Project Information Utility Services

BORROWER INFORMATION

Date:*/*/****

Name of Borrower:chouna

Type of Organization:werehase

Mailing Address:98408

Contact Person:202555492

Street Address (if different):5435 S M st

Title:

City:tacoma

Telephone:222**********

County:USa

Fax:

State:washington

Cell:

Zip Code:98408

E-mail:****************@*****.***

Tax ID Number:

DUNS #:

PROJECT INFORMATION

Loan Amount:

Project Name:

Loan Type:

Project Location:

Purpose:

City:

County:

Term Requested

State:

Total Square Footage:

Zip:

Lien Position:

Census Tract:

# of Housing Units:

Population:

# of Stories:

Area Median Income:

Income Population Served:

Very Low %:

# of Jobs Created:

Low %:

# of Jobs Retained:

Moderate %:

SITE INFORMATION

Land Size (in Acres):

Or Sq.Ft.

Community & Utility Services

Distance in Miles

Schools:

Current Zoning:

Public Transportation:

Proposed Zoning:

Shopping:

Parks:

Availability of Services (yes/no)

Distance in Miles

Adjoining Uses - North:

Telephone:

East:

Public Streets:

South:

Gas:

West:

Electricity:

Water:

Sewer:

Storm Drainage:

Credit: I hereby grant Rural Community Assistance Corporation permission to obtain credit information and general references, and to contact borrower’s accountant.

Certification: I certify that the information on this loan application and attachments hereto is complete and current to the best of my knowledge. Furthermore, I understand that intentional misrepresentation of facts may be a basis for denial of credit or an “event of default” as described in the Promissory Note which will evidence the loan request, if approved.

Authorized Signature: Date:

Rural Community Assistance Corporation

Loan Application – Multifamily Housing

Notice: The Federal Equal Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has, in good faith, exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with the law concerning this credit is the Federal Trade Commission, Division of Credit Practices, 6th and Pennsylvania Avenue, NW, Washington, DC 20580.

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