Fillable Last Look Initiative APPLICANT INFORMATION Applicant is a(n): (Louisville Jefferson County Metro Government)

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Last Look Initiative APPLICANT INFORMATION Applicant is a(n): (Louisville Jefferson County Metro Government)

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Application to Purchase House / Building
Last Look Initiative
FROM THE LOUISVILLE & JEFFERSON COUNTY LANDBANK AUTHORITY, INC.
Page 1 of 2
To purchase “AS IS” real property from the Louisville and Jefferson County Landbank Authority, Inc.’s sales inventory, complete this form
and return it to the Office of Community Development. A separate application must be submitted for each property you wish to purchase.
APPLICANT INFORMATION
Applicant is a(n): ☐ Individual or ☐ Business Entity
Legal Name of Individual:
Legal Name of Business Entity:
Mailing Address:
City:
Zip:
Phone Number:
Email Address:
Marital Status (Used to prepare deeds for Individual applicants only):
☐
Married
☐
Unmarried
Legal name of spouse if (s)he will jointly own the property:
PROPERTY INFORMATION
Address: Parcel ID:
Total Rehab or Demo Budget Sale Price $1.00
1. Has applicant previously had ownership interest in the requested property? ☐ Yes ☐ No
2
. H
as applicant previously purchased property from Metro Government or its organizations? ☐ Yes ☐ No
3.
P
er Metro Personnel Policies, Section 1.6 (Ethics), please complete the following information. Additional informatio
n
m
ay be requested, once application is processed.
a) Are you a current Metro employee? ☐ Yes ☐ No If so, please list your title and department name:
____________________________________________________________________________________
b) Are you related to a current Metro employee? ☐ Yes ☐ No If so, please list their name(s). Also, please
include their titles and department names, if known: _____________________________________________
_________________________________________________________________________________________
“LAST LOOK” PROGRAMS (Select One)
☐ Save The Structure ☐ Demo For Deed
PLANNED END-USE FOR THE PROPERTY (Select One)
☐
Structure will be sold at market price.
☐
Structure will be rented as unsubsidized housing
☐ Structure will be owner-occupied.
☐ Structure will be rented as subsidized housing.
☐ Structure will have a mixed-use of commercial/residential
☐
Other: ______________________________________
Application to Purchase House / Building
Last Look Initiative
FROM THE LOUISVILLE & JEFFERSON COUNTY LANDBANK AUTHORITY, INC.
Page 2 of 2
P
lease provide the following information or attach documentation if additional space is needed.
Name of contractor(s) or person(s) who will perform the work:
List any prior renovation projects or relative work experience:
A brief description of your organization (if applicable):
If approved, the Applicant will be given a special warranty deed with purchase. Certain conditions may apply to guarantee
that the proposed improvements are completed within the required timeframe. If desired, title insurance is the
responsibility of the purchaser. All property is sold “AS IS”.
I understand that staff will review this request and confirm that it is in compliance with existing Policies & Procedures, as
well as existing neighborhood plans. I also understand that this form is a statement of interest only. Receiving it does
not commit the Landbank Authority to transfer property.
Therefore, I hereby acknowledge that I understand the information provided in this application and the statements
below are true to the best of my knowledge:
1. I do not own other property that has delinquent taxes, unpaid special assessments, or un-remediated code
violations found by the Department of Codes & Regulations (formerly known as “IPL”).
2. The business entity (ies) I am operating is (are) active and in good standing with the Kentucky Secretary of
State and its (their) occupational/business taxes are not delinquent to the Metro Revenue Commission.
Signature of Applicant: Date:
For Agents & Brokers If Applicable:
Real Estate Agency / Company Name: Phone Number
KY Real Estate License Number: Email:
Submit this application, with the required materials, to:
Office of Community Development
444 South 5
th
St, Suite 500
Louisville, KY 40202
Telephone: (502) 574-4016 | Email: vapstat@louisvilleky.gov
Website: https://louisvilleky.gov/government/community-development
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Last Look Initiative APPLICANT INFORMATION Applicant is a(n): (Louisville Jefferson County Metro Government)

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Completed 22 November 2020

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