Page 3
Please type all information
FINANCIAL INSTITUTION ACKNOWLEDGEMENT AND AGREEMENT
Financial Institution hereby acknowledges that it has read, and has completed this application in compliance with, the Finally Home Program
Guidelines (“Guidelines”) established by the Office of the Illinois State Treasurer (“Treasurer”), available at www.illinoistreasurer.gov
.
Financial Institution agrees to provide a home loan that complies with all applicable rules and law, including the Deposit of State Moneys Act, 15
ILCS 520/7, Article V of the Illinois Residential Mortgage License Act of 1987, 205 ILCS 635, and the Guidelines. If the loan amount at final
closing differs from the loan amount provided in this Guarantee Application, Financial Institution shall notify the
Treasurer’s
Program Manager
of the actual loan amount within fourteen (14) days of the final closing. The Treasurer may require a new Guarantee Application
or additional
documentation or information to explain the change in loan amount, and may in its sole discretion void the guarantee if the change
in
loan amount
is inconsistent with the Guidelines. If the loan amount decreases, the guarantee shall be reduced accordingly; however, in no event will the amount
of the guarantee increase from the amount approved in the Guarantee Application. Should there be any increase
in the loan amount between
application and closing, such increase must not result in a change to the borrower’s loan
eligibility or cause non-conformity with applicable law,
rules, or the Guidelines. In the event that the home loan is not funded, the Financial Institution agrees to
send written notice to the Treasurer’s
Program Administrator within 45 days of the last signature from the loan approval date.
The five-year guarantee expires five years from the date on which the loan closed. For this reason, Financial Institution must submit the
Closing Disclosure to the Program Administrator within 45 business days of the closing. Financial Institution certifies that the disclosure of the
information provided in this Guarantee Application and the manner in which such information was obtained complies with all applicable state
and federal regulatory guidelines and lending laws, including state predatory lending laws, and program guidelines.
P
lease indicate Financial Institution’s agreement to the foregoing by signing below.
Agreed and acknowledged:
Name of Financial Institution: __________________________________________________________________________________________
Financial Institution’s Address:___________________________________________________________________________________________
County:______________________________________________________________________________________________________________
Primary Authorized Representative Signature:_______________________________________________________________________________
Title:___________________________________________Email:________________________________________________________________
Date:_______________________________________________________
Secondary Authorized Representative Signature:_____________________________________________________________________________
Title:___________________________________________Email:________________________________________________________________
Date:_______________________________________________________
BORROWER’S CERTIFICATION
The undersigned Borrower(s) (“undersigned”) 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 representation(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 under 18 USC § 1001 et seq. and liability for monetary damages to the Financial Institution and the Office of the Illinois State Treasurer.
The undersigned acknowledge(s) that information in this Application may be subject to release under the Illinois Freedom of Information Act, 5
ILCS 140 or shared with other parties administering the Finally Home Program. The undersigned agree(s) to waive any confidentiality
restrictions and release(s) the information contained herein only to the extent necessary to further process this
Application and secure the Finally
Home mortgage loan. If any of the information provided on this application changes, the Borrower(s) agree to
submit a new, corrected
application.
Borrower’s Signature: ___________________________________________Printed Name:_____________________________Date:
Co-Borrower’s Signature:_____________________________________Printed Name: Date:
If there is no co-borrower, please put “N/A” in the spaces provided
F
or Office Use Only - Guarantee Amount: ___ _
$