Utah Homes Investment Program
Financial Institution Name
Address (Financial Institution)
City (Financial Institution)
State (Financial Institution)
Zip Code (Financial Institution)
Primary Contact Name
Primary Contact Phone Number
Primary Contact Email
Secondary Contact Name
Secondary Contact Phone Number
Secondary Contact Email
Qualified Project Name
Address (Qualified Project)
City (Qualified Project)
State (Qualified Project)
Zip Code (Qualified Project)
Project Size (in acres)
Number of attainable homes expected in the project area as defined in Utah Code § 51-12
Number of all homes expected in the project area
Types of homes expected to be built
Total Number
Number of Attainable
Single Family
Apartment
Townhome
Condominium
Duplex
Estimated Construction Start Date
Estimated Construction Completion Date
Estimated Date the Last Home will be Sold
Qualified Project Developer Name
Qualified Project Developer Address
Primary Contact Name (Qualified Project Developer)
Primary Contact Phone Number (Qualified Project Developer)
Primary Contact Email (Qualified Project Developer)
Amount of Loan Extended to the Developer for the Qualified Project
Fixing Date (Date used to determine the Fed Funds Effective Rate used as a basis for the loan rate)
Fed Funds Effective Rate on the Fixing Date
Rate Extended to Developer
Requested Deposit Amount
Estimated Funding Date
Attach a copy of the executed loan agreement
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