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This application is a first step in the lottery process and starts the process. Applicants must secure approval for a mortgage loan and submit evidence of such approval together with the application. This application can be downloaded from the website at: http://www.sudbury.ma.us/ using keyword Fulton School, and are available at the Medford Library, the City Hall at 85 George P. Hassett Drive, or by calling the Lottery Agent. Applications with the required components must be returned to the lottery agent office at the below address by the deadline. The office is available to assist you in this process. Please return the application to, or contact the Lottery Agent below for any questions. Beth Rust, Sudbury Housing Trust 278 Old Sudbury Rd Sudbury, MA 01776 (978) 639-3388 housing@Sudbury.Ma.US Project description The Fulton School is a school building that has been sold by the City and renovated into 11 condominium units, 1 of which is being sold as affordable under the guidelines of the Commonwealth of Massachusetts Department of Housing and Community Development's Local Initiative Program. The affordable unit Unit 1 - will be sold as a condominium, with 2BR and 1.5 baths. The unit has 856 of living square feet on one floor with LR/DR combination, kitchen, 2 bedrooms and a full and half bath. The unit has many upgraded amenities including granite counters, ceiling fan, tile kitchen, and oak cabinets. The unit features high ceilings and many windows. The unit has 2 deeded parking spaces and an exclusive outdoor patio area overlooking a Town-owned undeveloped parcel in a natural setting. There will be Energy Star rated appliances including gas stove, stainless steel refrigerator, disposal, dishwasher and built in microwave. The units will have a washer and dryer connection. The unit is being offered at $170,500. Owners are required also to pay property taxes, and the 2011 Medford tax is
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AFFORDABLE HOUSING APPLICATION Must Be Completed and Returned By Wednesday, December 28, 2011 1PM Applicant Legal Name ______________________ Phone Number ___________ E-mail ___________________ Address _________________________________ City ____________________ State/Zip _________________ I learned of this lottery from (check all that applies): Website: Advertisement: _________________ _________________ Letter: Other: ____________________ ____________________
THIS APPLICATION IS NOT COMPLETE IF NOT SUBMITTED WITH: __________ __________ Completed application signed by all individuals over the age of 18 Copy (not originals) of 2009, 2010 Federal tax returns, as filed, including 2010 1099s, W2s and schedules, for every current or future person living in the household over the age of 18 Copy (not originals) of last consecutive three months of pay stubs, for all salaried employed household members over 18. Six months of income for hourly and seasonal workers. Copy (not originals) of last consecutive three months statements and documents from all other sources of income of all members listed on the application, on organization letterhead. Copy (not originals) of last consecutive three months statements all pages - of all assets showing current value including all bank accounts, investment accounts, retirement accounts, on organization letterhead. Mortgage pre-approval and proof of adequate assets to cover down payment and closing costs. Note that FHA loans or family mortgages are not approved for this project. Documentation regarding current or past interest in real estate, if applicable Minority Self Declaration, if applicable No Income Statement, signed and notarized, for any household member over 18 with no source of income, if applicable Copy of immigration card and/or visa, for any non-citizen over 18 Copy of school registration for any full time student for any household member over 18 No Child Support Statement, signed and notarized, if applicable, containing the language Under penalties of Perjury
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Household Information - List all members of your household including yourself Number of Bedrooms Needed: ___________ . Names of all Persons to Reside in Dwelling (First Name, Middle Initial, Last Name) 1 2 3 4 *Minority preference categories include only Native American or Alaskan Native, Black or African American, Asian, Native Hawaiian or Pacific Islander; or other (non-White); and the ethnic classification Hispanic or Latino. Requires a separate self-declaration document. Property - Do you own or have an interest in any real estate, land and/or mobile home? Yes ( ) No ( ) Address: ___________________________________________ Current Value: _____________________ [Provide current assessment information, tax bill, and mortgage statement] Relation to Head Age Date of Birth Social Security Number Minority Category * (Optional)
Have you sold real estate or other property in the past three years? Yes ( ) No ( ) If yes, attach settlement statement When: ________________ Address: _________________________________ Sales Price: __________________________, [Provide sales settlement form]
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Source of Income
Address/Phone# of Source
TOTAL Assets - List all checking, savings accounts, CDs, stocks, bonds, retirement accounts, savings bonds and any other investments below. If additional space is needed, please attach another sheet. Household assets do not include necessary personal property. # 1 2 3 4 5 6 Type of Asset Checking account Savings account Retirement account Other: ___________________ Other: ___________________ Other: ___________________ TOTAL Bank/Credit Union Name Account No Value, Balance
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