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III, <br />Contact: <br />Address: <br />City: State: Zip: <br />Phone: ( ) Type of Loan (use appropriate letter(s) from chart below) <br />Principal Amount: $ Committed Applied for <br />Interest Rate: % Amortization: _ yrs. Term: _ yrs. <br />Payment Amount: $ Priority of Lien: <br />ICI <br />Commitment Date: <br />Designations for "Type of Loan" Entries <br />A. <br />Conventional Construction <br />H. CDBG Funds <br />B. <br />Conventional Permanent <br />L Other State Funds: (specify) <br />C <br />Conventional Gap <br />J Other Federal Funds: specify): <br />D <br />Conventional Mini -Perm <br />K Local Government Funds: (specify) <br />E <br />FHA <br />F. <br />HOME Program <br />G. <br />Private Funds <br />IV. DEVELOPMENT CONSULTANT <br />A consultant on behalf of the applicant prepared this application.. ❑ Yes ❑ No <br />If yes, will the consultant also administer the proposed activity on behalf of the applicant? ❑Yes ❑ No <br />Name of Consultant: Phone: ( ) <br />Address: City: State: _ Zip: <br />Please attach the consultant's resume. <br />CDBG / HOME Program Application 9 <br />January 2004 <br />