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Financing Application PRHFA 2021
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Project Name:
Name of Developer:
Mailing Address:
Type of Entity:
Partnership
Profit Corporation
Non-Profit Corporation
Other...
If Other please explain:
Physical Address:
Municipality:
State:
Zip Code:
Type of Project:
New Construction
Rehabilitation
Number of Units:
Number of Units:
Accessory Buildings:
Area SQ FT
Recreational Facilities:
Area SQ FT
Type of Building:
Single Units
Rowhouses
Walk-ups
Elevator Type Building
Condominium
Others...
If Others explain here:
Number of Stories:
Number of Elevators:
Structural System:
Floor System:
Esterior Finish:
Date
MM/DD/YY
Date correspond to when buildign was:
Aquired
Optioned
Aquisition: $
Option Payment: $
Additional Cost Paid or Accrued: $
Total Acquisition Cost: $
Outstanding Balance: $
Relationship between Seller and Sponsor:
Yes
No
Specify:
Construction Cost: $
Zoning Approval ARPE#:
(If recently changed, submit evidence}
Utilities
Water (Public)
Water (Community)
Water( In the Area)
Sewers (Public)
Sewers (Community)
Sewers (in the Area)
Pavement (Public)
Pavement (Community)
Pavement (in the Area)
Electricity (Public)
Electricity (Community)
Electricity (In the Area)
Distance in feet (Water)
Distance in feet (Sewers)
Distance in feet (Pavement)
Distance in feet (Electricity)
Unusual Site Features
None
Poor Drainage
Cuts
Retaining Walls
Rock Formations
Fills
Erosions
High Phreatic Level
Other...
if Other then Explain Here
Other charges (Prepaids)
Prepaids
Ammount: $
Other charges(Outstanding)
Outstanding
Outstanding Ammount: $
Total: $
Type of Unit (Br.)
For Estimate of Income (1)
Housing Area SQ FT (1)
Description:(1)
Number of Units: (1)
Total:(1)
Type of Unit (Br.)
For Estimate of Income (2)
Housing Area SQ FT (2)
Description: (2)
Number of Units: (2)
Total: (2)
Type of Unit (Br.)
For Estimate of Income (3)
Housing Area SQ FT (3)
Description: (3)
Number of Units: (3)
Total: (3)
Total Income: $
Number of Parking lots (if Applicable):
Total parking spaces
Commercial Spaces for Sale (if any)
Area SQ FT (a)
@ $
(a)
Per Sq FT =
(a)
Commercial Spaces for Sale (if any)
Area SQ FT (b)
@ $
(b)
Per Sq FT =
(b)
Total Commercial Sale =
I hereby Certify that the above information is true and correct to te best of my knowledge and belief:
*
Nombre
Apellidos
sign here
Date signed
Submit
Hogar Manuel Mediavilla Negron II
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Derechos reservados © 2022
Número de radicación: CEE-SA-2020-1123
Derechos reservados © 2022 Número de radicación: CEE-SA-2020-1123