Dd Form 1607, 2010, Application For Homeowners Assistance Page 3

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SECTION II - PROPERTY FOR WHICH ASSISTANCE IS SOUGHT
If home was SOLD, provide a copy of the Form HUD-1 (closing statement) (OMB Approval No. 2502-0265) of sale, and the deed with the recording
information such as Book and Page Number. If FORECLOSED or in process of foreclosure, provide a statement of obligations ensuing from fore-
closure. Documents provided in evidence of purchase, sale, and foreclosure must be legible, completed copies.
THE DEPARTMENT OF DEFENSE IS NOT RESPONSIBLE FOR SAFEKEEPING OR RETURN OF ORIGINAL DOCUMENTS.
12. ADDRESS OF PROPERTY
a. STREET
b. CITY
c. COUNTY
d. STATE
e. ZIP CODE
13. PERIOD OF OWNERSHIP/OCCUPANCY
14. IF MORTGAGED, WAS IT
15. PRESENT STATUS
(X one)
(X one)
a. FROM (YYYYMMDD)
b. TO (YYYYMMDD)
FHA - INSURED
OWNED BY YOU (Complete Item 21)
VA - GUARANTEED
SOLD (Complete Item 22)
OTHER
FORECLOSED (Complete Item 23)
17. PRICE
18. DEED IS RECORDED IN
16. DATE OF PURCHASE
(YYYYMMDD)
a. VOLUME
b. PAGE
c. DEED RECORDS OF
19. APPROXIMATE DISTANCE FROM RESIDENCE TO WORK:
20. LIST MAJOR IMPROVEMENTS MADE BY YOU DURING YOUR OWNERSHIP
(Such as adding garage, finishing rooms, adding bathroom, or other
improvements.
Include cost and approximate date each was completed. Please specify whether improvements were made using home equity lines of credit or
additional mortgages.)
21. IF DWELLING IS OWNED BY YOU:
(X and complete as applicable)
a. YOU STILL OCCUPY
c. PLAN TO SELL ON PRIVATE MARKET
(1) LEASED THROUGH (YYYYMMDD)
(2) LEASE AMOUNT (Per month)
b. VACANT
d. LEASED (Attach copy of lease)
22. IF DWELLING WAS SOLD:
a. SOLD TO
b. DATE SOLD (or will close)
c. SALE PRICE
(YYYYMMDD)
d. DEED RECORDED IN
(1) VOLUME
(2) PAGE
(3) DEED RECORDS OF
23. IF LIENHOLDER FORECLOSED ON PROPERTY:
a. DATE FORECLOSURE COMMENCED
b. COMMENCED BY (X one)
c. PROCEEDING STILL PENDING (X one)
(YYYYMMDD)
VA
BANK (Name of Bank)
YES
FHA
NO
d. NAME OF COURT
e. LOCATION OF COURT
f. DATE OF FORECLOSURE SALE (YYYYMMDD)
g. AMOUNT OF FORECLOSURE SALE
h. AMOUNT OF ENFORCEABLE LIABILITIES AGAINST YOU
24. IF YOU PLAN TO ASK THE GOVERNMENT TO PURCHASE YOUR DWELLING
:
(Mortgages)
b. ADDRESS
c. ORIGINAL
d. CURRENT
e. DATE OF LOAN
a. LENDER NAME
AMOUNT
BALANCE
(YYYYMMDD)
(Street, City, State, ZIP Code)
1st
2nd
3rd
4th
f. DATE DWELLING WAS
g. TO THE BEST OF YOUR KNOWLEDGE, DOES THE DWELLING CONTAIN ENVIRONMENTAL HAZARDS?
CONSTRUCTED (YYYYMMDD)
(Such as friable asbestos, lead-based paint, etc.)
YES (Specify)
NO
DD FORM 1607, DEC 2010
Page 2 of 4 Pages

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