Form 3560-51 MFH Obligation Fund Analysis

Section 515 Multi-Family Housing Preservation and Revitalization Restructuring (MPR) Demonstration Program

RD3560-0051_050200V01

Sec. 515 Multi-Family Housing Preservation and Revitalization - State, Local and Tribal

OMB: 0575-0190

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USDA
Form RD 3560-51
(02-05)

FORM APPROVED
OMB NO. 0575-0189

MULTI FAMILY HOUSING
OBLIGATION -FUND ANALYSIS
PART I - ENTITY INFORMATION
1. BORROWER CASE NUMBER

2. PROJECT NUMBER

3. BORROWER NAME

4. PROJECT NAME

PART II LOAN/GRANT OBLIGATION
5. AMOUNT OF LOAN OBLIGATION

6. AMOUNT OF LOAN OBLIGATION

7. ASSISTANCE CODE

8. PURPOSE CODE

12. APPRAISAL DATE

9. LOAN NUMBER

10. MAXIMUM DEBT LIMIT

11. APPRAISED VALUE

13. APPROVAL DATE

14. INITIAL/SUBSEQUENT
1 = INITIAL
2 = SUBSEQUENT

15. ENVIRONMENTAL ASSESS DATE

16. INTEREST RATE

17. LOAN TERM

18. AMORTIZATION PERIOD

20. LOAN SECURITY CODE

21. PPI CODE

22. BUILDING CODE

23. SITE ACREAGE

24. APPRAISED LAND-VALUE

25. CONTRIBUTED FUNDS

26. LEVERAGED FUNDS

27. TOTAL COST OF PROJECT

28. NUMBER OF BEDROOMS

29. NUMBER OF UNITS

19 NOTE ASSOCIATION CODE

A. PROJECT COST AND CHARACTERISTICS SET

B. PROJECT BEDROOM SET
30. AVERAGE SQUARE FEET/UNIT

1
2
3
4
5

C. PROJECT BUILDING SET
31. NUMBER OF UNITS BY
UNIT TYPE

FAM ILY
ELDERLY
HANDICAPPED
CONGREGATE
GROUP HOMES

32. NUMBER OF UNITS BY
BUILDING TYPE

33. SQUARE FEET LIVING
AREA BY BUILDING TYPE

SINGLE
DUPLEX
FOURPLEX
MIDRISE

34. PROJECT RENTAL CODE

FA = Family
EL = Elderly
CG = Congregate
MX = Mixed

ROWHOUSES
GARDENAPTS
OTHER TYPES

35. TOTAL UNITS

36. TOTAL SQUARE FEET

37. RELATED FACILITIES
SQUARE FEET

38. MISCELLANEOUS SQUARE FEET

39. TOTAL SQUARE FEET

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person ts not required to respond to, a collection of information unless it displays a valid OMB
control number. The valid OMB control number for this information collection is 0575-0189. The time required to complete this information collection is estimated to average 15 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
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40.

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COMMENTS AND REQUIREMENTS OF CERTIFYING OFFICIAL:

- Approval of financial assistance is subject to the terms of the Letter of Conditions dated

.

- Security for this loan/grant is based upon property described in Deed of Trust/Mortgage as required by the Office of General
Counsel.
- The amount of the loan may decrease if other Govenment assistance as defined in 7 CFR 3560 becomes available to the
applicant before loan closing.
- The Loan Term will not exceed 30 years for Multi-Family (MFH) or 33 years for Farm Labor Housing (FLH) or the remaining
economic life of the project, whichever is less. The loan installments will be calculated based on an Amortization Period of 50
years or the remaining economic life of the project, whichever is less.

41.

I HEREBY CERTIFY that I am unable to obtain sufficient credit elsewhere to finance my actual needs at reasonable rates and
terms, taking into consideration prevailing private ad cooperative rates and terms in or near my community for loans for similar
purposes and periods of time. I agree to use, subject to and in accordance with regulations applicable to the type of assistance
indicated above, and request payment of the sum specified herein. I agree to report to Rural Development any material adverse
changes, financial or otherwise, that occur prior to loan closing. I certify that no part of said sum has been received. I have
reviewed the loan approval requirements and comments associated with this loan request and agree to comply with these
provisions.
WARNING:

Section 1001 of Title 18, United States Code provides: 'Whoever, in any matter within the jurisdiction of the executive,
legislative, or judicial branch of the Government of the United States, knowingly and willfully:
(1) falsifies, conceals or covers up by any trick, scheme, or device a material fact;
(2) makes any materially false, fictitious or fraudulent statement or representation; or
(3) makes or uses any false writing or document knowing the same to contain any materially false, fictitious
or fraudulent statement or entry;
shall be fined under this title or imprisoned not more than five years, or both.''

, 20

Date

(Signature of Applicant)

Date

, 20

Date

, 20

(Signature of Applicant)

(Signature of Applicant)

42. I HEREBY CERTIFY that all of the committee and administrative determinations and certifications required by Rural
Development regulations prerequisite to providing assistance of the type indicated above have been made and that evidence
thereof is in the docket, and that all requirements of pertinent regulations have been complied with. I hereby approve the
above-described assistance in the amount set forth above, and by this document, subject to the availability of funds, the
Government agrees to advance such amount to the applicant for the purposes of and subject to conditions prescribed by Rural
Development regulations applicable to this type of assistance.

(Signature of Approving Official)

Title:

Date Approved:

43. TO THE APPLICANT: As of this date
, this is notice that your application for
the above financial assistance from Rural Development has been approved, as indicated above, subject to availability of funds
and other conditions required by Rural Development. If you have any questions contact the Loan Originator.

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MULTI FAMILY HOUSING
OBLIGATION - FUND ANALYSIS
PART III
OBLIGATION/DEOBLIGATION OF RENTAL ASSISTANCE
44. CASE NUMBER

46. PROJECT NUMBER

45. BORROWER NAME

47. RA AGREEMENT NUMBER

48. TYPE OF UNITS

49. TYPE OF ACTION

COMPLETE FOR OBLIGATION OF RA
50. NUMBER OF UNITS RECEIVE RENTAL ASSISTANCE
51. AMOUNT OF RA OBLIGATION

52. NUMBER OF UNITS DEOBLIGATED

COMPLETE FOR DEOBLIGATION OF RA
53. AMOUNT OF RA DEOBLIGATION

54. REMARKS

55. I HAVE REVIEWED THE BORROWER'S REQUEST FOR RENTAL ASSISTANCE FOR THE PROJECT AND REQUEST OBLIGATION OR
DEOBLIGATION OF RENTAL ASSISTANCE FOR THE ABOVE.

DATE OF APPROVAL

, 20
SIGNATURE OF APPROVAL OFFICIAL

DATE OF OBLIGATION

, 20

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