2100 Middle Country Road ▪ Centereach ▪ New York ▪ 11720 CDCLI Housing Development Fund Corporation
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We Invest in Your DreamsSM
www.cdcli.org
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Required Documentation Checklist
Please submit copies only; these documents will not be returned.
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Completed application signed and dated where indicated□
Two months of most recent pay stubs for all household members 18 and older.□
Proof of additional income if stated on the application (child support, alimony support, disability, SSI, social security, etc.)□
The last three years of federal tax returns from 2012, 2013, and 2014 with W-2s / 1009s and any other supporting documents□
Notarized affidavit(s) if: 1) No child support received2) Non-Working adult (18 years or older)
3) Full time/Part Time Student (18 years or older and not working)
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Proof of citizenship or legal residency: birth certificate or green card for each household member listed on the application□
Social security card for each household member listed on the application□
Three months of bank statements for checking, savings, 401(k), and IRA accounts.□
If self employed, an Audited Profit & Loss Statement for your business as prepared by a Certified Public AccountantCDCLI Housing Development Fund Corporation 2100 Middle Country Road
Centereach, NY 11720
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Please check one:
Cypress Street, Wyandanch Harrison Street, North Amityville W. Bartlett Road, Middle Island
Please note: ONLY completed applications will be reviewed and processed
Print Clearly
Applicant Name: __________________________________________________________________ Address: _________________________________________________________________________ City: ______________________________ State: ________________ Zip Code: _______________ Home Phone: _____________ Work Phone: _______________ Cell Phone: _________________ Number of years at this address: _________
Applicant:
Are you a U.S. Citizen? Yes ____No ____ If no, are you a legal resident? _______
Co-Applicant:
Are you a U.S. Citizen? Yes ____No ____ If no, are you a legal resident? _____ YES answers require proof of legal alien status to be submitted.
HOUSEHOLD COMPOSITION: Please list all persons who live in the home. Full Legal Name Gender Date of
Birth Relationship to Head of Household
Social Security # Citizen/ Legal Resident
Head /Self
CREDIT CHECK AUTHORIZATION:For each household member 18 and older listed above, CDC of
Long Island will request a credit report. Signing below grants CDC of Long Island permission to request a credit report from a Consumer Reporting Agency, and will provide the agency’s information upon request.
______________________________________________ ______________________
Applicant Signature Date
_______________________________________________ ______________________ Signature of Household Member 18 and older Date
_______________________________________________ ______________________ Signature of Household Member 18 and older Date
_______________________________________________ ______________________ Signature of Household Member 18 and older Date
For Office Use Only
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INCOME AND EMPLOYMENT INFORMATIONPlease fill out a separate form for each family member 18 and older.
Household Member Name: _______________________________________________________
Current Employer:
Name: _________________________________________________________________________ Address: ________________________________________________________________________ Date of Employment: ___________________Position held: _____________________________
If position held is less than 2 years:
Name: _________________________________________________________________________ Address: ________________________________________________________________________ Date of Employment: ___________________Position held: _____________________________
If you have a second job:
Name: _________________________________________________________________________ Address: ________________________________________________________________________ Date of Employment: ___________________Position held: _____________________________
Are you Self- Employed? Yes: ______ No: _______
If yes, provide annual gross income and net income: Gross $________ Net $________
Income Monthly Yearly
Wages (Primary job) Overtime
Commission Tips
Bonus
Wages (second job) Social Security Survivors Benefits SSI/SSDI Workers Compensation Disability Income Unemployment Severance Pension Retirement Alimony Child Support TANF
Other Income: Please Specify
I hereby certify that all information provided on this application is true and accurate to the best of my knowledge.
For Office Use Only
Net Worth = $_______
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ASSET AND DEBT INFORMATION
Please fill out a separate form for each family member 18 and older.
Household Member Name__________________________________________________ Have you ever owned a home?_________________ If yes, when?__________________
NON RETIREMENT ASSET INFORMATION
Savings Account Checking Account
Name of Institution: Name of Institution: Account #: Account #:
Balance: Balance:
Name of Institution: Name of Institution: Account #: Account #:
Balance: Balance:
LIST NAME, ACCOUNT #, AND BALANCE FOR ALL MUTUAL FUNDS, STOCKS, BONDS,CDS, ETC.
Name Account # Balance
Total Non Retirement Assets______________
RETIREMENT ASSET INFORMATION
Retirement funds, such as IRA (including Roth & SEP), 401(k), 403(b), Keogh, SIMPLE, etc.
Name of Institution Type of Account Account # Balance
Total Retirement Assets______________
DEBT
Lender Name Balance Due Minimum Monthly Payment Car Loan Student Loan Personal Loan Credit Card Credit Card Credit Card
*If additional space is needed, please attach separate page.
Total Debt _______________
I hereby certify that all information provided on this application is true and accurate to the best of my knowledge.
80% AREA MEDIAN INCOME (AMI) GUIDELINES 2015:
Family Size Maximum Income at 80% AMI
1 ... $ 61,040 5 ... $ 94,240 2 ... $ 69,760 6 ... $ 101,200 3 ... $ 78,480 7 ... $108,160 4 ... $ 87,200 8 or more ... $115,120
Maximum Income at 80% AMI Family Size
▪ Be a first time home buyer. (Must not have owned a home within the past 3 years) ▪ Agree to occupy the residence as their primary residence.
▪ Be income eligible: gross annual income does not exceed the income limits for the area listed below. Depending upon resources available for down payment, we expect the minimum income affordability to be in the $55,000 to $65,000 range.
▪ Have sufficient resources to cover required down payment and closing costs.
▪ Complete home buyer education at CDCLI and qualify to secure a mortgage from a regulated
financial institution, to cover the gap between subsidized and purchase price. Private mortgages are not acceptable.
▪ Comply with the asset policy as defined by the New York State Affordable Housing Corporation. Total assets cannot be more than 25% of the subsidized purchase price.
2100 Middle Country Road ▪ Centereach ▪ New York ▪ 11720 CDCLI Housing Development Fund Corporation
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● Download an application at www.cdcli.org, or call (631) 471-1215 x211 and have one sent to you.
● Submit a completed application. CDCLI will review application for completion and qualification, you will be notified.
● If application is approved, you will need to register for home buyer education class. The cost of the class is $50, or you can take the class on line for $99. Complete homebuyer education and attend a one-on-one session at CDCLI, and we will issue the Certificate of Completion.
● Obtain mortgage pre-approval, and submit a copy to CDCLI.
We Invest in Your DreamsSM