COUNTY OF HAWAI I OFFICE OF HOUSING & COMMUNITY DEVELOPMENT INFORMATION & APPLICATION PACKET FOR KAMAKOA NUI

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1 COUNTY OF HAWAI I OFFICE OF HOUSING & COMMUNITY DEVELOPMENT INFORMATION & APPLICATION PACKET FOR KAMAKOA NUI AT WAIKOLOA A WORKFORCE HOUSING COMMUNITY DEVELOPER: COUNTY OF HAWAI`I Applications are available from the Exclusive Community Sales Agent Kamakoa Nui Sales Center Iwikuamo`o Dr. Waikoloa, HI (808) Hours: 10:00 am to 5:00 pm Monday-Friday Weekends by Appointment Aldridge Associates-Realtors P.O. Box Waikoloa, HI (808) Hours: 10:00 am to 5:00 pm Monday-Friday This Project Information is not an offer to sell any unit in the project. Any information about the proposed project or any unit, including prices, design and availability, is preliminary and may change. 1

2 TABLE OF CONTENTS Page No Welcome Message from the Mayor 3 Project Fact Sheet 4 Project Site Map 6 Office of Housing and Community Development (OHCD) Department Overview 7 Exclusive Sales Agent Contact Information 7 A. Kamakoa Nui Workforce Housing Overview 8 1. Definitions / Commonly Used Terms 8 2. Eligibility Requirements Application to Purchase Process 10 a. Application Review 10 b. Notice of Approval/Disapproval 11 B. Selection Process Property Selection Phase of Homes Release Project Status 11 C. Purchase Contract Pre-Contract Signing Contract Signing 12 a. OHCD Affordable & Workforce Housing Program 12 i. Buyback Program 12 ii. Shared Equity Program Pre-closing Closing 13 D. Application Instructions Standard Application Forms Instructions 13 a. Application Form 13 b. Verification of Employment Form 13 c. Residency and Household Income Eligibility Verification Documents 14 Application Forms 15 2

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4 PROJECT FACT SHEET The Kamakoa Nui Community was built as an experimental or demonstration housing project designed to meet the needs of low- and moderate-income persons per Chapter 201H, of the Hawai i Revised Statutes. In addition, it was to bring affordable housing for those that work within a 45 mile radius of the community. Kamakoa Nui provides One and Two-Story Bungalow and Single Family traditional homes located within Waikoloa Village on the Island of Hawai`i, zip code Ninety-one (91) Workforce homes, Fee Simple Home Types: Twelve (12) Unit Type Distribution & Prices Starting at: Bungalow A 2 Bedroom / 2 Bath single story 942 SF $235,900 Quantity: 8 homes Bungalow B 3 Bedroom / 2.5 Bath two story 1,264 SF $267,900 Quantity: 9 homes Bungalow D 3 Bedroom / 2.5 Bath two story 1,335 SF $274,900 Quantity: 6 homes Single Family A 3 Bedroom / 2 Bath single story 1,260 SF $277,900 Quantity: 25 homes Single Family C 3 Bedroom / 2.5 Bath single story 1,346 SF $286,900 Quantity 22 homes Single Family E 3 Bedroom / 2 Bath single story 1,213 SF $261,900 Quantity: 21 homes Total: 91 Units Accessible / ADA: Pre-designated homes designed per ADA Accessibility Guidelines Pre-designated homes with an exterior ADA parking stall Parking: Bungalows feature detached, two (2) car garage Single Family Homes feature an attached, two (2) car garage 4

5 PROJECT FACT SHEET (continued) Included Features Exterior: Hardiepanel and Hardieplank Siding Asphalt and fiberglass composition roofing shingles (30-Year Manufacturer s Warranty) Solar water heating system Covered Lanai s Low-E, double glazed, vinyl sliding glass doors and windows with mesh screens. Two-Car garage with two (2) infrared remote controls Included Features Interior: Coil top free standing electric range with self-cleaning oven Ductless range hood 1/2-horsepower garbage disposal Built-in Energy Star automatic dishwasher Built in linen closets in selected Master Baths Master bedroom walk-in closet in selected homes Ceiling fans located in living rooms and master bedrooms Wall-to-wall carpet in bedrooms, living and dining rooms, hallway, storage, stairs and under-stair storage 80-Gallon or 120-Gallon solar water heater with electric back up dependent on home. Four (4) Architect selected interior finish schemes, which consist of laminate countertops, carpet and vinyl flooring in the kitchen and bathrooms Community Features: Recently completed County Park with ball fields, comfort station Skate park under construction Future extension of Paniolo Drive Units offered to Owner-Occupants in accordance with Chapter 11 of the County of Hawai`i County Code eligibility requirements and income limits and are subject to the Ten-Year Buyback and Fifteen-Year Shared Equity Program. Developer: County of Hawai`i Office of Housing & Community Development Preferred Project Lender: Coral Lending Group Inc, First Hawaiian Bank Exclusive Project Broker: Dan Aldridge, Aldridge Associates-Realtors Information described is representational only and may be subject to change. 5

6 Project Site Map 6

7 COUNTY OF HAWAI`I OFFICE OF HOUSING AND COMMUNITY DEVELOPMENT DEPARTMENT OVERVIEW MISSION STATEMENT: To provide for the development of viable communities in Hawai i County by providing decent housing, suitable living environments and expanding economic opportunities. OHCD is responsible for the data coordination, program and policy compliance and support that benefit low- to moderate-income residents and is structured into four divisions: Administrative, Community Development, Existing Housing, and Grants Management. ADMINISTRATIVE DIVISION: Responsible for the accounting, clerical, and technology support services for the department. COMMUNITY DEVELOPMENT DIVISION: Provides coordination and construction management for rehabilitation and new construction projects for County owned facilities, technical assistance with Fair Housing inquiries, funding and exemptions to housing projects. GRANTS MANAGEMENT DIVISION: Responsible for the administration of the Community Development Block Grant (CDBG), HOME Investment Partnerships Program, Neighborhood Stabilization Program (NSP), Special Purpose Grant, Housing Preservation Grant, Workforce Investment Act (WIA) Grant, and other programs. EXISTING HOUSING DIVISION - SECTION 8: Administers the Family Self-Sufficiency Program, the Homeownership Option Program, Housing Choice Voucher Program, Project-Based Voucher Program, HOME Tenant-Based Rental Assistance Program, Down Payment Assistance Program and the Residential Emergency Repair Program (RERP). Also monitors the management of Kula imano Elderly Housing and Ōuli Ekahi Housing Projects. IF YOU HAVE ANY QUESTIONS REGARDING OHCD'S PROGRAMS AND/OR REQUIREMENTS, PLEASE CONTACT: Kona Office Ane Keohokalole Hwy Building B, Second Floor Kailua-Kona, HI Office Hours: Monday Friday 7:45 am to 4:30 pm Hilo Office 50 Wailuku Drive Hilo, HI Office Hours: Monday Friday 7:45 am to 4:30 pm Existing Housing-Section Kino`ole Street Hilo, HI Office Hours: Monday Friday 7:45 am to 4:30 pm FOR KAMAKOA NUI & WAIKOLOA COMMUNITY RELATED QUESTIONS, CONTACT THE EXCLUSIVE SALES AGENT AT: Kamakoa Nui Community Sales Center Aldridge Associates-Realtors Iwikuamo`o Dr. PO Box Waikoloa, HI Waikoloa, HI Hours: 10:00 am to 5:00 pm Monday-Friday Hours: 10:00 am to 5:00 pm Monday-Friday Weekends by Appointment 7

8 A. KAMAKOA NUI WORKFORCE HOUSING OVERVIEW The information contained in this packet is designed to provide the applicant with a general overview of the eligibility requirements, application, sales and closing processes for the Kamakoa Nui Community. Further details specific to each process will be provided by the Community Sales Staff. As part of the OHCD s workforce housing program, all purchasers must (1) meet all the eligibility and income requirements and (2) accept the (a) Use, Sale and Transfer (Buyback) and (b) Shared Equity Program (SEP) restrictions. Other conditions may be required by the lenders as part of this development. A1. DEFINITIONS / COMMONLY USED TERMS Commonly Used Terms Applicant Buyback Program TEN (10) YEAR RESTRICTION ON USE, SALE AND TRANSFER Co-applicant County Eligible Purchaser Family Gross Monthly Income Household Composition/ Household Size 8 Definition / Description Primary person applying to purchase a property. If applying with a spouse, co-applicant and coapplicant spouse, collective reference to include all members purchasing a property. From the date of recordation, for a period of 10-years: 1. Purchaser shall occupy, establish, and use the property as a primary residence at all times; 2. The County has the first-right-of-refusal to repurchase the property if the homeowner, under extenuating circumstances, cannot be an owner occupant as required, has the need to sell, and/or transfer the property. In the event the County exercises its option to repurchase the property from the homeowner, the repurchase price shall not exceed the sum of: (a) The original purchase price and certain original closing costs; plus (b) The cost of any capital improvements added by the purchaser; plus (c) Simple interest on the original purchase price, certain original closing costs and capital improvements at the rate of one (1) percent per year. 3. Future refinancing of the property during the buyback period is limited where additional financing cannot exceed the above repurchase price. NOTE: Prior to contract signing, a full disclosure of the program will be provided for review and acceptance. A co-applicant, is 18-years or older, can be a spouse, and will reside in the unit. If there is more than one co-applicant, complete additional forms as needed. Submit all co-applicant forms, appropriate documentation with the primary applicant s forms. The County of Hawai i, or the Office of Housing and Community Development as its representative. Applicant who meets OHCD s eligibility & income requirements based on OHCD s review of the application and required supporting documentation. (1) Two or more persons who live or intend to live together as a unit and whose income and resources are available to meet the family s need and who may, but need not be, related by blood, marriage, or operation of law, including foster children and hanai children and whose head of household has reached the age of majority, or is otherwise legally emancipated; (2) A person who is pregnant or in the process of securing legal custody of a minor child or children, and who has reached the age of majority or is otherwise emancipated. (Ch , HAR) The total amount of income for one month before deductions of taxes, social security, savings plans, child support, etc. Income to include earnings from part-time jobs, tips, cost of living allowance (COLA), basic allowance for housing (BAH), dividends, interest, royalties, pensions or annuity distribution, Veterans Administration (VA) compensation, sick pay, income from trusts, contributions to deferred compensation plan, and other income from sources such as welfare benefits, workers compensation, aid to families with dependent children, public assistance, tax exempt interest income. Refer to Family. Person(s) who are residing or intending to reside together as a unit at the property purchased.

9 Household Income Limit The maximum income allowed per household according to the total household size. Refer to the table below for the appropriate income limits for Limits are subject to change. Household Size Maximum Income Limit 140% of HUD Area Median Income (AMI) 68,460 78,260 88,060 97, , ,400 Household Member Legal Dependent Legal Resident Non-Dependent OHCD Preferred Family Size Qualified Resident Real Estate Ownership Shared Equity Program (SEP) A person who is a co-applicant or will reside in the dwelling unit purchased, household members who comprise the total household composition must be listed on one application only and may not be listed on another application. If applications are found listing the same household members, such applications will be rejected. Dependents claimed on applicant s Hawai i Resident Income Tax Returns, which are qualifying children and qualifying relatives. Applicant(s) must be a resident of the State of Hawai i and must be paying Hawai i Resident Income Tax at the time of application. Proof of residency will be determined by Hawai i State income tax return filing and tax withholdings. If spouse is not a resident of Hawai i, spouse must complete the application, but will not be eligible to purchase a unit. Upon request by OHCD, applicant and spouse must submit verification as confirmation. Family members who are related by blood, marriage, or operation of law and/or legal custody who are currently living with or intend to live as a unit in the dwelling purchased, but do not qualify as a Legal Dependent. The County of Hawai i, Office of Housing and Community Development. The Preferred Family size provided by Section , Hawai i Administrative Rules, as follows: DWELLING UNIT SIZE PREFERRED FAMILY SIZE 2 bedroom 3 persons 3 bedroom 4 persons A person who is: (1) a citizen of the United States or a permanent resident alien; (2) at least eighteen years of age; (3) a legal resident of the State of Hawai i who physically resides in the State of Hawai i and shall physically reside in the unit purchased; (4) proof of residency will be determined by Hawai i State Income Tax Filing and Tax Withholding; (5) does not by himself/herself, his/her spouse or together with a spouse (unless separated and living apart under a decree from a court of competent jurisdiction) own a majority interest (more than fifty percent 50%) in fee simple and/or leasehold, any real estate property anywhere in the world, that is suitable for dwelling purposes including homes, condominiums, cooperatives, etc.; including a majority interest in lands under any trust agreement or other fiduciary arrangement in which another person holds legal title to such land; (5) has sufficient gross income to qualify for the loan required to finance the purchase. Applicant and spouse (and Co-Applicant and Co-Applicant Spouse), individually or together cannot own more than fifty percent (50%) in any fee simple and/or leasehold property(ies). Ownership by parties on the application of more than fifty percent (50%) interest in any real estate property suitable for dwelling purpose anywhere in the world, including property held in a trust agreement, will disqualify an application. Ownership of such real property by a spouse even if spouse is not on the application (unless separated and living apart under a decree from a court or competent jurisdiction), will disqualify an applicant or co-applicant. From the date of recordation, for a period of 15-years: 1. Purchaser shall occupy, establish, and use the property as a primary residence at all times; 2. If the purchaser wishes to sell or transfer title to the property, the County is entitled to receive a percentage of the sales proceeds. NOTE: Prior to contract signing, a full disclosure of the program will be provided for review and acceptance. 9

10 Total Household Income Total Household Size The sum of the gross monthly income received from all household members 18 years and older who intend to reside in the property. Refer to Gross Monthly Income above. Household income will be based on the information submitted at the time of application. Subsequent income increase or decrease will not change applicant s income eligibility, except in the case of a change in the household composition that occurs prior to closing. THE TOTAL HOUSEHOLD INCOME MUST NOT EXCEED THE HOUSEHOLD INCOME LIMIT ESTABLISHED FOR THE PROJECT. Refer to Household Income Limit above. The sum of all household members listed on the application and co-application, if any, who live or intend to live as a unit in the property purchased. Applicant is responsible to notify the sales agent of any changes to household size prior to closing. A2. ELIGIBILITY REQUIREMENTS In order to be eligible to purchase real property, all Applicant(s) must meet all of OHCD s eligibility and income requirements, at time of application. These requirements must be maintained until the recordation of the sale of the property, except in the case of income which is determined at time of application only, unless a change in household size occurs. Applicant will be required to sign an acknowledgement of continued eligibility as part of the sales contract and closing process. EACH APPLICANT MUST MEET THE FOLLOWING REQUIREMENTS: a. Be a qualified resident as defined in Section A1 Qualified Resident. b. Applicant s total household income cannot exceed the maximum income limit according to total household size, as established in Section A1 Household Income Limit. c. Work within a 45 mile radius from community. d. Applicant, Co-Applicant, or spouses must not own or have owned a home within three (3) years prior of submitting an application. Applicants who meet the above requirements as determined by OHCD will be deemed an eligible purchaser as defined in Section A1 Eligible Purchaser. NOTE: If applying with a person who does not meet all of the OHCD requirements, only the eligible applicant will be able to purchase a home and hold title to the home purchased. An ineligible person will not be able to purchase or hold title. A3. APPLICATION TO PURCHASE PROCESS a. Application Review All completed applications must be submitted to the community sales agent with all the required documents and applicable forms. 10

11 Upon preliminary review and processing of the applications received by the Community Sales Staff, the applications will be transmitted to OHCD for review and determination of eligibility to purchase a home. b. Notice of Approval/Disapproval Applicant will be notified of their application status in writing or electronically, at the end of the application review period. If approved, applicant will be deemed an eligible purchaser. If disapproved, applicant will be deemed ineligible to purchase and reasons for ineligibility will be provided. If applicant disagrees with OHCD determination of ineligibility, applicant shall submit a request for reconsideration in writing and include supporting documentation to support its position of eligibility. If OHCD determines an application to be incomplete, OHCD will request additional information from the applicant, through the Community Sales Staff. Applicant is encouraged to cooperate with the Community Sales Staff and provide requested documentation for OHCD to complete its review of the application. Otherwise, the application will be disapproved due to incompleteness. B1. Property Selection B. SELECTION PROCESS Property Selection will be on a first come, first serve basis, with priority going to those who have been deemed eligible by the Community Sales Staff and OHCD through the application process. B2. Phase of Homes Release Community Sales Staff will notify qualified applicants of the Phase of Homes Release date, time and process. B3. Project Status For periodic project updates, contact the Community Sales Staff at (808) C1. Pre-Contract Signing C. PURCHASE CONTRACT Eligible purchasers will be notified by the Community Sales Staff of the contract signing date and the requirements to sign the sales contract, such as a mortgage pre-approval letter and Earnest Money Deposit. 11

12 C2. Contract Signing The Community Sales Staff will orient the buyer(s) with the Deposit Receipt and Sales Contract document and review the terms and conditions under which the property is being sold. Failure to comply with the terms and conditions of the sales contract may result in default and cancellation fees. a. OHCD Affordable & Workforce Housing Program As part of OHCD s workforce housing program, OHCD imposes 2 separate restrictions on all property developed or sold under Chap 201H, HRS. These restrictions will encumber the property as deed restrictions. Prior to signing the sales contract, a full disclosure of the two programs will be provided to buyers as part of the sales contract. Homes at Kamakoa Nui must be occupied by the owner. Only in extenuating circumstances, where owner cannot be the occupant, shall these restrictions apply. Brief hi-lites of the programs are listed below. i. Buyback: o From the recording date for a period of 10-years, owner must be an owneroccupant. o OHCD consent is required under certain conditions. o There are certain limitations under the buyback program. o Buyback restriction automatically expires after 10 years. o OHCD has the first-right of refusal to repurchase the unit, if owner cannot be an owner occupant as required. ii. Shared Equity (SEP): o SEP is separate from the buyback. o From the recording date for a period of 15-years, if the Purchaser wishes to transfer title, the County shall be entitled to receive a percentage of the sales proceeds. o From the recording date until the SEP is paid, owner must be occupant for a ten-year period. o SEP percent shares are determined prior to closing on the transfer and once recorded will not change. o Sample calculation of how the percentage is determined is provided in the deed exhibit. o Sample of how to calculate the pay-off is provided in the exhibit to Sales Contract. o OHCD consent is required under certain conditions. o There are certain limitations under the SEP program. o SEP will be satisfied after 15 years. C3. Pre-Closing Prior to closing, buyer will be notified by Community Sales Staff of the closing process and the anticipated closing date. In order to close the transaction, buyer must complete the Homeownership Counseling class as required by the terms and conditions of the sales contract, regardless if buyer is paying cash or have already taken a similar class. Buyer will be required to complete the class as provided by Hawai`i Homeownership Center. Failure to complete the class may result in closing delays, additional fees due to delays, and/or cancellation of sales contract. 12

13 C4. Closing Upon closing, escrow will provide buyer with a copy of buyer s closing statement (itemized costs of the transaction) and certified, recorded copy of the property deed document. Buyer is encouraged to retain copies of the recorded deed for future reference of the OHCD programs. D. APPLICATION INSTRUCTIONS This section is provided to assist the applicant in submitting a completed Application to purchase Real Property within the Kamakoa Nui Community. Attach all applicable supporting documentation to the Application for eligibility verification. Upon request by OHCD or the sales agent, any additional information and/or documentation must be submitted in order for OHCD to complete its review of the Application. D1. Standard Application Forms 1. Application 2. Verification of Employment for all Household Members over the age of 18 Duplicate forms as necessary. D2. Instructions a. Application Form: o o o Complete Application in its entirety, including signatures For definitions, review section A1. Definitions/Commonly Used Terms Section C, list household members that will be residing with the Applicant. If any discrepancies with supporting documents, please attach an additional sheet explaining such circumstances. b. Verification of Employment Form: o o o Applicant, Co-Applicant, and anyone listed in Section C. Household Composition on the Application, that is over 18 years of age employed, are required to submit a Verification of Employment Form. Each Household Member, employed, and over 18 years of age, please complete Part I only, and then submit to your employer. Your Employer is to fill out Part II Verification of Present Employment and return it directly to the Sales Office. Telephone, Fax, and for the Sales Office is listed on the top of the form. 13

14 c. Residency and Household Income Eligibility Verification Documents: A. Applicant Resident and Income Verification: o Submit signed State of Hawai i Income Tax Returns & all applicable schedules, and W-2 statements for the most current year. o Voter Registration Certificate, if recent resident and no Hawai i state tax returns filed. o Pay statement showing Hawai i state withholdings, if recent resident and no Hawai i state tax returns filed. o If self-employed, submit copy of General Excise Tax filing for the most current two (2) years. B. Employed Household members, 18-years and older: 1. Most recent pay statements AND Verification of Employment (VOE) form C. Household members receiving income from benefits (alimony, child support, social security benefits, public assistance, unemployment compensation, income from trusts, and other income from sources such as welfare benefits, workers compensation, aid to families with dependent children, tax-exempt interest income, etc.) provide copies of: o most recent benefits letter for the most current year. o certified program notice confirming annual payment. o Copy of Form 1099-MISC. Include Applicants name on all supporting documentation for household members. ~Overview End~ 14

15 OFFICE OF HOUSING AND COMMUNITY DEVELOPMENT APPLICATION TO PURCHASE REAL PROPERTY AT KAMAKOA NUI Lots Interested in: 1 st Choice: 2 nd Choice: 3 rd Choice: ADA unit: YES / NO A. APPLICANT SPOUSE or CO-APPLICANT Print Full Name (no middle initials) Print Full Name (no middle initials) Spouse: YES NO (circle one) Address: Home Phone: Cell Phone: Address: Home Phone: Cell Phone: *Qualified Resident: YES NO (circle one) *Qualified Resident: YES NO (circle one) Married Single (incl. divorced & widowed) Separated by: Decree or Divorce Pending (circle one) Present Address: No. of Yrs at Address Rent Own Married Single (incl. divorced & widowed) Separated by: Decree or Divorce Pending (circle one) Present Address: No. of Yrs at Address Rent Own Mailing Address (if different): Mailing Address (if different): B. EMPLOYMENT INFORMATION Name & Address of Employer Yrs. on this job Name & Address of Employer Yrs. on this job Position Bus Phone Position Bus Phone Working for more than 1 Employer: Y N How long? Working for more than 1 Employer: Y N How long? Self-Employed? Y N How long? Self-Employed? Y N How long? C. HOUSEHOLD COMPOSITION & HOUSEHOLD INCOME Household members that will be residing with the Applicant List Household Member Name(s) 1. APPLICANT 2. CO-APPLICANT Sex Age Relation to Applicant Legal Dependent Or Non-Dependent Student Employed Unemployed Retired Receiving Public Assistance Y N $ Legal Non Y N $ Legal Non Y N $ Legal Non Y N $ Legal Non Y N $ Legal Non Y N $ Total Household Income: $ Gross Monthly Income 15

16 APPLICATION TO PURCHASE REAL PROPERTY AT KAMAKOA NUI (continued) APPLICANT Print Full Name (no middle initials) SPOUSE or CO-APPLICANT Print Full Name (no middle initials) D. ELIGIBILITY REQUIREMENTS Are you a Qualified Resident*? YES NO Are you a Qualified Resident*? YES NO Are you 18 years or older? YES NO Are you 18 years or older? YES NO Do you work within in a 45 mile radius of Kamakoa Nui? Do you work within in a 45 mile radius of Kamakoa Nui? YES NO YES NO Do you or your spouse own any property? YES NO Do you or your spouse own any property? YES NO Have you or your spouse owned any property in the last 3 years? Have you or your spouse owned any property in the last 3 years? YES NO YES NO If you or your spouse own or owned property in the last 3 years, specify type of property: If you or your spouse own or owned property in the last 3 years, specify type of property: EACH APPLICANT, APPLICANT S SPOUSE AND ALL CO-APPLICANTS AND THEIR SPOUSES (collectively referred to as Applicant(s) ) HEREBY DECLARE THAT APPLICANT IS ELIGIBLE TO PURCHASE A DWELLING UNIT AND FURTHER ACKNOWLEDGE & AGREE THAT: 1. The workforce home purchased shall be restricted for the following provisions: a. Owner Occupant Certification - applicant to occupy, establish and use the property as a primary residence for at least ten (10) years, unless extenuating circumstances arise. b. Buy Back County shall have first option to purchase the property, should the applicant have a need to sell under extenuating circumstances within ten (10) years. c. Shared Equity For a period not to exceed fifteen (15) years, if buyer wishes to transfer title of the property, the County shall be entitled to receive a percentage of the sale proceeds. d. Restrictions against leasing, refinancing, and junior encumbrances. 2. Applicant will inform the OHCD of any change in Applicant s marital status, household size, state residency requirements, resident alien requirements or any other change that affects the OHCD s eligibility requirements, prior to closing the purchase. 3. All eligibility requirements must be maintained until recordation of the sales of the property, except for income eligibility which is determined at time of application review only, except in cases where changes occur to the original application due to change in household size and/or co-applicant applying with primary applicant; 4. Applicant agrees to update this application when necessary, and at OHCD s request; 5. Applicant affirms that all of the information provided on this application is true and Applicant meets the eligibility requirements and understands that making any false statements knowingly in connection with this Application shall constitute perjury and is a crime punishable under the provision of the Hawai i Penal Code. Print Co-Applicant's Name Co-Applicant's Signature Date Print Co-Applicant s Name Co-Applicant s signature Date 16

17 VERIFICATION OF EMPLOYMENT Applicant s Name: Last, First.. Privacy Act Notice: This information is to be used by the Office of Housing and Community Development (OHCD) to determine applicant's eligibility as a prospective buyer. Upon completion, the information will be confidential and used only by OHCD. Requested by: County of Hawai i - Office of Housing and Community Development; Kamakoa Nui Sales Agent Return to: Kamakoa Nui Sales Center c/o Aldridge Associates-Realtors; Tel: (808) ; Fax (808) ; dan@waikoloa.net APPLICANT OR HOUSEHOLD MEMBER: Part I Applicant/Household Member & Employer Information: COMPLETE PART I BELOW, SIGN AND HAVE YOUR EMPLOYER FILL OUT PART II 1. I have applied to purchase real property, or am a household member of an applicant and state that I am employed by you. My signature in the block below authorizes the verification of my employment information. Employee Information: Name: Address: Last, First M.I. Telephone No.: Signature of Employee Date: If Household Member, Print Name of Applicant: 2. Employer Information* Employer Name: Address: Telephone No.: Part II - Verification of Present Employment EMPLOYER: PLEASE COMPLETE BELOW, SIGN AND RETURN TO THE KAMAKOA NUI SALES CENTER Present Position Date of Employment Current Base Pay: $ [ ] Annual [ ] Monthly [ ] Weekly [ ] Hourly [ ] Other If hourly, please indicate average hours worked each week during current year: Hours Salaried: [ ] Yes [ ] No Commission: [ ] Yes [ ] No Current Monthly Gross Earnings, Year To Date, As of, 20 : To include Commissions, Tips, Overtime, Bonuses $ Past Year: $ Certification: State statutes provide severe penalties for any fraud, intentional misrepresentation, or criminal connivance or conspiracy proposed to influence approval by the OHCD. Name of Person Verifying Employment Signature Date Title of Person 17 Phone No.

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