YEAR 2003 COMMUNITY DEVELOPMENT BLOCK GRANT …



YEAR 2019 COMMUNITY DEVELOPMENT GRANTS ADMINISTRATION

INVOICE FOR HOMEBUYER COUNSELING ----- LOANS CLOSED

AGENCY __________________________________________

Invoice # __________

Prepared By:___________________________________Date:_______

ADDRESS_________________________________________

CITY STATE ZIP_______

CONTACT PERSON: PHONE:

CDGA WILL REIMBURSE AT THE FOLLOWING RATES FOR EACH MORTGAGE LOAN CLOSED:

$ 750 - BELOW 50% COUNTY MEDIAN INCOME

$ 500 - BETWEEN 51-80% COUNTY MEDIAN INCOME

| | | | | | | | | | | |

|Client #, | | | | | | | |Census | | |

|Household Size & Client Race &|Monthly |% County Median |Loan Amount |Type of Loan |Lender |Client Received |Closing Date|Tract |Tax Key# |Amount Claimed |

|Client Ethnicity |Income |Income (CMI) | | | |Homebuyer | | | | |

| | | | | | |Certificate? | | | | |

| |

NOTE: An agency can count a loan as a closing only if they have assisted the client from beginning to end. This includes but not limited to assisting the client with pre and post-purchase counseling, credit repair, budgeting etc. Assisting a client to obtain a grant only (such as HCRI) does not constitute a mortgage loan closing that is reimbursable by CDGA.

A Direct Benefits Form (CDA - 35) must be submitted with this invoice.

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