Instructions for Submitting

INSTRUCTIONS FOR SUBMITTING

HOME APPLICATIONS

1.Complete pages 2 through 19 of the application.

All Applicants must submit one copy of their latest audit or audited financial statement.

All Applicantsproposing to develop units for homeownership must complete Part V: Market Study.

All non-profit organizations and CHDOS must complete Part VI: Non-Profit/CHDO Board Composition with supporting documentation.

All Applicants must complete Part VII: Implementation Plan, as applicable to project type.

All CHDOs requesting Operating Expenses must complete Part VIII: CHDO Operating Expense Budget.

2.Answer all questions. If not applicable to your program, please mark N.A.

3.Submit ONE ORIGINAL application and supporting information. DO NOT SUBMIT APPLICATIONS IN BINDERS OR FOLDERS.

4.The application must be signed by the appropriate official for your organization.

5.The applications are due in THDA’s Nashville office by 4:30 p.m. CDT, Friday, March 4, 2016. If you are not certain that your application will be received on time if delivered through regular mail, you should make other arrangements. Applications received late will not be considered.

6.Submit application to:

Tennessee Housing Development Agency

Andrew Jackson Building, Third Floor

502 Deaderick Street, Nashville, TN 37243

ATTN: Community Programs Division

FAXED OR E-MAILED APPLICATIONS WILL NOT BE ACCEPTED.

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2015-2016 HOME ApplicationPage 1HO 0415 (Revised 11/2015)

APPLICATION FOR THE 2015-2016 HOME PROGRAM

TENNESSEE HOUSING DEVELOPMENT AGENCY

PART I

1.Applicant Information

Name:______

Mailing Address:______

City:______County:______

Zip Code:______Telephone #:______

Applicant’s E-mail Address:______

Federal Tax Identification #:62-______or58-______

Federal Legislative District:House:______

State Legislative District:House:______Senate:______

DUNS #______

2.Applicant Type

______City or County______Non-profit Organization

______CHDO______Public Agency

3.Proposed Program Administrator

Name:______

Mailing Address:______

City:______Zip Code:______

Telephone #:______Fax #:______

Proposed Administrator’s E-mail Address:______

4.Contact Person

If THDA has questions regarding this application, they should contact:

Name:______

Telephone #:______E-Mail Address:______

5.Project TYPE

Homeowner Rehabilitation______Number of units______

Homeownership Development______Number of units______

Homeownership DPA Only______Number of units______

City or County in which your project will be located:

______

If a multi-county project, the number of units in each county:

______

6.Proposed Funding Sources

Applicants must apply for a minimum of $100,000 or a maximum grant of $500,000. Commitment letters for leveraged funds must be attached.

HOME Program Funds______

HOME Administrative Funds______

(not to exceed 6% of total HOME dollars)

HOME CHDO Operating Funds______

(not to exceed 7% of total HOME dollars)

Total HOME Grant______

(not to exceed $500,000)

Other Federal Funds______

Local Government or Agency Funds______

Other (describe)______

TOTAL PROGRAM COST______

7.All Applicants MUST include the following with their applications:

______Copy of latest audit or audited financial statement

To the best of my knowledge, I certify that the information in this application is true and correct and that the document has been duly authorized by the governing body of the applicant. I will comply with the program rules and regulations if assistance is approved. I also certify that I am aware that providing false information on the application can subject the individual signing such application to criminal sanction up to and including a Class B Felony.

Mayor, County Executive, Executive Director or Chairman of the Board:

Signature:______

Typed Name:______

Title:______Date:______

______

2015-2016 HOME ApplicationPage 1HO 0415 (Revised 11/2015)

PART II

HOME PROGRAM NARRATIVE

1.Briefly describe your proposed project. Tell what you are going to do, where you are going to do it, who and how many will benefit, and how you will use the grant funds. Attach an implementation plan that includes a listing of the major tasks in the project and the expected timeframe for completion, such as the date when construction will begin.

2.For non-profit/local government sponsored homeowner rehabilitation projects, please complete the following. Attach resumes, related certifications and applicable licensing information for each service provider.

Name of proposed Program Administrator:______

Administrator Qualifications:

List all HOME projects the proposed administrator has successfully implementedfor the applicant.

Grant year______Project type ______Complete/Underway ______

List all other HOME projects or other federal grant projects the administrator has successfully implementedwithin the last three years.

Grant year______Project type ______Complete/Underway ______

For each of the above, were the projects completed and all funds expended within the contract period? ___ YES ___ NO

If NO, please explain below:

Did any contracts require an extension?_____ YES_____ NO

If yes, please explain below:

Number of staff in Administrator’s organization:

______Full-time

______Part time

Please explain how the administrator services were procured:
Identify and provide the qualifications of the proposed individual or firm that will provide work write-up services:
Identify and provide the qualifications of the proposed individual or firm that will inspect the rehabilitation on behalf of the applicant:
How were the above work write-up and inspection services procured?
Identify and provide the qualifications of the proposed individual or firm responsible for lead-based paint inspection/risk assessment and clearance testing.
How were the services of the lead-based paint inspector/risk assessor procured?
What property standards/codes will apply?

______City/County has ____ a local code ___ no code, and applicable ICC standard will apply

For consideration of points under energy conservation for rehabilitation please thoroughly explain how your project will, to the extent feasible, incorporate an independent energy audit in the rehabilitation work write-up.

For Homeowner Rehabilitation projects, please provide the following information and attach any supporting documentation.

An estimated number of owner-occupied units in the target market that can be made code-worthy within the $40,000 per unit cap.
If the applicant has previous homeowner rehabilitation experience, did prior demand for the program exceed the available funding? If so, please provide a demographic snapshot of the past program participants and an estimated number of eligible households that were not served in previous years.
Does the applicant have a waiting list of applicants for assistance? If so, please provide a demographic snapshot of the households on the list.
Does the local jurisdiction maintain a record of housing complaints related to homeowner units in need of repair? If so, please summarize the number and nature of those complaints?

4.For CHDO new construction/homeownership proposals, please complete the following. Attach resumes, related certifications and applicable licensing information for each service provider.

Proposed architectural services/plans and specifications provider: ______

Proposed construction management services provider: ______

Proposed inspection services provider: ______

Proposed HERS rater: ______

How were the above listed services procured?
Have sites been identified and secured?_____ YES_____ NO

If YES, please attach:

______Map for each location;

______Purchase documentation (sales contract or option);

______Plans and specifications;

______Cost estimates; and

______Financial firm commitments.

What property standards/codes will apply?

______City/County has ____ a local code ___ no code, and applicable ICC standard will apply

Indicated whether units constructed will include universal design and/or visitability features. If so, describe related features that will be included in unit design.
Does the CHDO have a pipeline of qualified home buyer applicants? How ready are the home buyer applicants to complete the purchase of a HOME unit? Attach a list of homebuyers working with the CHDO and an estimated timeline of completing the sale transaction.
What method will the CHDO use to determine the sales price of the HOME-assisted unit?
How will the CHDO determine the amount of assistance that must be left in the unit to qualify the home buyer for the permanent financing?
In the event that a homeownership unit converts to a rental unit if it remains unsold nine months after the completion of construction, describe the CHDO’s capacity to manage a HOME rental housing program for the applicable affordability period.
How will the CHDO be involved in the on-going program administration to insure compliance with the affordability requirements of the HOME program?
Please describe the intended disposition of the CHDOs proceeds from the sale of the HOME-assisted units.
Please indicate the current balance of CHDO proceeds on hand (if any), whether the CHDO intends to use CHDO proceeds in conjunction with this application, and, if not, indicate the alternative plan for their use.
What steps will be taken to solicit bids for construction activities from qualified Minority Business Enterprises/Women Business Enterprises (MBE/WBE) or Section 3 eligible contractors?

5.For CHDO acquisition/rehabilitation/resale, please complete the following. Attach resumes, related certifications and applicable licensing information for each service provider.

Proposed individual or firm that will provide work write-up services:

Proposed individual or firm that will inspect the rehabilitation on behalf of the CHDO and authorize draws:

Proposed individual or firm that will provide lead-based paint inspections:

How were above listed servicesprocured?
Have sites been identified and secured?_____ YES_____ NO

If YES, please attach:

______Map for each location;

______Purchase documentation (sales contract or option);

______Plans and specifications;

______Cost estimates; and

______Financial firm commitments.

What property standards/codes will apply?

______City/County has ____ a local code ___ no code, and applicable ICC standard will apply

Does the CHDO have a pipeline of qualified home buyer applicants? How ready are the home buyer applicants to complete the purchase of a HOME unit? Attach a list of homebuyers working with the CHDO and an estimated timeline of completing the sale transaction.
How will the CHDO determine the amount of HOME-assistance needed to make the purchase of the housing unit affordable to the home buyer?
What method will the CHDO use to determine the sales price of the HOME-assisted unit?
In the event that a homeownership unit converts to a rental unit if it remains unsold nine months after the completion of construction, describe the CHDO’s capacity to manage a HOME rental housing program for the applicable affordability period.
How will the CHDO be involved in the on-going program administration to insure compliance with the affordability requirements of the HOME program?
Please describe the intended disposition of the CHDOs proceeds from the sale of the HOME-assisted units.
Please indicate the current balance of CHDO proceeds on hand (if any), whether the applicant intends to use CHDO proceeds in conjunction with this application, and, if not, indicate the alternative plan for their use.
Please thoroughly explain how the project will, to the extent feasible, incorporate an independent energy audit in the rehabilitation work write-up.
Indicate whether units rehabilitated will include universal design and/or visitability features. If so, describe related features that will be included in the unit design.
What steps will be taken to solicit bids for construction activity from qualified Minority Business Enterprises/Women Business Enterprises (MBE/WBE) or Section 3 contractors?

6.For non-profit organization or local communities proposing a downpayment assistance program, please complete the following.

What property standards/codes will apply?

______City/County has ____ a local code ___ no code, and applicable ICC standard will apply

Does the non-profit or local community have a pipeline of qualified home buyer applicants? How ready are the home buyer applicants to complete the purchase of a unit? Attach a list of homebuyers working with the non-profit or local community and an estimated timeline of completing the sale transaction.
How will the applicant determine the amount of HOME-assistance needed to qualify the home buyer for the permanent mortgage?
How will the applicant be involved in the on-going program administration to insure compliance with the affordability requirements of the HOME program?

7.How were local residents made aware of the application being submitted?

8.If funded, how will local residents be made aware of the proposed program? What efforts will be made to provide outreach to minority and underserved populations? How will recipients of the program be selected?

9.Does the applicant or administrator have any unresolved compliance findings or concerns from prior year grants?

_____ YES_____ NO

If YES, please explain below:

10.For Urban/Rural Applicants, how will the applicant be involved with the on-going program administration and insuring the provisions of the compliance period?

PART III

HOME PROGRAM SUMMARY FORM

OWNER OCCUPIED UNITS

# of Units / HOME Funds Per Unit / Other Funds
Per Unit / Total Cost
Per Unit
Rehabilitation / $ / $ / $
Homeownership / $ / $ / $
TOTAL / $ / $ / $

PART IV

HOME PROJECT BUDGET

Funding Source / Homeowner
Rehabilitation / Homeownership Development / Homeownership DPA Programs / Administration or CHDO Operating / TOTAL
HOME FUNDS / $ / $ / $ / $ / $
Other Federal Funds / $ / $ / $ / $ / $
CHDO Proceeds / $ / $ / $ / $ / $
Other State Funds / $ / $ / $ / $ / $
Local Gov’t Funds / $ / $ / $ / $ / $
Agency Funds / $ / $ / $ / $ / $
First Mortgage Funds / $ / $ / $ / $ / $
Private Funds / $ / $ / $ / $ / $
Donated Land, Labor Materials / $ / $ / $ / $ / $
Other / $ / $ / $ / $ / $
TOTAL / $ / $ / $ / $ / $

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2015-2016 HOME ApplicationPage 1HO 0415 (Revised 11/2015)

PART V:MARKET STUDY

Supply and Demand Analysis

Please provide a snapshot of the primary market area including any neighborhood amenities in close proximity to the proposed target area.

Please provide the following information and attach support documentation for each item and summarize the conclusions you have reached with respect to the data.

CHDO Construction/Rehabilitation for Home Ownership

Define the target population for this project?
Define the target area(s) in which the project(s) will be located?
How many residential units (including vacant units) are available for sale in the proposed service area at a price point comparable to the sales price anticipated by the application?
How many renter households are there in the proposed service area that demonstrate sufficient income to attain homeownership at the anticipated sales price?

Downpayment Assistance Programs for Homeownership

Define the target population for this project?
Define the target area(s) in which the project(s) will be located?
How many residential units (including vacant units) are available for sale in the proposed service area at a price point comparable to the sales price anticipated by the application?
How many renter households are there in the proposed service area that demonstrate sufficient income to attain homeownership at the anticipated sales price?

PART VI:NON-PROFIT/CHDO BOARD COMPOSITION

Copy as necessary for all Board Members

Number of Board Members Required by By-Laws of the Organization: ______

Name: ______

Home Address: ______

Race: ______Sex: _____Occupation: ______

Primary Contribution to the Board: ______

______

Length of Board Service: ______Date Board Term Expires: ______

FOR CHDO DESIGNATION ONLY:Low-Income Board Member?YesNo

Resident of low-income neighborhood

Elected representative of low-income neighborhood organization

Other low-income community resident

Annual household incomeBelow 80% of Area Median Income

(adjusted for family size)Greater than 80% of Area Median income

Name: ______

Home Address: ______

Race: ______Sex: _____Occupation: ______

Primary Contribution to the Board: ______

______

Length of Board Service: ______Date Board Term Expires: ______

FOR CHDO DESIGNATION ONLY:Low-Income Board Member?YesNo

Resident of low-income neighborhood

Elected representative of low-income neighborhood organization

Other low-income community resident

Annual household incomeBelow 80% of Area Median Income

(adjusted for family size)Greater than 80% of Area Median income

Name: ______

Home Address: ______

Race: ______Sex: _____Occupation: ______

Primary Contribution to the Board: ______

______

Length of Board Service: ______Date Board Term Expires: ______

FOR CHDO DESIGNATION ONLY:Low-Income Board Member?YesNo

Resident of low-income neighborhood

Elected representative of low-income neighborhood organization

Other low-income community resident

Annual household incomeBelow 80% of Area Median Income

(adjusted for family size)Greater than 80% of Area Median income

PART vii

Tennessee Housing Development Agency

2015-2016 HOME PROGRAM

IMPLEMENTATION PLAN FOR HOMEOWNERSHIP PROJECTS

GRANTEE:

I.The time-table for completing the project shall be:

ERR submitted to THDA
Policies & Procedures adopted
Select homebuyer(s) and determine eligibility
Acquisition of property, if applicable
Initial inspection conducted by THDA
Work write-up or specifications completed
Approval of plans, specifications, work write-up, estimates by THDA
Advertise projects for bid and hold Pre-Bid Conference
Begin construction of first units
THDA progress inspection at mid-point of construction
Complete construction in compliance with codes and construction contract
THDA final inspections
All required documentation complete and submitted to THDA
Sell units to homebuyer(s)
Contract complete

PART vii

Tennessee Housing Development Agency

2015-2016 HOME PROGRAM

IMPLEMENTATION PLAN FOR DOWNPAYMENT ASSISTANCE PROJECTS

GRANTEE:

I.The time-table for completing the project shall be:

ERR submitted to THDA
Policies & Procedures adopted
Select homebuyer(s) and determine eligibility
Homebuyers select units to be purchased
Determine level of HOME assistance
THDA inspection of unit
All required documentation complete and submitted to THDA
Homebuyer completes purchase
Contract complete

PART VII

Tennessee Housing Development Agency

2015-2016 HOME PROGRAM

IMPLEMENTATION PLAN FOR HOMEOWNER REHABILITATION PROJECTS

GRANTEE:

The time-table for completing the project

ERR submitted to THDA

2.Policies andProcedures adopted

3.Public Meeting to Explain Program