Buyer, regardless if the Buyer encompasses two or more individuals.

PART 1. Release and Authorization
I/We agree to provide and authorize release of information among all relevant mortgage lending and
program-providing parties including a review of income and a credit report. This may include, but is not
limited to CPAH, the First Mortgage Lender, Second Mortgage Lender, attorneys and title companies
involved in the transaction, U.S. Department of Housing and Urban Development, County of Lake, and
any other grant/loan-making entities.

PART 2. Disclosure Relating to Repayment Obligation
If approved for participation in the Lake County Down Payment Assistance Program, I/We understand
that the assistance is provided in the form of a 0%-interest deferred loan, with no monthly payments,
forgiven at a rate of 1/60th every month starting 60 days after closing, and fully forgiven after five years
plus 60 days in the property. However, the assistance will become immediately due and payable if any of
these circumstances occur prior to 5 years plus 60 days: sale, cash out refinance, transfer, failure to
owner-occupy or discovery of fraudulent information provided during the application and closing process.
I/We understand that I/We will be obligated to sign a mortgage, promissory note and/or recapture
agreement. I/We further understand that CPAH acts as a conduit to distribute assistance originating from
the investor (Lake County and U.S. Department of Housing and Urban Development), and as such, acts
on behalf of those entities in this matter.

PART 3. Certification of Personal Investment
I/We certify to CPAH I have/We have and/or will invest in this purchase as required, including:
a. A contribution of $1,000 or 1% of the purchase price (whichever is greater) toward the down payment
of the home as evidenced by a copy of canceled check or paid receipt to be provided no later than
five (5) days prior to the closing date.
b. A fee equivalent to 10% of the total assistance, up to a maximum $500, to the CPAH to be paid
through the title company at the time of closing to offset CPAH’s costs of education, counseling and
loan administration.
c. My/Our intent to attend default prevention counseling in the event that I am/We are delinquent on the
first mortgage.

PART 4. Certification of Eligibility
I/We certify to CPAH that I/We am/are eligible for assistance in that:
a. I/We have not owned a home within the last three years or, in the alternative, I am a displaced
homemaker or single parent who has only owned a home previously with a former spouse.
b. All household information and income verification documentation provided to CPAH and my/our first
mortgage lender is true and complete in all material respects.
c. All buyers are a U.S. Citizen or a Permanent Resident Alien.
d. I/We intend to occupy and maintain the home located at the above-named property address as
my/our principal residence until said property is sold or transferred.
e. The home I/We am buying is a one-unit single family home, condominium unit, cooperative unit or
manufactured housing unit held in fee simple title.

PART 5. Certification of Lead-Based Paint Poisoning Education
I/We understand that homes constructed prior to 1978 may be at risk for the hazards of lead-based paint
poisoning and certify that I/We have read the EPA’s “Protect Your Family from Lead in Your Home”
brochure available at (English): https://www.epa.gov/sites/production/files/2017-
06/documents/pyf_color_landscape_format_2017_508.pdf

(Español): https://www.epa.gov/sites/production/files/2017-
06/documents/pyf_booklet_color_spanish_2017.pdf

PART 6. Non-borrowing Spouse (only if applicable)
a. I agree that a credit report will be pulled for the purpose of collecting monthly debt amounts to be used
toward our total debt-to-income ratio.
b. I agree that a Verification of Employment will be requested by CPAH.