COMMUNITY DEVELOPMENT & HOUSING
30-DAY RESERVATION for Citywide & Core City Homebuyer Assistance/Incentive Summary Sheet 1 of 2
1. Applicant: ____________________________________________________________________Email__________________________________
2. Address of Project Property: ___________________________________________________________________________________________
3. Type of Unit: _________ Single-family _________ Condo _________ Townhouse__________ New___________ Existing
4. Type of Program: ______________Citywide ______________ Core City
4. Number of Bedrooms: ___________ Baths: ____________ Number in Household ____________
5. Estimated Closing Date :________________________________________________________________________________________________
6. Name of Closing Attorney/Agent: ______________________________________________________________________________________
7. Address: _____________________________________________________________________________________________________________
8. Contact Person: __________________________________ Email __________________________ Tel#: ____________________________
9. Purchase Price: ____________________
10. Less 1st Mortgage Amt: (with or without MIP) ____________________
With MIP Without MIP
____________________
____________________
____________________
____________________
_____________________
_____________________
_____________________
11. = Total Down Payment:
12. Plus: Buyer’s Closing Costs:
13. Plus: Prepaids & Reserves:
14. Total Cash Requirement:
15. Cash From Buyer
16. Seller Contribution
17. Other Assistances (Please specify)
________________________________
18. City DPA contribution _____________________
19. First Mortgage Co.:___________________________________________________________________________________________________
20. Address:_____________________________________________________________________________________________________________
21. Type of Mortgage: ____________ FHA ______________ VA ___________ Conv. __________ Other (specify)_____________________
22. Interest Rate: ____________________________ Term: _____________________________ Monthly PITI: __________________________
23. Approved LO/MB Name _________________________________________________________________Email:_______________________
24. Prepared by:______________________________ Tel. #:______________ Fax #:___________________ Email:______________________
25. Buyer's Agent ____________________________ Tel. #_______________Email:________________________________________________
City of High Point, P.O. 230, 211 South Hamilton Street, High Point, NC 27261 USA
Office: 336.883.3347 Fax: 336.883.3355 TDD 336.883.8517
January 2019
$0.00
$0.00
$0.00
Enter Lines 10, 16, 17 & 18 as negative numbers to
automatically calculate Lines 11 & 15. For example,
enter Line 9 as 100000, enter Line 10 as -95000.
Line 11 should automatically calculate Total Down
Payment as $5,000. Repeat this format for Lines 16,
17 & 18 to automatically calculate Cash from Buyer
on Line 15.
COMMUNITY DEVELOPMENT & HOUSING
City of High Point Homebuyer Assistance/Incentive RESERVATION 2 of 2
Name
(Last) (First) (M
iddle)
A. Recipient Informat
ion (select one)
a. Homebuyer:
Existing dwelling
New Construction
b. Homebuyer is Female Head of Household:
Yes No
B. Subsidy Use (check all that apply)
Down Payment Assistance Closing Costs
C. Household Information:
Member
Names- All Household Members Relationship
DOB
1
2
3
4
5
6
D. Annual Income: Includes unearned income and support
paid on behalf of minors.
Member Wages/Salaries
(Include tips,
commission,
bonuses and
overtime
Benefits/Pensions Public
Assistance
Other
Income
Citywide Only
80% AMI
Core City
Federal
80% AMI
1 1-$33,900 $33,900
2
2-$38,750 $38,750
3
3-$43,600 $43,600
4 4-$48,400 $48,400
5
5-$52,300 $52,300
6
6-$56,150 $56,150
7
7-$60,050 $60,050
Totals
Household Size: ______________Total Annual Househol
d Income: _____________________Maximum Allowed income: __________________________
AMFI % (Total annual income divided by Area Median Income): ____________________________________________________________________________
Total Gross Monthly Income: _____________________Total Monthly Debt: ______________________Total Monthly Mtg. Payment__________________
Lender’s Qualifying Ratios:
Payment as % of Income (Maximum 31%): __________________%
Total debt as % of Income (Maximum 43%): ______________________%
City of High Point, P.O. 230, 211 South Hamilton Street, High Point, NC 27261 USA
Office: 336.883.3349 Fax: 336.883.3355 TDD 336.883.8517
January 2019
$0.00
$0.00
$0.00
$0.00
0.00%
HH Size 1 = $33,900
Checklist
Down Payment Assistance/Core City Incentive Summary Sheet
Citywide & Core City Application (Pages 1 2)
Applicant(s) Photo I.D. (Driver License, Passport, etc.)
Authorization for the Release of Information
Copy of Social Security Cards for Household Members, (Form SSA-89)
Uniform Residential Loan Application
Signed Loan Estimate
Lender Conditional Commitment Letter
Original Certificate of Counseling - First-time Homebuyer (
8-hours minimum
)
Credit Report
Signed Purchase Contract (
by both Buyer and Seller
)
Confirmation of Receipt of Lead Pamphet Form
Copy of Full Appraisal
Minimum Housing Code Inspection Form (
Core City
may
be waived
) & Home Inspection (if
existing home
)
Employment/Income Verification(s) & Verification of Rental History (
previous two years
) or
VOE/VOR form
Client Tax Returns and W-2s (previous two years)
Assets Verification(s) (bank statement
(checking and savings)
,
401K/retirement/investment form, etc)
NOTE: Please verify all alternative income (SS, SSI, Unemployment, Child Support, Alimony, etc.)
EMAIL COMPLETE APPLICATION TO:
toni.jackson@highpointnc.gov
PLEASE ALLOW 2 WEEKS FOR PROCESSING AND UNDERWRITING.
CHECKS WILL BE MADE OUT TO THE CLOSING ATTORNEY.
January 2019
COMMUNITY DEVELOPMENT & HOUSING
Citywide & Core City Homebuyer Assistance/Incentive Summary Sheet
1. Applicant: ____________________________________________________________________Email__________________________________
2. Address of Project Property: ___________________________________________________________________________________________
3. Type of Unit: _________ Single-family _________ Condo _________ Townhouse__________ New___________ Existing
4. Type of Program: ______________Citywide ______________ Core City
4. Number of Bedrooms: ___________ Baths: ____________ Number of ALL members in Household ____________
5. Estimated Closing Date :________________________________________________________________________________________________
6. Name of Closing Attorney/Agent: ______________________________________________________________________________________
7. Address: _____________________________________________________________________________________________________________
8. Contact Person: __________________________________ Email __________________________ Tel#: ____________________________
9. Purchase Price: ____________________
10. Less 1st Mortgage Amt: (with or without MIP) ____________________
With MIP Without MIP
____________________
____________________
____________________
____________________
_____________________
_____________________
_____________________
11. = Total Down Payment:
12. Plus: Buyer’s Closing Costs:
13. Plus: Prepaids & Reserves:
14. Total Cash Requirement:
15. Cash From Buyer
16. Seller Contribution
17. Other Assistances (Please specify)
________________________________
18. City DPA contribution _____________________
19. First Mortgage Co.:___________________________________________________________________________________________________
20. Address:_____________________________________________________________________________________________________________
21. Type of Mortgage: ____________ FHA ______________ VA ___________ Conv. __________ Other (specify)_____________________
22. Interest Rate: ____________________________ Term: _____________________________ Monthly PITI: __________________________
23. Approved LO/MB Name _________________________________________________________________Email:_______________________
24. Prepared by:______________________________ Tel. #:______________ Fax #:___________________ Email:______________________
25. Buyer's Agent ____________________________ Tel. #_______________Email:________________________________________________
City of High Point, P.O. 230, 211 South Hamilton Street, High Point, NC 27261 USA
Office: 336.883.3347 Fax: 336.883.3355 TDD 336.883.8517
January 2019
$0.00
$0.00
$0.00
Enter Lines 10, 16, 17 & 18 as negative numbers to
automatically calculate Lines 11 & 15. For example,
enter Line 9 as 100000, enter Line 10 as -95000.
Line 11 should automatically calculate Total Down
Payment as $5,000. Repeat this format for Lines 16,
17 & 18 to automatically calculate Cash from Buyer
on Line 15.
COMMUNITY DEVELOPMENT & HOUSING
City of High Point Homebuyer Assistance/Incentive Application
Name
(Last) (First
) (Middle)
A. Recipient Inform
ation (select one)
a. Homebuyer:
Existing dwelling
New Construction
b. Homebuyer is Female Head of Household:
Yes No
B. Subsidy Use (check all that apply
)
Down Payment Assistance Closing Costs
C. Household Information:
Member
Names- All Household Members Relationship AGE
1
2
3
4
5
6
D. Annual Income: Includes unearned income an
d support paid on behalf of minors.
Member Wages/Salaries
(Include tips,
commission,
bonuses and
overtime
Benefits/Pensions Public
Assistance
Other
Income
Citywide Only
80% AMI
Core City
Federal
80% AMI
1 1-$33,900 $33,900
2
2-$38,750 $38,750
3
3-$43,600 $43,600
4 4-$48,400 $48,400
5
5-$52,300 $52,300
6
6-$56,150 $56,150
7
7-$60,050 $60,050
Totals
Household Size: ______________Total Annual
Household Income: _____________________Maximum Allowed income: __________________________
AMFI % (Total annual income divided by Area Median Income): ____________________________________________________________________________
Total Gross Monthly Income: _____________________Total Monthly Debt: ______________________Total Monthly Mtg. Payment__________________
Lender’s Qualifying Ratios:
Payment as % of Income (Maximum 31%): __________________%
Total debt as % of Income (Maximum 43%): ______________________%
City of High Point, P.O. 230, 211 South Hamilton Street, High Point, NC 27261 USA
Office: 336.883.3349 Fax: 336.883.3355 TDD 336.883.8517
January 2019
$0.00
$0.00
$0.00
$0.00
0.00%
HH Size 1 = $33,900
COMMUNITY DEVELOPMENT & HOUSING
CERTIFICATION/AFFIDAVIT BY APPLICANT (S) Application Page 2
I/We, the applicant(s), certify that all information in this application and information furnished in
support of this application is true and
complete to the b
est of my/our knowledge and belief. Should it be found that I/we willfully falsified any information upon which eligibility
was determined, I/we will be considered in breach and I/we shall be required to return any sums expended by the City of High Point on
my/our behalf, including any legal fees incurred during the verification process and administrative costs.
If Seeking Homebuyer Assistance/Incentive:
I/We certify that I am/we are the homebuyer(s) and will reside in the property as my/our primary residence. I am/we are fully aware of and
agree to invest a minimum of $500 into the property from my/our income and will provide verification of these monies on deposit prior to
closing. I am/we are aware that I/we are not allowed to receive any money back at closing as this will result in disqualification of any and
all assistance/incentive. I am/we are aware that as a first-time homebuyer, I will be required to attend an 8-hour pre-purchase Homebuyer
Education Class prior to loan closing. I/We understand and agree that by receipt of assistance from the City of High Point for down payment
and closing costs for the purchase of a property, a lien will be placed against the property. At the end of the affordability period, if I am/we
are not in default, a Satisfaction of Lien for the cost of down payment assistance will be issued by the City of High Point. I also understand
that I may be required to execute a Resale/Recapture Agreement. I/we understand if my application is approved, the City of High Point will
use photographs of my home for advertisement and on other public displays regarding the Homebuyer Assistance/Incentive Programs.
PENALTY FOR FALSE OR FRAUDULENT STATEMENT:
I/We certify that the information provided in this application is true and correct as of the date set forth opposite my/our signature(s) on this
application and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in
this application may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both and liability
for monetary damages to the Lender, agents, successors and assigns, insurers and any other person who may suffer any loss due to
reliance upon any misrepresentation which I/we have made on this application.
Applicant(s) expressly authorize you to make inquiries of others concerning the foregoing information. Including, but not limited to
procuring consumer reports from consumer reporting agencies and to provide information arising out of applicant(s) transaction with you to
others. Any person named herein is expressly authorized to furnish you with information in connection with his application.
_____________________________________________________
Da
te
_____________________________________________________
Date
City of High Point, P.O. 230, 211 South Hamilton Street, High Point, NC 27261 USA
Office: 336.883.3349 Fax: 336.883.3355 TDD 336.883.8517
________________________________________________________________
A
pplican Sigtn aure
________________________________________________________________
Applican Sigtn ature
State of North Carolina
County of _____________________
This instrument was acknowledged before me on the _______day of _______________________________, by_________________________________
______________________________________________________________________________________ Sworn to and subscribed before me on this day.
____________________________________________________________________My Commission Expires: ___________________________________________
Notary Public
(SEAL)
January 2019
COMMUNITY DEVELOPMENT & HOUSING
AUTHORIZATION FOR THE RELEASE OF INFORMATION
To Whom It May Concern:
1. I/We have applied for homebuyer assistance from the City of High Point Community Development &
Housing Department. Community Development, as part of the application process, may verify information
contained in my/our application and in other documents required in connection with the assistance.
2. I/We authorize you to provide Community Development & Housing Department any and all information and
documentation that they may request. Such information includes, but is not limited to, employment history
and income; checking and savings, money market or similar account balances; and credit history.
3. A copy of this authorization may be accepted as an original.
4. Photo authorization in the form of a Driver's License, Passport or I.D. Card.
___________________
________ _______________________ _______________________
Applicant’s Signature Date of Birth Social Security Number
___________________
_________ _____________________ _______________________
Applicant’s Signature Date of Birth
Soci
al Security Number
Date of Application:
_________
______________
Applicant’s Address & Phone:
__________________________________________
_______________________________
___________
City of High Point, P.O. 230, 211 South Hamilton Street, High Point, NC 27261 USA
Office: 336.883.3349 Fax: 336.883.3355 TDD 336.883.8517
January 2019
COMMUNITY DEVELOPMENT & HOUSING
HOMEOWNERSHIP ASSISTANCE PROGRAM
MINIMUM HOUSING CODE PROPERTY INSPECTION PERMISSION
City procedures require that before scheduling a minimum housing code inspection on any property that permission to do
the inspection must be granted by the owner or the owner’s authorized representative.
Property Address: _____________________________________________________________________________
Owner: _____________________________________________________________________________
Address: ____________________________________________________________
______________________________________________,_____________
____________________________________________________________
Telephone: ___________________________________________________________
Buyer: ___________________________________________________________
I understand that the above buyer is seeking homebuyer assistance from the City of High Point to purchase property noted
above. I further understand that the city’s program procedures require that the home meet the standards of the City’s
Minimum Housing Code before granting assistance to the above buyer. I, therefore, give permission to the City of High Point
to perform a Minimum Housing Code Inspection on the above property.
I further understand that there is no fee for this inspection. I also understand that the correction of any code violations
found during the inspection can be negotiated between the buyer and myself, but that the property MUST comply
with code before the buyer can receive assistance. I also understand that should this purchase be terminated, I may be
required to correct any unsafe building conditions found during the inspection as the violations remain with the property.
Signature of Owner or Authorized Agent: ________________________________________________________________
Date: ___________________________________
Return this form to:
Housing Specialist
City of High Point
P.O. Box 230
High Point, NC 27261
Office Phone: 336-883-3347 Fax: 883-3355
City of High Point, P.O. 230, 211 South Hamilton Street, High Point, NC 27261 USA
Office: 336.883.3349 Fax: 336.883.3355 TDD 336.883.8517
January 2019
Confirmation of Receipt of Lead Pamphlet
I have received a copy of the pamphlet, Protect Your Family From Lead In your
Home, informing me of the potential risk of the lead hazard exposure from reno-
vation activity to be performed in my dwelling unit. I received this pamphlet
before any work began.
_____________________________ _______________________
Printed name Date
______________________________ __________________________
Signature Signature
Self-Certification Option (for tenant-occupied dwelling only)
If the lead pamphlet was delivered but a tenant signature was not obtainable
you may check the appropriate space below.
Refusal to sign- I certify that I have made a good faith effort to deliver the
pamphlet. Protect your Family From Lead In Your Home, to the rental dwelling
unit listed below at the date and time indicated and that the occupant refused
to sign the confirmation of receipt. I further certify that I have left a copy of the
pamphlet at the unit with the occupant.
Unavailable for signature- I certify that I have made a good faith effort to deliver
the pamphlet, Protect Your Family From Lead In Your Home, to the rental
dwelling unit listed below and that the occupant was unavailable to sign the
confirmation of receipt. I further certify that I have left a copy of the pamphlet
at the unity by sliding it under the door.
______________________________ _____________________________
Printed Name of person certifying Attempted delivery date and time
lead pamphlet delivery
______________________________
Signature of person certifying
lead pamphlet delivery
______________________________
______________________________
______________________________
Unit address
Note Regarding Mailing Option – As an alternative to delivery in person, you
may mail the lead pamphlet to the owner and /or tenant. Pamphlet must be
mailed at least 7 days before renovation (Document with a certificate of mailing
from the post office)
January 2019
CITY OF HIGH POINT
COMMUNITY DEVELOPMENT AND HOUSING DEPARTMENT
2018 INCOME LIMITS & FAIR MARKET RENTS
2018 INCOME LIMITS
PERSONS
IN
HOUSEHOLD
VERY LOW
INCOME
(30%
MEDIAN)
LOW
INCOME
(50%
MEDIAN)
MODERATE
INCOME
(80% MEDIAN)
AREA MEDIAN
INCOME
1
$12,750
$21,200
$33,900
$42,350
2
$16,460
$24,200
$38,750
$48,400
3
$20,780
$27,250
$43,600
$54,450
4
$25,100
$30,250
$48,400
$60,500
5
$29,420
$32,700
$52,300
$65,350
6
$33,740
$35,100
$56,150
$70,200
7
$37,550
$37,550
$60,050
$75,000
8
$39,950 $39,950
$63,900
$79,850
Effective: April 1, 2018 (Source: HUD)
2018 Median Family Income in High Point is $60,500.
FAIR MARKET RENTS
Efficiency - $625
1 bedroom - $692
2 bedroom - $806
3 bedroom - $1,078
4 bedroom - $1,294
(Source: Federal Register)
January 2019
2018
INCOME LIMITS
CATEGORY 1 CATEGORY 2
(50%) # Persons (80%) # Persons
Median in Household Median in Household
Income Household Income Income Household Income
Please check the blank that applies to your household size, NOT to your income.
If your household income is at or below the amount shown in Category 1 for your household size, that blank
should be checked. If your household income is above the amount in Category 1 for your family size, but below
the amount in Category 2 for your household size, please check the appropriate blank under Category 2.
I certify that my household income is at or below the amount specified above, for my household size.
___________________ ________________________________
Date SIGNATURE
_______________________________
ADDRESS
________________________________
Note: Median income is $60,500 CITY
________________________________
TELEPHONE
January 2019
1
2
3
4
5
6
7
8+
1
2
3
4
5
6
7
8+
$21,200
$24,200
$27,250
$30,250
$32,700
$35,100
$37,550
$39,990
$33,900
$38,750
$43,600
$48,400
$52,300
$56,150
$60,050
$63,900
High Point
CITY OF HIGH POINT
COMMUNITY DEVELOPMENT &
HOUSING DEPARTMENT
INCOME CERTIFICATION FORM
COMMUNITY DEVELOPMENT & HOUSING
PARTICIPATING LENDER CERTIFICATION
General
The City of High Point Community Development & Housing Department will hold free lender certification workshops bi-
annually. This workshop equips lenders with the information and forms necessary in order to properly submit a complete
package for underwriting. Certifications are awarded to individuals and are valid for up to two (2) years.
Qualifications of Participating Lenders
A “Participating Lender” is a lending institution that cooperates with the City of High Point Community Development &
Housing Department (CD&H) in making funds available under the Down Payment and Closing Costs Assistance/Incentive
Programs.
Lender Participation Criteria. The financial institution must:
1. Have a homeownership program that offers loan products with sum total 1% or less points/origination fee;
2. Must not charge any form of associated costs, fees, etc. for providing a loan, i.e. broker’s fee;
3. Loan to value not to exceed 105% of appraised value;
4. Maximum sales price not to exceed $200,000 (Core City) or $159,000 (Citywide);
5. Provide an affordable loan product at market interest rate;
6. Be willing to inform prospective candidates about the programs, facilitate the application process on behalf of
homebuyer, and submit the application to the City for approval; and
7. Ensure applicant’s eligibility to programs to the best of their ability.
8. Mortgage Brokers must be licensed and must submit copy of license with Lender Certification Form.
Name/Title __________________________________________________________________________________________
Company Name __________________________________________________________________________________________
Address __________________________________________________________________________________________
Telephone ___________________________________Website______________________________________________
Email Address _________________________________________________________NMLS ID_________________________
I hereby certify that this company is properly licensed to originate, sell or service residential mortgages in the State of North
Carolina. I certify that I will maintain quality control and management systems in processing Down Payment and Closing
Costs Assistance/Incentive applications for CD& H. I have read the participation criteria 1-8 and certify that I meet all
criteria to participate in the program administered by CD&H.
Date_______________________
Signature_______________________________ Title_________________________________
City of High Point, P.O. 230, 211 South Hamilton Street, High Point, NC 27261 USA
Office: 336.883.3347 Fax: 336.883.3355 TDD 336.883.8517
January 2019
COMMUNITY DEVELOPMENT & HOUSING
PARTICIPATING REALTOR CERTIFICATION
General
The City of High Point Community Development & Housing Department will hold free Realtor Information workshops bi-
annually. This workshop educates Realtors regarding information necessary in order to properly assist Lenders submit a
complete package for underwriting. Approved Realtor certifications are awarded and are valid for up to two (2) years.
Qualifications of Participating Realtors
A “Participating Realtor” is a Real Estate Firm that cooperates with the City of High Point Community Development &
Housing Department (CD&H) in making funds available under the Down Payment and Closing Costs Assistance/Incentive
Programs.
Realtor Criteria. The Real Estate Firm must:
1. Be willing to inform buyers about the Homebuyer Assistance/Incentive Programs.
2. Ensure buyer's eligibility for Homebuyer Assistance/Incentive Programs to the best of their ability.
3. Assist buyer(s) with obtaining Home Inspection if purchasing an existing home.
4. Assist buyer in locating a Participating Lender.
5. Assist Participating Lender with MInimum Housing Code Inspection Permission Form.
6. Comply with laws and regulations of the City of High Point and State of North Carolina.
7. Adherence to the NAR Code of Ethics, furthering the principles of good real estate practices among other
Brokers and the general public.
Name/Title __________________________________________________________________________________________
Company Name __________________________________________________________________________________________
Address __________________________________________________________________________________________
Telephone _____________________________________ Fax______________________________________________
Email/Website __________________________________________________________________________________________
I hereby certify that this company is properly licensed by the State of North Carolina. I have read the participation criteria 1-7
and certify that I meet all criteria to participate in the program administered by Community Development & Housing.
Date_______________________
Signature_______________________________ Title_________________________________
City of High Point, P.O. 230, 211 South Hamilton Street, High Point, NC 27261 USA
Office: 336.883.3349 Fax: 336.883.3355 TDD 336.883.8517
January 2019
COMMUNITY DEVELOPMENT & HOUSING
NOTICE TO USE LENDER/REALTOR
INFORMATION FOR ADVERTISEMENT
PURPOSES
_______________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Institution Name:
Contact Person:
Title:
Address:
_______________________________________________________________________________________
________________________________________________________________________________________
Telephone Number _____________________________________ Fax __________________________________________
Website: ________________________________________________________________________________________
Email Address: _______
_________________________________________________________________________________
Your lender/realtor information may be used for advertisement on our website and on other public displays
regarding the City of High Point Community Development & Housing Down Payment and Closing Costs
Assistance programs, including the City of High Point's website. Please sign to acknowledge the notice.
_______________________________________________ ____________________________________________
Name Date
Please sign below if you decline to have the City of High Point CD&H Department use your lender/realtor
information for Down Payment and Closing Costs Assistance advertisement.
__________________________________________________ ____________________________________________
Name Date
City of High Point, P.O. 230, 211 South Hamilton Street, High Point, NC 27261 USA
Office: 336.883.3349 Fax: 336.883.3355 TDD 336.883.8517
January 2019