BUYER:

CURRENT ADDRESS:  TELEPHONE:

PURCHASE PRICE: $ GRANT AMOUNT: $

ESTIMATED CLOSING DATE:  SELLER:

PARTICIPATING HOME ADDRESS:

                                                                     (Please insert street address, city state and zip)

LENDER AND LOAN AGENT:

PHONE:   FAX:

ESCROW/CLOSING AGENT:

PHONE:  FAX:

Funds provided by COMMUNITY HOUSING AND DEVELOPMENT CORP. are a Gift, not a loan. There are NO liens recorded against your property and there is NO expectation of repayment of this Grant of Gift Funds.

Forms for the Buyer and Seller will be prepared and faxed to the Lender and Closing Agent. If they are not received in the next few hours, Please contact our office.

Your Name:  Company:  Phone:

Grant Amount restated from Above:$    **Service Fee: $  

Your email:

**New clients: Please contact customer service at (800) 734-3633 for service fee information

(print a copy for your own records-click below before submitting)