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| | Click here or scroll down to respond to this candidateBORROWER INFORMATIONDate:7/9/Street Address
Name of Borrower:chounaType of Organization:werehaseMailing Address:Street Address
Contact Person:Street Address
Street Address (if different):5435 S M stTitle:City:tacomaTelephone:PHONE NUMBER AVAILABLECounty:USaFax:State:washingtonCell:Zip Code:98408E-mail:EMAIL AVAILABLETax ID Number:DUNS #:PROJECT INFORMATIONLoan Amount:Project Name:Loan Type:Project Location:Purpose:City:County:Term RequestedState:Total Square Footage:Zip:Lien Position:Census Tract:# of Housing Units:Population:# of Stories:Area Median Income:Income Population Served:Very Low %:# of Jobs Created:Low %:# of Jobs Retained:Moderate %:SITE INFORMATIONLand Size (in Acres):Or Sq.Ft.Community & Utility ServicesDistance in MilesSchools:Current Zoning:Public Transportation:Proposed Zoning:Shopping:Parks:Availability of Services (yes/no)Distance in MilesAdjoining Uses - North:Telephone:East:Public Streets:South:Gas:West:Electricity:Water:Sewer:Storm Drainage:Credit: I hereby grant Rural Community Assistance Corporation permission to obtain credit information and general references, and to contact borrowers accountant.Certification: I certify that the information on this loan application and attachments hereto is complete and current to the best of my knowledge. Furthermore, I understand that intentional misrepresentation of facts may be a basis for denial of credit or an event of default as described in the Promissory Note which will evidence the loan request, if approved.Authorized Signature: Date:Rural Community Assistance CorporationLoan Application Multifamily HousingNotice: The Federal Equal Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicants income derives from any public assistance program; or because the applicant has, in good faith, exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with the law concerning this credit is the Federal Trade Commission, Division of Credit Practices, 6th and Pennsylvania Avenue, NW, Washington, DC 20580. |