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LFUCG Office of Affordable Housing

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Affordable Housing Fund

Application for funding

Thank you for your interest in the City of Lexington’s Affordable Housing Fund (AHF) for construction, acquisition and preservation of affordable housing developments. Please complete this required form to initiate the application for an AHF award.

Please review the guidelines and eligible uses prior to filling out this application. If you have any questions please contact the Office of Affordable Housing at 859-***-**** or advasb@r.postjobfree.com. General Information

Applicant Name/Title: MWBE Status: Tax Status: Non-Profit (CHDO) Type of Entity: General Partnership Development Name: Development Location: Contact Person/Title (if different than applicant name): Contact Title: Mailing Address (including city/state/zip): Telephone (office/direct): Email Address: Amount of Funds Requested from LFUCG: Other Funding (specify on pro-forma): Total Development Cost: Development Information

Development Type (Choose all that apply):

New Construction Rehabilitation Adaptive Re-Use Rental (11 Units or Less) Rental (12 Units or More) Single Site Scattered Site Historic Property Total Number of Units: Total Number of Buildings: Square Feet of Units by Bedroom Size:

Unit Size: Square Footage: Unit Size: Square Footage: Unit Size: Square Footage: Unit Size: Square Footage: 2

LFUCG Office of Affordable Housing

Rev 8/2022

Monthly Rents by Bedroom Size:

Unit Size: Monthly Rent: Unit Size: Monthly Rent: Unit Size: Monthly Rent: Unit Size: Monthly Rent: Target Area Median Income (AMI): Community Features (Choose all that apply):

Community Room Playground Pet Play Area Courtyard Fitness Center Key Fob Entry Laundry Facilities Community Garden Business Center Other (Please Specify): Floorplan Amenities (Choose all that apply):

Stove Refrigerator Dishwasher Garbage Disposal Dishwasher Microwave Ceiling Fans Wash/Dryer Connection In-Unit Washer/Dryer Emergency Call System High Speed Internet Access Other (Please specify): Location Amenities (Choose all that apply):

Public Transportation Description: Proximity to Development: Shopping Description: Proximity to Development: Restaurants Description: Proximity to Development: Medical Facilities Description: Proximity to Development: Banks Description: Proximity to Development: Other Description: Proximity to Development: Populations to be Served (Check all that apply):

Elderly Single Parent Homeless Victims of Domestic Violence Physically Disabled Acquired Traumatic Brain Injury Aging out of Foster Care Veterans Severe Mental Illness Drug/Alcohol Addiction Other (Please Specify): Services Provided:

Type/Description/Funded by: Type/Description/Funded by: Type/Description/Funded by: 3

LFUCG Office of Affordable Housing

Rev 8/2022

Please use the space below to provide additional services that will be provided. Application for Funding Agreement

The applicant certifies that the information submitted in this application is accurate and consistent with the applications submitted to other funding sources. The applicant commits to keeping the LFUCG Office of Affordable Housing staff and board updated with changes in the project structure, funding, development team, and any information provided in this application. The applicant and any other borrower consents to a possible credit check as part of the underwriting process.

I have read the above agreement and consent to its terms: Name: Title: Signature: Date: