Applicant Information. Property Description

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1 Section 1: Applicant Information *Applicant Name: Company/Organization: *Applicant Mailing Address: *City/State/Zip: *Primary Phone Number: Secondary Phone Number: * address: *Applicant Type: e.g. Individual, LLC, LLC3, Corporation, Partnership, Joint Venture, (Specify) *Is the applicant a non-profit organization? Is the applicant a member of the Community Partners Program? No No The 's Community Parner Program was designed to help community-based organizations stabilize their neighborhoods. To learn more or apply please visit Section 2: Property Description If you have not identified specific properties, please skip to Section 3 - Proposed Use If you have identified the property(ies) of interest, please list below: Total Number of Properties: * *If you have identified more than 4 properties, please attach a list of the properties to this application. 1 Property Application

2 Does applicant own adjacent properties or other properties in the immediate area? If yes, please list below: Adjacent Property Street Number Adjacent Property Street Name *If you have more than 4 properties, please attach a list of the properties to this application. Indicate project boudaries by street names (optional): North South East West 2 Property Application

3 Section 3: Property Application Form Proposed Use Name of Project: (Optional) *Indicate the use being proposed for the property : (e.g. commercial, industrial/manufacturing, mixed-use, multi-family residential, office, open/green space, parking, public facility or institution, single family home, retail, urban agriculture) *Indicate if you are planning any of the following (Check All That Apply): Expansion of or addition to current structure Rehabilitation of a current structure New Construction Demolition A lease or other form of temporary use *In addition to the information above, please attach a project proposal to this application or provide a detailed project description in the space provided below. Please include information about the anticipated use of the property, an estimated project time line, development team members and experience, as well as a description of previously completed projects. For Temporary Use Requests Please provide information below on the temporary use request, including length of temporary use, preferred start and end date, etc. : 3 Property Application

4 Section 4: Pricing If purchase, I offer the following price: If temporary use, I offer the following price: Per month Per Year Section 5: Funding Sources and Uses (Optional) What are your anticipated hard costs, if applicable? (e.g. rehab, construction, physical improvements to the property etc.) What are your anticipated soft costs, if applicable? (e.g. architect, engineer, legal, accounting, permits, etc.) Finance Information How do you intend to pay/finance the purchase price and improvements needed to the property? If applicable, please provide appropriate supporting documentation (e.g. budget, pro forma, etc.): Owner Equity Amount/Cash on Hand: $ Equity Amount: $ Senior Loan Amount: $ Subordinate Loan Amount: $ Public Subsidy Support Amount: $ Public Loan Amount: $ Amount: $ Total Finance Amount: $ : 4 Property Application

5 Attestation & Certification * I acknowledge that failure to disclose a material fact or to misrespresent a fact can result in a rejection of my application. *I certify that all of the information contained in my application is true and correct. *I understand by signing this, I am authorizing the Owner, its affiliates and agents to conduct a credit check and additional background checks as applicable. *I Agree that the Owner, its affiliates and agents may decline my offer for any reason or no reason. *I acknowledge that the property(ies) that I am seeking is(are) subject to all land use and zoning requirements and restrictions, and I agree that I must comply with all applicable land use, zoning, and property maintenance laws and ordinances. I understand and agree that it is my sole responsibility to determine whether the zoning permits my intended use. *I acknowledge that the Owner is only offering property "As is" with no warranty whatsoever. I understand that I am assuming the risks for any and all defects in the property. Applicant assumes the responsibility to investigate. *I acknowledge that the Owner is conveying the property via Quit Claim Deed, and does not warrant title. *I certify that I (or principal or officer if on behalf of a partnership or corporation or affiliated companies) am not in default for the payment of income taxes or property taxes payable to the City of Detroit. *I certify that I (or any principal or officer on behalf of a partnership or corporation or affiliated companies), have no unpaid blight violations owing to the City of Detroit. *I understand that if the Owner discovers that I have outstanding blight tickets or taxes at any time prior to closing, the closing may be delayed until all outstanding balances have been paid. *I certify that I (or any prinicipal or officer on behalf of a partnership or corporation or affiliated companies) have no unpaid water bills owing to the City of Detroit. *I certify that I have read, understand and agree to be bound by all terms of this entire application. I further certify that all of the statements set forth in this application are complete and true. *I certify that I am authorized to execute this application on behalf of this applicant. By submitting this "Property Application Form", the applicant acknowledges that they have read this application, the information is correct and the applicant agrees to comply with applicable provisions of the City of Detroit code(s). To signify your agreement with the above terms, write "I agree", enter your full name, and date below: Type/Print "I Agree" * Enter Full Name * Format (Last Name, First Name) Enter Date * 5 Property Application

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