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V. CREDIT INFORMATION (attach additional sheet if necessary) <br />Financial Institution/Creditor: <br />Mortgage(s) <br />Auto(s): <br />Credit Cards: <br />Other Loans: <br />IV. PROPERTY INFORMATION <br />Current Balance: <br />Monthly Payment: <br />1. Type of property: ❑ Single Family ❑ Duplex ❑ Townhouse or Condo <br />2. Number of bedrooms: 3. Year home was built (must be at least 25 years old): <br />4. Are you the owner of record on this property? (check one): � Yes � No <br />If no, do you hold a contract for deed? � Yes � No List all other owners of record: <br />5. Year home was purchased: 6. Purchase price: $ <br />7. What is the outstanding balance on the mortgage? $ <br />8. Are you current on your mortgage payments? (check one): � Yes � No <br />If no, is the property in foreclosure? (check one) :� Yes � No <br />9. Estimated Market Value listed on current property tax statement: $ <br />Monthly payment: $ <br />10. Alternate property value (i.e. appraisal): $ <br />11. Do you have any other outstanding liens on the property? (check one): � Yes � No <br />If yes, what are they and what are the current balances? <br />12. Have you ever received a home improvement loan through the City of Roseville? (check one): � Yes �No <br />If yes, year loan was taken out: Original Amount:$ <br />Remaining Balance:$ <br />13. Have your property taxes and/or any special assessments been paid up to date? (check one): � Yes � No <br />14. If you are recently divorced & retained the property, has a Quit Claim Deed been filed? (check one): � Yes � No <br />I/We, the undersigned, certify, subject to penalty under Federal law, that the above information is true and correct to the best of my/our <br />knowledge and belief, and I/we understand, accept and agree to the above provisions. <br />ALL HOUSEHOLD MEMBERS AGE 18 AND OLDER MUST SIGN BELOW: <br />Applicant <br />Date <br />Applicant <br />Applicant Date Applicant <br />Date <br />Date <br />