8/24/2018

Arizona Department of HousingP2P DOWN PAYMENT ASSISTANCE

DECLARATION OF ELIGIBILITYRead Declaration of Eligibility carefully before completing and signing these forms.

Applicant Information Subject Property (must be primary residence)

Applicant Address

Co-Applicant City/State/Zip

Phone County

Email Number of Household Members

Household Monthly Gross Income

Estimated Assistance Calculation:Property Purchase Price:

Estimated Assistance Amount: (10 % of p

3. My Annual Gross Income is NOT greater than $92,984.00.

Required Documents for Declaration of Eligibility: (all forms must be fully exe

1. Declaration of Eligibility2. Household Composition Declaration3. Dodd-Frank Certification4. Third Party Authorization

I (We) have have not previously received Save Our Home AZ Assistance

I (We) acknowledge and understand that this request and Principal Reduction Assistance if atruthfulness and accuracy of the documentation I (we) provide in support of this Request. Imisstatement negligently made by me (us) in connection with this request for Program assistviolation punishable by a fine; and a material misstatement fraudulently made in support offederal violation punishable by up to a $10,000 fine which may be in addition to any criminaaddition, any material misstatement or false statement which affects my (our) eligibility for Pdenial of my (our) Request for Program Assistance or, if Program Assistance has been madestatement, will constitute a default on the Program Assistance. In addition, I (we) hereby ackfalse pretense, including any false statement or representation; or the fraudulent use of any invaluable thing or service pursuant to my (our) participation in the Program, may be punisha

Signature of Applicant:

Signature of Co‐ Applicant:

Declaration Statements:1. The Subject Property will be my Primary Residence.

2. The Subject property is in an eligible city according to program information

1090003988

CAROL ANNA MARQUEZ 5150 S MISSION RD

ROBERTO MARQUEZ Tucson, AZ 857065205551234

luciaxxxxxxx@xmail.com 2$3,594.50

$120,000.00

$12,000.00

If the County does not populate with le; you will have to edit the AB in the system and select

your 3.2 fiproperty Tthe county

urchase price up to $20,000)

cuted)

.

pproved is based upon the(We) acknowledge that a materialance will constitute a federalthis Request; will constitute al penalty imposed by law. Inrogram Assistance will result in a

prior to discovery of the falsenowledge and understand that anystrument, facility, article or other

ble by imprisonment or by a fine.

Date:

Date:

.

rev. 11/22/2016

8/24/2018

$

$

$

$

$

$

$

$

Household Composition Declaration18 & OWN OTHER

OVER WORKING

FULL NAME RELATIONSHIP (YES/NO) (YES/NO)

1

2

3

4

5

6

7

8

ANNUALINCOME

PROPERTY(YES/NO)

I (We) have have not previously received Save Our Home AZ Assistance.

I (We) acknowledge and understand that this request and Principal Reduction Assistance if approved is basedupon the truthfulness and accuracy of the documentation I (we) provide in support of this Request. I (We)acknowledge that a material misstatement negligently made by me (us) in connection with this request forProgram assistance will constitute a federal violation punishable by a fine; and a material misstatementfraudulently made in support of this Request; will constitute a federal violation punishable by up to a $10,000 finewhich may be in addition to any criminal penalty imposed by law. In addition, any material misstatement or falsestatement which affects my (our) eligibility for Program Assistance will result in a denial of my (our) Request forProgram Assistance or, if Program Assistance has been made prior to discovery of the false statement, willconstitute a default on the Program Assistance. In addition, I (we) hereby acknowledge and understand that anyfalse pretense, including any false statement or representation; or the fraudulent use of any instrument, facility,article or other valuable thing or service pursuant to my (our) participation in the Program, may be punishable byimprisonment or by a fine.

Signature of Applicant: Date:

Signature of Co‐ Applicant: Date:

rev. 03/17/2016

Arizona Department of HousingP2P DOWN PAYMENT ASSISTANCE

1090003988

CAROL ANNA MARQUEZ Borrower

ROBERTO MARQUEZ Co-Borrower

Additional household members should be written in on the additional lines of the household composition form

even if they are not on th mortgage.

8/24/2018

Lender:

Save Our Home Arizona Program (SOHAZ)

Arizona Home Foreclosure Funding Corporation

1110 West Washington Street, Suite 310, Phoenix, AZ 85007

Borrower(s):

FEDERAL TRUTH IN LENDING DISCLOSURE STATEMENT

Initial

ANNUAL

PERCENTAGE RATE The cost of your credit as a yearly rate

FINANCE CHARGE The dollar amount the credit will cost you

Amount Financed The amount of credit provided to you or on your behalf

Total of Payments The

amount you will have Paid

after you have made all Payments as scheduled

0.0%

$0

$

$0

PAYMENT SCHEDULE:

Final Balloon Payment due N/A : $0.

SECURITY: You are giving a security interest in the property located at

ASSUMPTION: Someone buying your home cannot assume the mortgage on the original terms.

NO GUARANTEE TO REFINANCE: There is no guarantee that you will be able to refinance to lower your rate and payments.

See your Mortgage and Note for any additional information about nonpayment, default, and any required repayment in full before the scheduled date.

ITEMIZATION OF AMOUNT FINANCED of $ .

Amounts paid to others on your behalf

$ to public officials for recording fees.

$ to Title Company for down payment assistance and closing costs.

Borrower(s) hereby acknowledge(s) on the date set forth below receipt of the disclosure before consummation of the transaction.

Borrower Date Borrower Date

TCO 361587204v2

rev. 03/17/2016

1090003988

CAROL ANNA MARQUEZ,ROBERTO MARQUEZ

12,000.00

12,000.00

5150 S MISSION RD, Tucson, AZ 85706

25.00

11,975.00

08/24/2018 08/24/2018CAROL ANNA MARQUEZ ROBERTO MARQUEZ

8/24/2018

Dodd-Frank Certification

The following information is requested by the federal government in accordance with the Dodd-Frank Wall Street Reform and Consumer Protection Act (Pub. L. 111-203). You are

required to furnish this information. The law provides that no person shall be eligible to beginreceiving assistance from the Making Home Affordable Program, authorized under theEmergency Economic Stabilization Act of 2008 (12 U.S.C. 5201 et seq.), or any other mortgageassistance program authorized or funded by that Act, if such person, in connection with amortgage or real estate transaction, has been convicted, within the last 10 years, of any one ofthe following: (A) felony larceny, theft, fraud, or forgery, (B) money laundering or (C) tax evasion.

Borrower Co-Borrower

I have not been convicted within the last10 years of any one of the following inconnection with a mortgage or real estatetransaction:(a) felony larceny, theft, fraud, or forgery,(b) money laundering or(c) tax evasion

I have not been convicted within the last10 years of any one of the following inconnection with a mortgage or real estatetransaction:(a) felony larceny, theft, fraud, or forgery,(b) money laundering or(c) tax evasion

In making this certification, I/we understand that the servicer, the U.S. Department of the Treasury,or their agents may investigate the accuracy of my statements by performing routine backgroundchecks, including automated searches of federal, state and county databases, to confirm that I/wehave not been convicted of such crimes. I/we also understand that knowingly submitting falseinformation may violate Federal law.

______________________________________ ____________________Borrower Signature Date

______________________________________ ____________________Co-Borrower Signature Date

*************If there is a 3rd or 4th borrower on the transaction you will have to print an additional Dodd-Frank Certification and have the additional

borrowers sign and check the appropriate boxes.*************

8/24/20188/24/2018

Third-Party Authorization Form

______________________________________ ________________________________________Mortgage Lender/Servicer Name (“Servicer”) [Account][Loan] Number

___________________________________________________________________________________________Property Address

The undersigned Borrower and Co-Borrower (if any) (individually and collectively, “Borrower” or “I”), authorize the aboveServicer and it’s successors and assigns (individually and collectively, “Servicer”) and the following third parties

______________________________________ _________________________________________[Counseling Agency] [Agency Contact Name and Phone Number]

______________________________________ _________________________________________[Eligible Entity] [Eligible Entity Contact Name and Phone Number]

______________________________________ _________________________________________[Other Third Party] [Third Party Contact Name and Phone Number]

__________________________________________________________________________________________[Relationship of Other Third Party to Borrower and Co-Borrower]

(individually and collectively, “Third Party”) to share, release, discuss, and otherwise provide to and with each other publicand non-public personal information contained in or related to the mortgage loan of the Borrower. This information mayinclude (but is not limited to) the name, address, telephone number, social security number, credit score, credit report,income, government monitoring information, loss mitigation application status, account balances, program eligibility, andpayment activity of the Borrower. I also understand and consent to the disclosure of my personal information and the termsof any agreements under the Making Home Affordable or Hardest Hit Fund Programs by servicer or Eligible Entity to theU.S. Department of the Treasury or their agents in connection with their responsibilities under the Emergency EconomicStabilization Act.

The Servicer will take reasonable steps to verify the identity of a Third Party, but has no responsibility or liability to verify theidentity of such Third Party. The Servicer also has no responsibility or liability for what a Third Party does with suchinformation.

This Third-Party Authorization is valid when signed and until Servicer receives a written revocation signed by any borroweror co-borrower.

I UNDERSTAND AND AGREE WITH THE TERMS OF THIS THIRD-PARTY AUTHORIZATION:

Borrower Co-Borrower

_______________________________ _________________________________Printed Name Printed Name

_______________________________ _________________________________Signature Signature

_______________________________ _________________________________Date Date

SIGNHERE

Before signing this Third-Party Authorization, beware of foreclosure rescue scams!

It is expected that a HUD-approved housing counselor, HFA representative or authorizedthird party will work directly with your lender/mortgage servicer.

Please visit http://makinghomeaffordable.gov/counselor.html to verify you are working with aHUD-approved housing counseling agency.

Beware of anyone who asks you to pay a fee in exchange for a counseling service ormodification of a delinquent loan.

SIGNHERE

Arizona Department of Housing 1090003988

5150 S MISSION RD Tucson AZ 85706

Arizona Home Foreclosure Prevention Funding Corporation 602-771-1000

CAROL ANNA MARQUEZ ROBERTO MARQUEZ