NSP Single Family Acquisition CDOH Contract No.: Grantee: Property Address: County:

ACQUISITION

DISPOSITION:

Date of Closing: Acquisition Price:

Date of Closing: Sales Price: Acquisition Price: Rehab Costs: Transaction Costs:

Appraisal Completed: ___________ Date of Appraisal: Appraisal Value: % of Purchase Discount: Estimated Rehab Costs: Scope of Work Write-Up: __________ Other Lender Participation: Does Relocation Apply: Property is in area of greatest need. Census Tract HUD Risk Score

After Rehab Appraisal: Permanent Lender: Loan Amount: Interest Rate: Term: Monthly Payment: PITI: Household’s Name: Annual Income: Household Size: Target AMI Level:

Executed Voluntary Sale Letter: ____

NSP Funds remaining in Project: Yes No If yes, Amount $ Secured by a Lien Yes No

Good Faith Closing Estimate or Settlement Statement:

Program Income: Yes If Yes, Amount $

Certificate of Insurance for this specific property with CDOH as additionally insured ________

Program Income Recvd: Yes ___ No___ Program Income Report: Yes___ No___

URA Notice to Seller: Yes No Date

No

Copy of executed purchase contract ___

G:\DOHCOM\NSP (Neighborhood Stabilization Program)\DOH NSP Website content\NSP Day in the Life Training, 9.14.2009\NSP_SF Checklist 1.8.2010.doc