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9 <br /> Complete Homebuyer Activity: <br /> G. Activity Information. If this is a multi-address activity,make copies of this form so that cost and beneficiary information <br /> is reported for each address—Sections I,J,and K. <br /> 1.Activity Type(enter code): 3 2.Property Type(enter code): 3.FHA Insured(Y/N)? <br /> (2)New Construction Only (1) 1-4 Single Family (For single address activities) <br /> (3)Acquisition Only (2)Condominium <br /> (4)Acquisition&Rehab (3)Cooperative <br /> (5)Acquisition&New Construction (4)Manufactured Home <br /> 4.Lease Purchase? If yes,date of agreement (5)Completed Units: <br /> (For single address activities) Total number: HOME assisted: <br /> H. Units. <br /> 1.Of the Completed Units,the number: Total HOME-assisted <br /> Meeting Energy Star standards: <br /> 504-accessible: <br /> 2.Period of Affordability:If you are imposing a period of affordability that is longer than the regulatory minimum,enter the <br /> total years(HOME minimum+additional)of affordability. <br /> PJ—imposed period of affordability: years. <br /> I. Property Address.(For multi-address activities) <br /> 1.Homebuyer's Name(optional): 2.Homebuyer's Street Address: <br /> 3.City: 4.State: 5.Zip Code: . 6.County: <br /> J. Cost. <br /> Purchase Price: <br /> Value After Rehab(for Acquisition/Rehab activities only): <br /> 1. HOME Funds(Including Program Income) <br /> a.Property Costs <br /> (1)Amortized Loan <br /> (2)Grant $ . , 4 <br /> Tem r t <br /> (3)Deferred Payment Loan(DPL) $ <br /> (4)Other $ $ <br /> b.Downpayment Assistance <br /> (1)Amortized Loangar r <br /> ., <br /> (2)Grant <br /> (3)Deferred Payment Loan(DPL) -,.4. <br /> (4)Other $ <br /> (5) Program Income $ $ <br /> re :k $ <br /> c.CHDO Loan MA-14 <br /> ;� _ <br /> HOME Total this address[a+b+c] < �. $ <br /> 1 6 <br /> Page 2 of 6 Revised(8/06) <br />