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3. FUNf•#1NG REt,~UEST <br />A. PROGRAM FUNDS <br />Next to the oroaram name. check the box to indicate under which tvqe of funds this application will be made. <br />General <br />Contract For <br />CHDO <br />Disaster <br />TDHCA funds for which this Application will be used: <br />peed <br />Relief <br />HOME <br />El <br />1:1 <br />Housin Trust Fund HTF <br />-777 <br />! <br />B. PROGRAM ELIGIBLE ACTIVITIES <br />Check the boxes next to the program name to indicate the activities this application will fund. <br />C_ FUNDING REQUEST <br />Requested Funds <br />If the award will be in the <br />are in the form of a: <br />f0rm of a loan, the <br />Com lete the table below to describe this a lication's fundin re uest. <br />r uested terms are: <br />TDHCA Programs for which this Application will be <br />~ o <br />0~ <br />~ <br />€ <br />used: <br />R uested Amount <br />Grant <br />Loan <br /> <br />d <br />~ <br />~ <br />HOME Project Funds <br />$ 200,000 <br />'E~/ 11 <br />❑ <br />HOME Administration Funds (4% of Project FundS <br />$ 8,000 <br />N <br />❑ <br />Housing Trust Fund <br />$ <br />❑ <br />❑ <br />D. PREVIOUSLY AWARDED STATE AND FEDERAL FUNDING <br />Has this Applicant previously received TDHCA funds? ❑ No Z Yes <br />Has this Applicant previously received non-TDHCA federal funding? Z No 0 Yes <br />Will this Applicant receive non-TDHCA federal funding for costs described in this application? Z No ❑ Yes <br />[M If the answer to any of the above questions is "Yes," then include a funding description behind Tab 1 that at a minimum includes <br />the source, amount, term and any associated rental restrictions. If the award was from TDHCA, then the TDHCA contract number <br />should also be provided. <br />Attachment 1, Page 5 of 15 <br />