Laserfiche WebLink
r. <br />u!jim-rmirun <br />Form FMHA440-1 <br />(Rev. 9.10-76) : <br />REQUEST FOR OBLIGATION OF FUNDS <br />FINANCE OFFICE ONLY <br />0] Loan Number [I] Fiscal Year <br />PART I -COMPLETE FOR ALL LOANS AND GRANTS: <br />1. DATE OF APPROVAL BORROWER IDENTIFICATION <br />2. <br />1 <br />2 <br />3 <br />aNO. NAME FIELDS (1.2..or 3 from below) <br />10 RROWER'S NAME <br />INDIAN RISER BOABD <br />OF COUNTY <br />CpWxiS S I O N E R S <br />3.09 031 191 001200477 <br />NAMF <br />4. P1= da <br />6uNTY NAME <br />L Indialn River <br />6. TYPE ACTION i X1 1 - Ohtiaation Only 2 - Oblig. & Check Request 13 -Correction of Obliq. <br />7. TYPE OF ASSISTANCE 8. TYPE OF LOAN FUNDS 9. TYPE OF SUBMISSION <br />(See FM 1) n 1 -Guaranteed n 2 -Insured F7 1 -initial 2 -Subsequent <br />AYNTT Mia 1. DIRECT PA MEN i2. C IT REPORT 13. VETERAN <br />. M Years 171-Cty Off 1 i2- Fin Off -No ( 1 -Yes 172 -No 1 -Yes F72 -No <br />FOR OFFIC JOR115. TYPE OF ENTITY CODE(Associatior%Organizations. <br />14 Complete for Individuals Only <br />F71.W � •'77etc only) <br />'72 -NIS .• - i �-AI 4=5A r5- A%e-Tax Exempt ! r-� 17 -Non -Tax Exemot 7,19 -NIA <br />_ O <br />16. SEX OF 60RR0%'E2{5) ( >iv;duais Only): 1-M 1 i2 -F <br />17. BORROWER(S) MARITAL STATUS (individuals Only): <br />1 -Married 2 -Separated n3 -Unmarried (including widowed or divorced) <br />18. COMPLETE IF APPLICABLE (See HMI) 19. INTEREST RATE <br />I -Credit Sale n2 -Assumption M -FTM% <br />20. PAYMENTS: I 1 -Monthly E f 2-Annually-Semiannuanv !4-Quarteriv <br />21. AMOUNT OF LOAN 22. AMOUNT OF GRANT 23.AMOUNT OF IMMEDIATE ADVANCE <br />M, FITI, 0 - [7.,, , '6O0 ,� F1 7 <br />PART H - ENI LOANS ONLY 24. DISASTER CODE I I IT <br />PART III - MULTIPLE HOUSING ONLY <br />25. IINTERESTCREEDIT 26. P-RROFITTYPE <br />M•1i�I <br />i -yes 1 ,I2 -No _1_ I1 -Full Profit I I2-L+mited Profit 3 -Non -Profit <br />17. TYPE OF APPLICANT: 1 -individual 2 -Partnership 3.Corporation 4 -Public Body <br />(�5 Assn. of Farmers F76 -Organ: of Farmworkers n7 -Other <br />PART W - INDIVIDUAL HOUSING LOANS <br />28. TYPE OF UNIT:71-Farm Tract n2 -Non -Farm Tract 29. ADJUSTED FAMILY INCOME I . 0 <br />0. DWELLING: I 11-build-2-Purct+ase-New .3 -Purchase -Old I 14 -Refinance ) 5 -Repair <br />31. INTEREST CREDIT_ 32. TAXES AND INSURANCE <br />t -Yes 2 -No n , Insurance Taxes -1st. yr. Taxes -grid yr, <br />33. COMMUNITY SIZE 134. FEE INSPECTION 3S. SQUARE FOOTAGE OF <br />1-10000 or le<s .2 -over 10.000 1 (_11 -Yes 172 -No LIVING AREA <br />PART V - ADDITIONAL IINFOWNIATION (See FAII) <br />- ® <br />Paddm 2 FaM 440.1 (Rev. 9-10-76) <br />DEC 6 1978 <br />A, <br />Bmx 38 war 003 <br />