Delaware Nation Housing (2024)

Delaware Nation Housing

904 W. Petree Road

Anadarko, OK 73005

405 / 480-2220

Fax: 405 / 480-2225

Checklist for Down Payment and Closing

(Check item when complete and documentation is provided)

______ Application for Delaware Nation Housing Down Payment and Closing Cost Program

______ Authorization to Release Information

______ Social Security Card(s) of applicant and Co-Applicant

______ Certificate of Degree of Indian Blood or Tribal Membership Card

______ Income Verification

______ Employment Verification

______ Signed and dated current Income Tax Return and W2's

______ Family Size Verification

______ Appraisal of house to be purchased

______ Age of house: What year was house built: __________.

______ Legal description

______ Environmental Review Record (ERR) Flowchart for E.R.P (24 CFR Part 58);

Categorically Excluded/ Not Subject to 24 CFR Part 58.5

Finding of Categorical Exclusion/ Not Subject to 24 CFR Part 58.5

Categorical Exclusion (not subject to 58.5) 24CFR 58.35

Environmental Review Record Compliance with 24 CFR 58.6

Map (http:// map1.mcs.fema.gov)

Finding of Exemption

______ Certificate of Completion for homebuyer education class.

______ Settlement Statement (readable copy)

______ Disclosure of Information on Lead -Based and /or Lead-Based Paint Hazards.

Protect Your Family from Lead in Your Home pamphlet

______ Lead- Based Paint (L-BP) visual inspection ( )/testing ( )/abatement ( )

______ Copy of the L-BP inspection or abatement procedures, as appropriate

______ Repayment Agreement signed and dated.

______ Copy of Second Mortgage and evidence it has been filed at County Clerk's office

______ Pictures (included in appraisal)

1

Delaware Nation Housing

904 W. Petree Road

Anadarko, OK 73005

405 / 480-2220

Fax: 405 / 480-2225

Dear Applicant:

The following is an overview of the Down Payment and Closing Cost Assistance Program. Please read it carefully before

filling out the application.

Eligibility for Program Assistance:

1. Not own their present residence at the time of the mortgage application.

2. Applicants with an existing home are not eligible unless the home is determined to be substandard housing.

3. Applicants seeking to purchase a home from a direct relative must be initially approved for consideration by the Grant

Review Committee.

4. Reside nationwide as of 6/12/08

5. Qualify as a family.

6. Complete a homebuyer education class (total of 4 hours; 2 hours class time plus 2 face to face)

7. Have an annual family income which does not exceed the maximum income limit for that family size. (See attached

Income Limits)

8. Be 18 years of age or older.

9. Provide all requested information: CDIB card, social Security card, employment verification, and income verification.

for each working family member

10. Sign all required forms including the consent for disclosure of information.

11. Be able and willing to meet all credit check and financial obligations for loan assistance from an approved certified

financial institution.

Maximum Grant Funds:

A. The maximum grant for families with incomes 80% or below the median income as defined by NAHASDA shall be up

to no more than $6,000.

Grant Repayment:

A. If a grant amount is determined and accepted by the applicant, the applicant shall sign a promissory note and a second

mortgage at closing of the home purchase. This mortgage indicates the grant amount may be forgivable and not subject

to repayment. However, in the event the home is foreclosed on or sold within five (5) years from the date of grant

assistance, the applicant shall be responsible for a partial repayment, as determined by a non-interest prorated schedule.

Please keep this page for future reference. If you have any questions call our office at (405) 480-2220.

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Delaware Nation Housing

904 W. Petree Road

Anadarko, OK 73005

405 / 480-2220

Fax: 405 / 480-2225

Delaware Nation Housing Department

Down Payment and Closing Cost Application

Applicants Name: ________________________________________________________________________________

Social Security Number: _______________________

Co-Applicant's Name: ____________________________________________________________________________

Social Security Number: _______________________

Family Size

I verify that my family consist of _________ adults and _________ children. This is consistent with information found on

my signed and dated most current tax return documentation.

Applicant's Tribal Affiliation: _____________________________ Enrollment Number: _______________

Co-Applicant's Tribal Affiliation: __________________________ Enrollment Number: _______________

Current Address: ___________________________________________________________________________________

City: _________________________________ State: ___________________________ Zip Code: __________________

Home Phone Number: _______________ Work Phone Number: ______________ Cell Phone Number: ________________

Are you a first-time homebuyer? Yes: __________ No: __________

Prospective address of home purchase: _________________________________________________________________

City: _________________________________ State: ___________________________ Zip Code: __________________

Legal Description: __________________________________________________________________________________

_________________________________________________________________________________________________

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Delaware Nation Housing

904 W. Petree Road

Anadarko, OK 73005

405 / 480-2220

Fax: 405 / 480-2225

Applicant’s Gross Yearly Income:

$__________________________

Co-Applicant’s Gross Yearly Income:

$__________________________

Other Gross Yearly Income (18 years & over): $__________________________

Total Gross Yearly Income:

$__________________________

I understand the information provided to me and will abide with the requirements listed by The Delaware Nation Housing.

____________________________________________

Applicant Signature

Date

____________________________________________

Co-Applicant’s Signature

Date

By signing this application, I certify under penalty of law that all information submitted in and

with this form Is true and accurate. I further certify that any misuse of funds or fraudulently

obtaining funds will result in a reimbursement of fraudulent funds obtained and ineligibility of

future assistance for any Delaware Nation program assistance for one-calendar year from the

date fraud was committed. I accept the Terms and Conditions and agree to use these funds for

the intended purpose stated within this application.

Signature of Applicant: ____________________________________ Date: ________________

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Delaware Nation Housing

904 W. Petree Road

Anadarko, OK 73005

405 / 480-2220

Fax: 405 / 480-2225

DOWNPAYMENT GRANT REPAYMENT

It is understood by the borrowers the forgivable loan from the Delaware Nation Housing Department shall become due and

payable in the event of any of the following:

1. The original borrower must occupy the property. In the event the borrower does not occupy the subject property the

forgivable loan is due and payable to the Delaware Nation Housing Department.

2. If the property is sold within five years of the date of closing, the forgivable loan shall be repaid by prorating the original

amount by sixty months and only forgiving the number of months in which the original borrower owned the home.

3. If the property is loss due to foreclosure on the first mortgage, the forgivable loan will be due in its

entirety.

If the borrower remains in the property for the full five years, the loan amount is totally forgiven and will not encumber the

title after this date.

By signing below the borrowers understand the terms of this grant.

___________________________________________

Borrower

Date

Notary Public: State of Oklahoma

County of __________

______________________________________________

Co-Borrower

Date

)

)

The forgoing instrument was acknowledged before me on the ____________ day_____________ of

______________ year, by __________________________.

Notary Public: ____________________________________

Commission Expires: ______________________________

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Delaware Nation Housing

904 W. Petree Road

Anadarko, OK 73005

405 / 480-2220

Fax: 405 / 480-2225

HOUSING ASSISTANCE APPLICATION

Instructions: Applicant please only complete highlighted areas.

RE: Verification of Employment (please return completed form to above address)

Applicant Name:

SSN:

DOB:

The individual named above is an applicant/tenant for housing assistance that is subsidized through the U.S. Department of Housing and

Urban Development. Federal regulations require that in order for the household to be eligible, we must verify the household’s income,

expenses and other information using third party written verifications. The information you provide will be used only for the purpose of

determining the household’s eligibility for the program and will be held in strict confidence. We are required to complete our

verification process in a short time period and would appreciate your prompt response to this request for information.

I, the undersigned, do hereby authorize the release of the information requested to Delaware Nation Housing.

Applicant / Tenant Signature:

Date:

(or see signed Authorization for the Release of Information

EMPLOYMENT INFORMATION: This section is to be completed by the employer.

Place of Employment:

Date Hired:

Occupation/Position:

CURRENT

Pay Rate: $

Per: Hour / Day / Week / Month (Circle one) Effective Date:

PREVIOUS

Pay Rate: $

Per: Hour / Day / Week / Month (Circle one) Effective Date:

ENTER THE AVERAGE NUMBER OF HOURS WORKED DURING THE PAST TWELVE (12) MONTHS:

Average Per DAY:

Per WEEK:

OVERTIME Per DAY:

Per WEEK:

OVERTIME RATE: $

ESTIMATED OTHER: Tips: $

Per: Hour / Day / Week / Month (Circle One)

Meals: $

Other: $

Is this employee participating in a job-training or vocational rehabilitation program? ___ Yes ___ No

Comments:

Date:

Signature:

Title:

Phone:

Warning! Section 1001 of Title 18 of the U.S. Code makes it a criminal offense to make willful false statements or misrepresentations to any

Department or Agency of the United States as to any matter within its jurisdiction.

For Office Use Only: ___ Initial ___ Annual

___ Interim

*Occupancy Specialist:

Comments:

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Delaware Nation Housing

904 W. Petree Road

Anadarko, OK 73005

405 / 480-2220

Fax: 405 / 480-2225

Authorization to Release Information

Applicant: _________________________________

Co-Applicant: ___________________________________

I/We have applied for a mortgage loan. I/We completed a loan application containing various information on the purpose of

the loan, the amount and source o.f the down payment, employment and income information, and assets and liabilities. I/We

certify that all the information is true and complete. I/We made no misrepresentation in the loan application or other

documents, nor did I/we omit any pertinent information. I/We fully understand that it is a Federal crime punishable by fine or

imprisonment, or both, to knowingly make any false statements when applying for this mortgage, as applicable under the

provision of title 18, United States Code, Section 1014.

I/We hereby give my/our consent for information contained in the loan application and in other documents required in

connection with the loan, either before the loan is closed or as part of its quality control program, to be verified or re-verified.

This verification or re-verification may be made by: The Delaware Nation Housing, it's agent successors and/or assigns

either directly or through a credit reporting agency. Such information includes, but is not limited to, employment history, and

copies of income tax returns and/or W/2 forms.

A photographic or carbon copy of the signature(s) of the undersigned may be deemed to be equivalent of the original and

may be used as a duplicate original.

This is notice to you as required by the Right Financial Privacy Act of 1978 that the Veterans Administration or Department

of Housing and Urban Development, whichever is appropriate has a right of access to financial records held by financial

institutions In connection with the consideration or administration of assistance to you. Financial records involving your

transaction will be-available to (VA or HUD) without further notice or authorization, but will not be disclosed or released to

another Government Agency or Department without your consent, except as required or permitted by law.

____________________________________________

Borrower Signature

Date

__________________________________________

Borrower Social Security Number

____________________________________________

Co-Borrower Signature

Date

__________________________________________

Co-Borrower Social Security Number

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Delaware Nation Housing

904 W. Petree Road

Anadarko, OK 73005

405 / 480-2220

Fax: 405 / 480-2225

Promissory Note

Down Payment Amount from DNHD:

$ __________________

Address: ________________________________________________

________________________________________________

________________________________________________

For value received I/We do hereby promise to pay the order of Delaware Nation Housing the principle sum of

_____________________________ dollars, ($ __________________) in the event of failure to perform any of the covenants

and agreements set forth in the second mortgage securing this note, at the option of the legal holder hereto, said principal

sum with interest due and accrued thereon shall become at once due and payable without notice and may be collected

immediately. Payment of this note may be made at any time subject to the condition set forth in the second mortgage which

is attached hereto and incorporated .by reference.

If the borrower remains in the property for the full five years, the grant amount is totally forgiven and will not encumber the

title after this date.

By signing below the borrowers understand the terms of this grant.

Borrower Signature

Date

Borrower's Social Security Number

Co-Borrower Signature

Date

Co-Borrower's Social Security Number

Notary Public: State of Oklahoma

)

County of ____________ )

The forgoing instrument was acknowledged before me on the ____________ day_____________ of

______________ year, by __________________________.

Notary Public: ____________________________________

Commission Expires: _____________________________

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Delaware Nation Housing

904 W. Petree Road

Anadarko, OK 73005

405 / 480-2220

Fax: 405 / 480-2225

DOWN PAYMENT ASSISTANCE APPLICATION

NAHASDA Public Disclosures

Please indicate below if you are currently an employee of the Delaware Nation Housing, or have a relative or business

associate, who is one of the following: 1) an employee of the Delaware Nation Housing or 2) a Delaware Nation Executive

Committee member. Applicants who fall in this category will be publically disclosed at the Delaware Nation Housing

office and have notification sent to the Office of Housing and Urban Development (HUD) in Oklahoma City.

Applicant’s Name:

No, I am not an employee of the Delaware Nation Housing or a member of

the Delaware Nation Executive Committee nor do I have relatives or business

associates who are employees of the Delaware Nation Housing or a member of the Delaware Nation

Executive Committee.

Yes, I am an employee of the Delaware Nation Housing or a member of the Delaware Nation

Housing Executive Committee.

Title:

Yes, I have a relative or business associate who is an employee of the Delaware Nation Housing

or a member of the Delaware Nation Executive Committee.

Name of Relative/

Business Associate

Relation to Applicant

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Relative/ Business

Associate Title