NAHPA's Property Evaluation Evaluation Sheet

TO BE COMPLETED BY SELLER (* indicates required information):

Project Name*:

USDA/RD Project Number:

Date Built:

Property Address*:

City*: ST*: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ZIP*

County: Congressional District:

Contact Party's Name* (party authorized to execute on behalf of owner):

Contact Party's Address*

City*: ST*: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ZIP*:

Telephone*: e-mail*:

Present Owner's Name*:

Form of Ownership:

If partnership, please list limited partners:

Total Number of Units

Has the owner applied to USDA for prepayment? YES NO

Has an appraisal of the property been completed? YES NO

If "yes" please provide the date:

If "yes" provide appraisal determination amount:

Has USDA offered the owner an incentive package to avoid prepayment? YES NO

If "yes" has the owner formally rejected the incentive package?

YES NO

Number and type of units with rental assistance, if any:

We will need the following additional documents. Please fax or e-mail to NAHPA:

Project rent roll and operating reports for the past year

Most recent audited financial statement

Photographs of property [preferably in digital form]

Rural Development permanent loan documents (i.e. promissory note, mortgage/deed of trust, rental assistance agreement, loan agreement)

Audited financial statements for the past three years

Inspection reports for the past three years

Restrictive Covenants and Land Use Agreement (aka Regulatory Agreement)

Occupancy Record (last three years)

Current Title Policy

TO BE COMPLETED BY ON-SITE ADVISOR:

Area Demographics:

POPULATION/NEAREST TOWN/CITY:

Area Description [Where located in state, major highways, general economic information, growth & decline expectations:

Area Median Income:

Major Employers: