Sex	SSN #	Enrollment #
Yourself
2.
3.
4.
5.
6.
7.
8.
9.
10.

INCOME INFORMATION: List all permanent family members at least 18 years old who have income.

EARNED INCOME: This includes, but not limited to wages, salary, commissions, or profits (see staff for definition of income earned from self-employment). You must provide a signed copy of income tax returns, W-2 forms, or other verification for all sources.*

	Family Member #	Employer Name / Source of Income	Annual Income Amount
1.
2.
3.

Total Annual Earned Income*

UNEARNED INCOME: This includes, but not limited to rental properties, child support, and alimony, retirement, disability, unemployment, interest, tax refunds, general assistance/public assistance. Provide check stubs, statements, or other verification for all sources. *

	Family Member #	Employer Name / Source of Income / TANF or GA	Annual Income Amount
1.
2.
3.

Total Unearned Income*
TOTAL ANNUAL HOUSEHOLD INCOME (earned & unearned)*
FINANCIAL INSTITUTION INFORMATION: To be completed if you are applying for additional funding from a mortgage company or other financial institution to pay for the balance of the Home Improvement Project.
Have you qualified for a mortgage with a Mortgage Company or Financial Institution?*

YesNo
If yes, please provide the following:
Name of Institution
Contact Person
Phone Number
Please enter a valid phone number.
Address
Amount Qualified
If you decide to sell the home within the first five years, you will be responsible for repaying the Housing Authority back the full amount of the loan. Does the Institution know you are applying for this loan and do they allow this type of loan?*

YesNo
Credit Report. Applicant will be responsible to get a current copy of their Credit Report and submit with it this Application.

HOUSING INFORMATION:
1. What are your plans for the home?*

Repair/Replacement ProjectConstruct an Addition
Repair/Replacement Project Description
Construct an Addition Description
2. Who will be doing the work?
Company Name*
Contact Person*
Phone Number*
Please enter a valid phone number.
3. What is the total cost of the Repair/Replacement/Improvement?*
4. What is the estimated Down Payment*
5. What is the estimated Closing Cost Amount*

MONTHLY EXPENSE & DEBT SUMMARY
BUDGETED EXPENSES:
Home Maintenance: $  *
Utilities (electricity, phone, water/sewer): $ *
Savings: $ *
Car: $ *
Personal: $ *
Insurance (car, life, medical): $ *
Clothing: $ *
Gifts/Donation: $ *
Food: $ *
Entertainment: $   *
Other: $   *

TOTAL MONTHLY EXPENSES: $   *
MONTHLY RECURRING DEBT PAYMENTS:
House Payment/Rent: $   Type a label*
Car Payment(s): Car 1) $ Type a label*  Car 2) $   Type a label*
Tribal Credit Loan(s): Loan 1) $Type a label* Loan 2) $ Type a label*
Other installment Loan Payments with 10 or more monthly payments remaining (furniture, appliances, computer, etc.): $   Type a label*
Credit Card(s): Card 1) $ Type a label* Card 2)
Educational Loan Repayment: $   Type a label*
Medical Healthcare Payment: $   Type a label*
Alimony/Child Support Payment: $   Type a label*

TOTAL MONTHLY DEBT: $   Type a label*

I, the undersigned applicant, certify the foregoing information to be true, complete and accurate to the best of my knowledge. (Only Spokane Tribal members are Eligible to sign)
Applicant*

Clear
Date

MonthDayYear
Date
Spouse

Clear
Date

MonthDayYear
Date
Should be Empty:

HOME IMPROVEMENT LOAN APPLICATION

HOME IMPROVEMENT LOAN PROGRAM

APPLICANT INFORMATION

INCOME INFORMATION: List all permanent family members at least 18 years old who have income.

FINANCIAL INSTITUTION INFORMATION: To be completed if you are applying for additional funding from a mortgage company or other financial institution to pay for the balance of the Home Improvement Project.

HOUSING INFORMATION:

2. Who will be doing the work?

MONTHLY EXPENSE & DEBT SUMMARY

BUDGETED EXPENSES:

MONTHLY RECURRING DEBT PAYMENTS: