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form Approved <br />/-- , /•� OMB No. 63-RIO87 <br />FH A MORTGAGEE NO. Igraine VrriJv) � U.S. DEPARTUENT OF HOUSING AND URBAN DLVELOPslrll n <br />FHA <br />CASE <br />FEDERAL HOUSING ADa RISTRATION <br />5�?25 3 <br />NO <br />MORTGAGEE'S APPLICATION FOR PROPERTY APPRAISAL <br />PROPERTY ADOREss <br />AND COMMITMENT FOR MORTGAGE INSURANCE UNDER <br />300ie 19th <br />THE NATIONAL HOUSING ACT <br />1'verette NaSlhiugtca 9A201 <br />❑ SEC.202(b) ® SEC. 2:1 <br />MORTGAGEE Name and Address Including ZIP Code(P)euar Type) <br />(Pfeme locale addirss tnlddn comer mort.S) <br />r -j <br />This form is a request for an appraisal and a commil- <br />VC: CAFIYATa »E•5 03RPCf8lITZ1111r <br />P.O. W)X 2231 <br />ment to Insure a loan on an Individual property. <br />E481tT w, x 14i tuG: 4t! 03 <br />We cannot process incomplete applications. <br />Rejecting them Is costly. <br />L J <br />Please help by giving us well prepared applications. <br />Keep all entries Avithin alloled spaces. <br />Telephone No. ?E3-59L10 <br />Name of Occupcat (orperson to roll if unoccupied) <br />Tel. No. <br />Key'Eggn�cl. unforni1srt�Iser;q- fli31 <br />EHOSE <br />A.Ja Candazsaa <br />Imon. <br />252!1Qe8 <br />�E�3 �(If <br />3TS3 7uEcler- more !tin <br />U <br />1 <br />6 Yr. Completed 1938 ❑Never Occup. ❑ Vacant Occupied by[NOwner ❑Tanant at S Per Mo. ❑Furn. ❑Unfurn. <br />Builders Name 8 Address Including 21P Cade <br />Tel. No. <br />Model Identification <br />PROPOSED ❑ <br />..'..r.r� <br />���~� <br />SUBSTAN. REHAB. ❑ <br />UNDER CONSTR. ❑ <br />-- <br />Planst ❑ First Subm. Frob. Repeal Cases ❑ Yes ❑ No 0-Prey. Prot. as FHA Case No. <br />DESCRIPTION <br />n Wood siding <br />_ Stories <br />Bedrooms <br />store Rm. <br />Rights Reserved <br />Type of Healing <br />91 Oetachad <br />❑ Wood shingle <br />❑ Split Foyer <br />IN. room <br />y�❑y <br />F!URI. Rm. <br />77Mineral <br />1' No ❑ Yes (Explain) . <br />alA0e <br />❑ Semi -del. <br />❑ Asb, shingle <br />❑ BI-Love) <br />_ Din, room <br />Gara a <br />9 <br />Util• <br />life,: Pq�llc Comm.'Individuoi <br />❑Cent, Air Cond. <br />❑Row <br />❑FIb'er board <br />❑ Brick or scone <br />Split level <br />6 Kitchen <br />r_ No. met. <br />�Carrott <br />7.No cars <br />Water ® ❑. ❑ <br />Gas ❑ ❑ ,' ❑ <br />_.❑Wall At, Cond. <br />Frama <br />❑ Full Basement <br />'Type of Poving (Sir.) <br />❑ Nona <br />I- Masonry <br />❑ Slut, or c, bilk. <br />o Basement <br />� <br />_ Bolhs <br />[JBullNin. <br />filed. . n* ❑• .;g <br />El Underground Wiring <br />'—•- <br />❑ Concrete <br />❑ Aluminum <br />❑ Stab an Or. <br />1 ' /s Bolhs <br />Attached <br />, <br />- Sept. Cass <br />❑ Curb el Geller <br />rectory Fabricated <br />❑Assist, siding <br />Crow[Space <br />Detached <br />Sonic, lank Pool <br />. 0.51dewolk <br />living Units <br />n Non•res. <br />Elves ANO <br />❑ <br />r''i rr5( <br />I$ewer W IY/ ❑ ❑ <br />❑51orm Sewer <br />EXTRA <br />❑Fireplace ❑ ABC. Room ❑ Sw, Pool I <br />❑ Enclosed Porch ❑ Brea zawaV ❑Fence <br />FEATURES <br />❑ Extra Fire PI. ❑ Expand Attic ❑ Fla. Atli ' <br />SPEC. ASSESS. Prepoyoble,$_. Non•Prepey.S. <br />LOT 37—�e 'X �0 ❑ It,. ❑ Acres14�0 aTvrum Ft. <br />Inc.—e/s Ann. Pay.S Unpd. But. $ Rom. term_Yr&. <br />GENERAL LOCATION: worth zveratt <br />ANN. R. EST. TAXES $ e N. FIRE INS. $ <br />SALE PRICE $17e950.00 :? `.............:: -. <br />EQUAL OPPORTUNITY IN HOUSING <br />Federal laws and regulations prohibit discrimination because of race, color, religion, or national origin In the sale or rental of resi- <br />dential property. Numerous state statutes and local ordinances also prohibit such discrimination. In addition, section 805 of the <br />Civil Rights Act of 1968 prohibits discriminatory practices In connection with the financing of housing. <br />If FHA finds there is noncompliance with any applicable antidiscrimination Iowa or regulations, It Tgay discontinue FHA business <br />with the violator. <br />LEGAL DESCRIPTION /Atfaehcnrpngei/roreasuy) SHOW BELOW: Shope, location, dismnee [rum <br />nearest intersoatlon and-slrcet names. Nlurk N <br />East half of Merck 2e it FortidXO Of Let 2 alld all of cut at NORTH Pala` <br />3, nlo&. 4, Ready :.and Coapilaye First ladition to <br />Everatt. <br />see attached <br />Please consider the following TITLE ENCIT rl ONF in c:due: <br />scraes c=0Pt thwO C7='CQd by general waivers. <br />Please consider the!ollowl :g <br />Equipment In value: IRCM <br />LEASEHOLD Ground Pwat(Per Yr) I Lease Is; 0 99 years 0 Renewable ❑ FHA AP"roved Expires <br />BUILDER/SELLER'S AGREEMENT, AIL Houses• The undersigned names to deliver to the purchaser FAA's statement of appraised value. Proposed Conetnsa <br />tl�n• The undersigned agrees, upon sale or conveyance of title warns one year from date or Initial omupancy, to deliver to the purchaser F'Hel Form 2544, war• <br />ranting that the house is constructed in substantial cargo.may whh the Plans and specifications on which "A based its value and to furnish FHA a conform- <br />ed copy with the purchaeer'A receipt thereon that the original warranty was delivered to him. All Houses: In consideration of the issuance of the commitment <br />requested by this application, I (we) hereby agree that any deposit or downpaymenl made In cunnmucn with the purchase of the property described above, <br />whether received by the undersigned at on agent of the undersigned, shall upon receipt be deposited In escrow or in trust or In a Spates amount which is not <br />subject to the claims of my creditors and where It will be mointulned until It has been disbursed for the benefit of the purchaser or otherwise disposed of In ac. <br />cordance with the terms of the contract of salt , <br />Signature: aMortgagee Q Builder Q Seller 0 Other PR.O(E35Cgi9 <br />MORTGAGEE'S CERTIFICATE: The undersigned mortgagee certifies that to the best of Its knowledge all statements made In this appllcotlon and the supporan if docume b, <br />eretrue,correct and complete. <br />Frz=13SOMID <br />Signnture/Tide of Mortgagee 001mr: <br />W ApNIN G: Satlon 1010 of Title 16, U.S.C., provldts: "Whoever. for the purpose of ... Influencing such Administration ... makes, passes, utters, or puts. <br />Inhes any statement, snowing the enure to be false .. ,shall be lined not more than $5,000 or Imprisoned not more than two years, or both.' <br />FHA FORM NO 2800 - I Rev. 4/72 <br />MORTGAGEE -AFTER COMPLETING THE FCRM DETACH THIS SHEET. SEND REST OF FORM TO FHA OFFICE <br />