Dear Homebuyer:

Transforming Our Communities

Thank you for contacting SCDHC for your housing and counseling needs. To better serve you, we need to gather additional information to determine if you are eligible for our down payment assistance or home purchase program.

Please complete and sign the Part I Intake Application and submit with $20.00 so we can pull your credit report. You will be notified within two business days upon receipt of your Intake Form.

If we determine you are eligible to make complete application for the program, you will need to submit the Application Part II with supporting documentation listed below. You may submit documents by fax, email, or mail.

If determined eligible, the following documents listed below will need to be submitted with your Application Packet:

Pay stubs for each person in the household (2 most recent months) Tax Returns (Past Two Years) to include W-2’s or Profit & Loss Statements Proof of income from all sources which may include: Social Security

(all forms), unemployment, alimony, child support, etc. Retirement, 401(k), etc. (Provide most recent Quarterly Statement) Bank Statements: Last 6 months (do not send online account activity) Bankruptcy Discharge Papers, if applicable, and letter of explanation Copies of the following loan documents:

1. Loan Application and Pre-Approval Letter from Lender2. Purchase Contract3. Good Faith Estimate Statement/Cost Summary4. Independent Inspection

Upon receiving your complete intake application and requested documents you will be contacted within 5 business days. Your file will be given to a certified housing counselor who will work with you to develop an Action Plan and Budget.

You May Return Your Documents By:

Faxing forms to: 804.233.3020 Scanning & Emailing forms to:dianna@scdhc.com or jortiz@scdhc.com

Mailing forms to: SCDHCATTN: Down Payment Assistance 1624 Hull StreetRichmond, VA 23224

Revised 4/28/2016

HOMEBUYING PROCESS

I am Interested In Becoming a Homeowner

Self-Assessment • Do you have Stable Income?

NO • Is Your Credit score over 620?• Do you have $1,500 in savings?• Are you buying a SCDHC home?• Are you interested in DPA?

YES

Step 1:

Attend CreditWorkshop

Step 1: Meet w/Housing Counselor • Determine Credit Eligibility (620+)• Submit DPA Application & Docs.• Take Homebuyer Education Class

Step 2: Meet w/Housing Counselor • Pull Credit Report• Develop Spending Plan• Create Action Plan

Step 3: Resolve Credit • Pay Judgments/Collections• Negotiate Settlements• Make Arrangements• Update Credit Bureaus

Step 4: Meet w/Housing Counselor • Determine Credit Eligibility (620+)• Submit DPA Application & Docs.

Step 2: Meet w/DPA Counselor • Create Action Plan and Budget• Determine DPA Eligibility• Calculate Housing Affordability

Step 3: Meet with Lender • Complete Loan Application• Assess Credit Report• Get Pre-Approval Letter

• Take Homebuyer Education Class Step 4: Meet with Realtor• Set Spending Limit for House• Housing Preference Worksheet• Find a House/Sign contract• Order Appraisal &Home Inspection

MOVE IN!

Post Purchase Counseling • Household Maintenance• Review Post Purchase Spending

Plan

Step 5: Loan Closing • Loan Approval/Set Closing Date• Final Walk-through• Sign Papers• Get Keys!

Down Payment Assistance Eligibility Requirements For 1st Time Homebuyers

Maximum Price Up to $185,000* Must meet HUD Household Income Guidelines Must be able to Qualify for a Mortgage Loan Must have all Judgments and Collections Paid Must Pass a Whole House HUD HQS Inspection Must use an Inspector from our Approved List Must use a VHDA Approved Lender (verify Lender on www.vhda.com)

Must attend our VHDA Homebuyer Education Class Must invest approximately $2,000 out of your own funds

*For more information, please contact dianna@scdhc.com

SCDHC Intake Form

PART 1

Date: Client Number:

Reason for Visit:

How Did You Hear About SCDHC?

Lender Realtor SCDHC Mail Website Other:

Applicant:

Name:

Address:

City:

Birthdate:

Employer:

Gross Income: Part-Time Income:

Co-Applicant’s Birthdate:

Co-Applicant’s Gross Income:

Rent Own Other

Persons in household: # of Adults # of Children under 18

State:

Zip:

Richmond Henrico Chesterfield

Hopewell PetersburgHome #:

Cell #: Male Female

Email:

Other:

Co Applicant:

Name:

Address:

City:

American Indian/Alaskan Native AsianAfrican American or BlackNative Hawaiian or other Pacific Islander WhiteAmerican Indian & White Asian & WhiteAfrican American & White American Indian & WhiteAmerican Indian & African American

State:

Zip: Other (specify):

Home #:

Cell #:

Hispanic

Email:

Married Single Divorced Widow

Other:Education:

Disabled

Veteran

62+ Female Head of Household

Living in Rural Area: Yes No None High School GED Vocational Other College: Associates Bachelors Masters PhD

Office Use: > 100 80-100< 50 Other

✔ <80

The cost for our Credit Report is $20.00. If you wish to have your credit report pulled, you may pay by cash, money order, or credit/debit card during your counseling session, or on our website under the make a “donation tab”.

AN APPLICATION FOR DPA CANNOT BE CONSIDERED UNTIL WE RECEIVED A COMPLETE APPLICATION PACKET.

Social Security #:

Co-Applicant Social Security:

SOUTHSIDE COMMUNITY DEVELOPMENT & HOUSING CORPORATION AUTHORIZATION & DISCLOSURE

DISCLOSURESouthside Community Development & Housing Corporation is an organization that provides homeownership counseling to homebuyers and foreclosure prevention counseling for homeowners. Southside Community Development & Housing Corporation assists clients through homeownership counseling and education services.There are many real estate brokers, mortgage lenders and mortgage brokers and you, as a client of Southside Community Development & Housing Corporation, are free to choose whomever you please to provide these types of services to you.

AUTHORIZATION FORECLOSURE PREVENTION CLIENTSI/We authorize Southside Community Development & Housing Corporation, its staff or representatives, to act on my/our behalf for the purpose of seeking a resolution with regard to the property listed above. I/We authorize our lending institution/mortgage company to fax, mail, or email any items requested by Southside Community Development & Housing Corporation in reference to our mortgage delinquency immediately. I understand that Southside Community Development & Housing Corporation provides foreclosure mitigation counseling after which I will receive a written action plan consisting of recommendations for handling my finances, possibly including referrals to other housing agencies as appropriate. I understand that Southside Community Development & Housing Corporation receives Congressional funds through the National Foreclosure Mitigation Counseling (NFMC) program and, as such, is required to share some of my personal information with NFMC program administrators or their agents for purposes of program monitoring, compliance and evaluation. I give permission for NFMC program administrators and/or their agents to follow-up with me for the purposes of program evaluation. I acknowledge that I have received a copy of the Southside Community Development & Housing Corporation Privacy Policy.

AUTHORIZATION ALL CLIENTSPursuant to Public Law 91-50B, Title VI, Section 604 (2) & (3) A & B and Section 610 (a) – (d), I/We hereby authorize any Credit Reporting Agency to disclose any consumer credit information to Southside Community Development & Housing Corporation and hereby name Southside Community Development & Housing Corporation as the authorized “person of my choosing”. I/We authorize them to obtain my credit report for the purpose of discussing and/or negotiating all matters regarding pre- and post-purchase counseling. Additionally, you may discuss my file with /Southside Community Development & Housing Corporation personnel (Law No. 1610 (d) 1). I understand that I may be referred to other housing services of the organization or another agency or agencies as appropriate that may be able to assist with particular concerns that have been identified. I understand that I am not obligated to use any of the services offered to me. A counselor may answer questions and provide information, but not give legal advice. If I want legal advice, I will be referred for appropriate assistance. I understand that Southside Community Development & Housing Corporation provides information and education on numerous loan products and housing programs and I further understand that the housing counseling I receive from Southside Community Development & Housing Corporation in no way obligates me to choose any of these particular loan products or housing programs.

PRIVACY STATEMENT

Southside Community Development & Housing Corporation is committed to assuring the privacy of individuals and/or families who have contacted us for assistance. We realize that the concerns you bring to us are highly personal in nature. We assure you that all information shared both orally and in writing will be managed within legal and ethical considerations. Your “nonpublic personal information”, such as your total debt information, income, living expenses and personal information concerning your financial circumstances will be provided to creditors, program monitors and others only with your authorization and signature on the Counseling Agreement. We may also use anonymous aggregated case file information for the purpose of evaluating our services, gathering valuable research information and designing future programs. I acknowledge that this document also serves as Southside Community Development & Housing Corporation's Privacy Policy.

ACKNOWLEDGMENTI/we understand that Southside Community Development & Housing Corporation provides information and education on numerous loan products and housing programs and I further understand that the housing counseling I receive from Southside Community Development & Housing Corporation in no way obligates me to choose any of these particular loan products or housing programs.

I/we have read and received a copy of this disclosure form.

_

APPLICANT SIGNATURE CO-APPLICANT S I G N A T U R E

DATE DATE

SOUTHSIDE COMMUNITY DEVELOPMENT & HOUSING CORPORATION

1624 Hull Street Richmond, VA 23224 (804) 231-4449 (Phone) (804) 233-3020 (Fax) www.scdhc.com

PART II APPLICATION HOMEOWNERSHIP ASSISTANCE

1. RESIDENCES FOR THE PAST 2 YEARS

From Month/Year

To Month/Year

Street AddressCity State Zip

Landlord’s Name

Landlord’s Address Monthly Payment

Please name people who will live in the homeName Relationship Date of Birth Sex Occupation Monthly Income

2. EMPLOYMENT INFORMATION

APPLICANT:

List all work experience (beginning with your present position). List all jobs you have held in the last 5 years.

From Mo./Yr.

To Mo./Yr.

Employer’s Name Phone No. Contact’s Name Reason for Leaving Annual Salary Position/TitleEmployer’s Address

CO-APPLICANT:

List all work experience (beginning with your present position). List all jobs you have held in the last 5 years.

From Mo./Yr.

To Mo./Yr.

Employer’s Name Phone Number Contact Name Reason for Leaving Annual Salary Position/TitleEmployer’s Address

3. BANKING INFORMATION

Name of Bank Address Type of Account Account Number Cur. or Avg. Bal.

4. ASSETS

Make and Model of Vehicle

Year

Make and Model of Vehicle

Year

Retirement, Pension, 401(k), Investments, etc. - $ Can you access these funds before retirement? Yes No

If Yes, how much of funds are available to you? $

5. LIABILITIES (List All Debts, including alimony, child support, banks, etc.)

Lender Account Number Original Amount Owed Monthly Payment Balance

Comments:

Pl eas e do not l eav e any s pac es blank, if they do not appl y, pl eas e write/type, “N A” ( not applic abl e )

I affirm that all of the answers given on this application are all true and accurate and made for the purpose of purchasing a home, applying for help with down payment assistance, or to access other housing related services we offer.

Signature of Applicant Date

Signature of Co-Applicant Date

SOUTHSIDE COMMUNITY DEVELOPMENT & HOUSING CORPORATION1624 Hull Street Richmond, VA 23224 (804) 231-4449 (Phone) (804) 233-3020 (Fax) www.scdhc.com

SCDHC MONTHLY SPENDING PLAN

FIXED EXPENSES Now w/House FLEXIBLE EXPENSES Now w/HouseRent SavingsElectric GroceriesGas/Oil Lunch (work/school)Water/Sewer Eating outTelephone Entertainment/HobbiesCell Phone Beauty/Barber ShopTrash pickup Manicure/PedicureCable TV (basic) Laundry/Dry Cleaning

w/bundle package Cleaning SuppliesAuto Insurance ClothingLife Insurance Gasoline (car/truck)Medical Insurance Bus or TaxiRenter's Insurance Newspaper/MagazinesChild care Tuition/BooksChild support/Alimony School SuppliesInternet Services Field Trips/AllowanceStorage Fee VacationPersonal Prop. Tax/Registration Alcohol/CigarettesOther Church Offerings/TithesTOTAL (A) 0.00 0.00 Christmas/Birthday Gifts

Auto MaintenanceHouse Maintenance

CREDITOR PAYMENTS Now w/House Pet ExpensesTotal Installment loan payments Parking/TollsTotal Auto Payments Lottery/BingoTotal credit card payments Doctor/Dentist Co-paysTOTAL (C) 0.00 0.00 Medical Prescriptions

OtherEXPENSES TOTAL (B) 0.00 0.00

FIXED (A) 0.00 0.00CREDITOR (C) 0.00 0.00FLEXIBLE (B) 0.00 0.00TOTAL EXPENSES (D) 0.00 0.00

NET MONTHLY INCOME Subtract Expenses from Income (E-D)Source 1 Total Income (E) 0.00 0.00Source 2 Total Expenses (D) 0.00 0.00Other IncomeTOTAL (E) 0.00 0.00 DIFFERENCE + OR - 0.00 0.00

Note: If you have accounted for all income and monthly expenses, your difference should be at least $150.00 at month end. If you come up with a negative number, you are spending more than you make. Please revise spending plan to trim expenses.

CERTIFICATION: I hereby certify that I have reviewed the above budget with the applicant(s) and they concur it is reasonable

Client(s) Signature:

Counselor Signature: Date: 09/05/2014

APPROVED SETTLEMENT AGENCIES

FIRST TITLE ESCROW 1 P ARK W EST C IRCLE , S UITE 104 M IDLOTHIAN , VA 23114 (804) 446-5129

A PEX T ITLE AND S ETTLEMENT S ERVICES 4341 COX ROADG LEN A LLEN , VA 23060 (804) 521-8944

SAFE HARBOR TITLE 4900 A UGUSTA A VENUE , S UITE 150 R ICHMOND , VA 23230 (804) 282-2329

HARRELL & CHAMBLISS 707 E AST M AIN S TREET , S UITE 1000 R ICHMOND , VA 23219 (804) 915-3229

Please let your realtor know that the settlement agent of your choice (above) should be noted on the purchase agreement.