Laserfiche WebLink
+s1 <br />► u►m FmHA44G-1 <br />(Rev. 9-10.70 (�� <br />WLoan Number Fiscal Year <br />REQUEST FOR OBLIGATION OF FUNDS <br />PART I -COMPLETE FOR ALL LOANS AND GR ANTS: <br />1. DATE OF APPROVAL ST CO RRION <br />li5� 3. 0'.► 0 3 1' 0 0 0= <br />2. NO. NAME FIELDS (1,2, or 3 from below) <br />4. <br />1 BOARD OF COUNTY FLORIDA <br />L - <br />2 COMMIS S 1 0 N t R S OUNY AME <br />INDIAN RIVER <br />3 I D I A N RIVER COUNT Y <br />5. <br />N <br />2 - Obiig. &Check Request 3 -Correction of Obiig. . <br />6. TYPE ACTION X t • Obligation Only g, TYPE OF SUBMISSION <br />7. TYPE OF ASSISTANCE 8. TYPE OF LOAN FUNDS g 1 -Initial 2 -Subsequent <br />See FMI t Guaranteed }= 2 -Insured <br />0. REPAY ENTT R S DIRECT A MEN 12. REDITR POR 1 ERAN <br />Years t C tiff El <br />2- Fin Off -No t -Yes 2 -No 1 -Yes 2 -No <br />FOR OFFICIAL USE ONLY OR 15. TYPE OF ENTITY CODE(Associatiorkorganizations, <br />etc. only). <br />14. Complete for Individuals Only <br />7-W 2 N -AI 4 -SA 5-O X e-Tax'Exem t 7 -Non -Tax Exempt MS -N/A <br />16. SEX OF BORROWERS) (Individuals Only): 1-M 2-F <br />V. BORROWERS) MARITAL STATUS (Individuals Only): <br />i -Married 2 -Separated 3 -Unmarried including widowed or divorced <br />18. COMPLETE IF APPLICABLE (See FMI) 19. INTEREST RATE <br />I -Credit Sale 2 -Assumption 4-Quarterl <br />20. PAYMENTS: 1 -Monthly 2-AnnuallykSeMlannually y <br />21. AMOUNT SF LOAN 22. AMOUNT OF GRAN23.AMOUNT OF IMMEDIATE ADVANCE <br />0 4 2 7 . O <br />PART H - EM LOANS ONLY 24. DISASTER CODE <br />PART III - MULTIPLE HOUSING ONLY <br />t -Yes I I2 -No T -run MVITL - __ - U4 -Public Body <br />17. TYPE OF APPLICANT: i -Individual 2 -Partnership -Corporation ether <br />5 -Assn. of Farmers 6.Organ, of Farmworkers <br />PART IV - INDIVIDUAL HOUSING LOANS <br />28. TYPE OF UNIT: 1 -Farm Tract 2 -Non -Farm Tract 29. ADJUSTED FAMILY INCOME <br />IEL <br />30. DWELLING: 1 - Build -Purchase-New 3 -Purchase Old 4 -Refinance Repair <br />31. INTEREST CREDIT 32. TAXES AND INSURANCE <br />t -Yes 2 -No Insurance <br />fl�, �Txe,�lstyr- Taxes -2nd yr. <br />33. COMMUNITY SIZE 34. FEE INSPECTION 35. SQUARE FOOTAGE <br />QF <br />1-10 000 or less 2 -over 10 000 i-Yos 2 -No LIVING AREA. <br />PART V - ADDITIONAL INFORMATION (See FMI) <br />4 <br />SEP i •� i <br />Poatton 2 FmHA 440.1 (Rev. 9-10-76) <br />PJOK 31 PA 19 <br />