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3. Name of Applicant/Home Buyer*
4. Current Address of Applicant/Home Buyer*
6. Phone*
7. Number of Occupants*
8. Applicant/Home Buyer Email*
10. Address of Property to be Purchased*
11. Date of Property Transfer/Possession*
12. Current/Previous Property Owner*
14. Name and address of Lending Institution if property acquisition is being financed*
16. Lending Officer*
18. PLEASE NOTE:
    This program is for those applicants that are in the process of purchasing a property that has been registered with the City for TWO OR MORE CONSECUTIVE YEARS. Applicants must have a signed sales contract and be in the process of arranging a closing date.
20. Attach Sales Contract*
21. Attach Request for Taxpayer Identification Number (W-9)*
23. Acknowledgment*

    By checking the "I agree" box below, you acknowledge that you have reviewed Ordinance No. 2007-39 and 2016-29 and understand the terms and conditions and further allow the City to verify all the above information in order to ensure that the program requirements are met. Submission of this application doe snot in itself obligate the City or Home Owner without execution of the agreement.

    1. I agree.
25. Electronic Signature*
27. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
29. Electronic Signature*
31. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
33. Electronic Signature
35. Single Family Housing Conversion Application Approved By:
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39. Submit

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