Rondo Community Land Trust Housing Application

AUTHORIZATION FOR RELEASE OF INFORMATION
The Rondo Community Land Trust (CLT) is a Minnesota non-profit corporation. Your signature in Rondo's Housing Application Form below authorizes Rondo CLT to share the information from the form with affordability investment funders of Rondo CLT. In addition, you are authorizing information to be shared with your lender to verify home purchases. Rondo CLT will use this information to evaluate Rondo CLT’s program and to find out the characteristics of who the program is serving. Personally identifying information, such as your name and social security number, will never be
shared. All information collected will be treated with confidentiality.

STEP 1 - Enter Your Full Name

STEP 2 - Fill Rondo's Housing Application Form Below

1. Email *

2. Is this form being completed by a Rondo CLT employee or another * employee providing technical assistance?

Mark only one oval.

Yes Skip to question 3No Skip to question 4

Technical Support Information

If this form is being completed by a Rondo CLT employee on behalf of an individual,
please specify below.

3. Support Person's Name, Organization (if applicable) and Contact Information

Must include employee name and title below.

Other Information

***With this application, please include:

Copies of three (3) month of most recent paycheck stubs for each person in the household 18+ year of age
$20 application fee (mail check, money order or drop off at office in black box)
Copies of two (2) years' most recent federal tax return and w-2's for each
person in the household 18 years and older
SELF EMPLOYED ONLY: Copies of three (3) years' federal tax return including
Schedule C (ie, Profit & Loss Worksheet)
Copies of two (2) months' most recent bank statements for all accounts
Signed Tennessen Warning
Copy of the Home Stretch Homebuyer Course certificate. You can register for
HomeStretch Workshops with (Model Cities) or (MN Home Ownership Center)

4. Are you a former resident (or descendant) of Old Rondo? *

The Right to Return to Rondo Initiative: The Right to Return to Rondo Initiative is
designed to create homeownership opportunities for those displaced by the
construction of I-94 or their descendants to repair the economic, social, and cultural
harm caused by the destruction of 700+ homes and 300+ businesses in the historic
Rondo Neighborhood.

Mission: Prepare for Home

The Right to Return to Rondo Initiative is a reparative program designed to support
eligible homebuyers and their descendants in (re)purchasing a single-family home or
duplex in the Rondo area. The program provides additional funding in combination
with grants available via the Homebuyer Initiated Program. To qualify for the
program, homebuyers must

Belong to one of three Descendancy categories and
Be enrolled in Rondo CLT's limited-income Homebuyer Initiated Program (HIP).

Grant amounts may vary based on available funding levels and eligible participants
will be selected on a first come first served basis.

Rondo Descendant Verification

Directly Displaced: Those who owned or rented a home in Rondo and were
displaced by the construction of I-94.
Direct Descendants: Those who have a parent, grandparent, etc., that owned
or rented a home in Rondo and were displaced by the construction of I-94.
Collateral Descendants: In some instances, applicants may be eligible if it is
possible to confirm that they themselves, or their direct ancestor lived in Rondo
with a family member other than their parents and were displaced by the
construction of I-94. An example of this would be having a parent who lived
with and was raised by their aunt in the Rondo neighborhood.

Mark only one oval.

YesNoI'm not sure

5. How did you hear about Rondo Community Land Trust?

select all that apply

Check all that apply.

Rondo CLT NewsletterAdvertisement (newspaper, radio, billboard)Social media (LinkedIn, Facebook, Instagram, Twitter, etc)Word of mouth/referral (you can tell us who referred you below in Other)Walk-InAttended a Rondo CLT eventRondo CLT Staff (you can tell us who referred you below in Other)

Other:

Applicant Information

6. Applicant First Name *

7. Middle Initial

8. Applicant Last Name *

9. Applicant Current Address *

Please include the address city, state and zipcode

10. Applicant Primary Phone *

11. Applicant Email *

12. Applicant Date of Birth

Example: January 7, 2019

Applicant Demographics (Personal Information)

At Rondo CLT, we ask for demographic data on homeownership applications to ensure fair and equitable access to housing opportunities. Specifically, this data helps us:

Monitor and Promote Diversity: Ensure that our housing programs serve a
diverse range of applicants, reflecting the community's demographics.
Identify and Address Disparities: Recognize and address any potential
inequalities or biases in our application and approval processes.
Comply with Legal Requirements: Fulfill reporting requirements for federal,
state, and local regulations, such as the Fair Housing Act.
Improve Program Effectiveness: Tailor our programs and outreach efforts to better meet the needs of various demographic groups.
Secure Funding and Support: Provide data to funders and stakeholders demonstrating our commitment to diversity and inclusion, which can aid in securing grants and other resources.

14. Applicant Marital Status *

Mark only one oval.

MarriedDivorcedSingleWidow

16. Is the Applicant head of household? *

Mark only one oval.

YesNo

17. Please check highest education level completed by Applicant: *

Mark only one oval.

8th grade or lessSome high schoolHigh School Diploma/ GEDTrade/ vocational trainingSome College- no degreeAssociate's degreeBachelor's degreeGraduate/ Professional degree

18. Applicant Veteran Status

Are you a veteran of the United States Armed Forces?

Mark only one oval.

YesNo

Applicant Employment/Income

19. Applicant Current Employment Status *

Mark only one oval.

Full TimePart Time

20. Applicant Hours Per Week *

21. Applicant Employer *

22. Applicant Occupation Description *

23. Applicant Start Date at Current Employer *

Example: January 7, 2019

24. Applicant Total Monthly Income Before Taxes *

To determine monthly income based on different pay schedules, you can use the following methods:

1. Hourly:

Calculate the total weekly hours worked.
Multiply the total weekly hours by the hourly wage to get the weekly earnings.
Multiply the weekly earnings by 4.33 (the average number of weeks in a month) to get the monthly income.
Formula: Monthly Income=Hourly Wage×Weekly Hours×4.33

2. Biweekly (every two weeks):

Calculate the total biweekly earnings.
Multiply the biweekly earnings by 2.17 (the average number of biweekly
periods in a month) to get the monthly income.
Formula: Monthly Income=Semi-monthly Earnings×2

3. Semi-monthly (twice a month):

Determine the earnings for each semi-monthly period.
Multiply the semi-monthly earnings by 2 to get the monthly income.
Formula: Monthly Income=Semi-monthly Earnings×2

4. Annually::

Determine the annual salary.
Divide the annual salary by 12 to get the monthly income.
Formula: Monthly Income=12Annual Salary

These methods ensure accurate conversion of various pay schedules to a consistent monthly income figure.

25. Applicant Other Sources of income (Please list the income source * and monthly amount).

Other sources of income could include but are not limited to: interest, child support,
SSI, trusts, etc.

26. Applicant Total Monthly Income (this will be sum of your Total Monthly Income Before Taxes and Other Sources of income in the previous questions).

27. Applicant Liquid Assets (Please list the account name and * amount for all liquid assets).

When purchasing a home, liquid assets are those that can be easily converted to
cash without significant loss of value. These assets are essential for the down
payment, closing costs, and other immediate expenses associated with buying a
home. Here are the types of assets typically considered liquid:

Cash: Physical currency and money in checking or savings accounts.
Certificates of Deposit (CDs): These are considered liquid if they mature within 90 days.
Money Market Funds: Accounts or funds that invest in short-term, high-quality investments.
Stocks and Bonds: Securities that can be quickly sold on the market, though
there might be some fluctuation in value.
Mutual Funds: These can generally be liquidated within a few days.
Treasury Bills: Short-term government securities that can be sold easily.
Brokerage Accounts: Accounts holding stocks, bonds, or other investments
that can be quickly sold.

Other assets, like real estate, retirement accounts, and personal property (e.g.,
jewelry, cars), are generally not considered liquid because they cannot be quickly or
easily converted to cash without potentially significant loss in value or penalties.

Please list the account name and amount for all liquid assets.

28. Is there a Co-Applicant or Co-Borrower on the mortgage? *

Note: Co-Applicant is considered anyone over the age of 18 hears. Signature and SSN required for anyone over 18+ years)

Mark only one oval.

Yes Skip to question 30No Skip to question 53

Applicant Employment/Income

29. Co-Applicant First Name *

30. Middle Initial

31. Co-Applicant Last Name *

32. Co-Applicant Current Address *

Please include the address city, state and zipcode

33. Co-Applicant Primary Phone *

34. Co-Applicant Email *

35. Co-Applicant Social Security Number *

Example: January 7, 2019

Skip to question 36

Co- Applicant Demographics (Personal Information)

At Rondo CLT, we ask for demographic data on homeownership applications to
ensure fair and equitable access to housing opportunities. Specifically, this data helps us:

Monitor and Promote Diversity: Ensure that our housing programs serve a diverse range of applicants, reflecting the community's demographics.
Identify and Address Disparities: Recognize and address any potential inequalities or biases in our application and approval processes.
Comply with Legal Requirements: Fulfill reporting requirements for federal,
state, and local regulations, such as the Fair Housing Act.
Improve Program Effectiveness: Tailor our programs and outreach efforts to better meet the needs of various demographic groups.
Secure Funding and Support: Provide data to funders and stakeholders demonstrating our commitment to diversity and inclusion, which can aid in securing grants and other resources.

36. ***Co-Applicant Race/ Ethnic Identity *

Select all that apply

Check all that apply.

Indigenous: American Indian/ Alaskan Native***African Immigrant (there are other immigrant populations that need to be
represented)AsianBlack or African AmericanHispanicNative Hawaiian or Other Pacific IslanderWhite

Other:

37. Co-Applicant Marital Status *

Mark only one oval.

MarriedDivorcedSingleWidow

39. Is the Co-Applicant head of household? *

Mark only one oval.

YesNo

40 Co-Applicant Veteran Status

Is the co-applicant a veteran of the United States Armed Forces?

Mark only one oval.

YesNo

41. Please check highest education level completed by Co-Applicant: *

Mark only one oval.

8th grade or lessSome high schoolHigh School Diploma/ GEDTrade/ vocational trainingSome College- no degreeAssociate's degreeBachelor's degreeGraduate/ Professional degree

Co-Applicant Employment/Income

42. Co-Applicant Current Employment Status *

Mark only one oval.

Full TimePart Time

43. Co-Applicant Hours Per Week *

44. Co-Applicant Employer *

45. Co-Applicant Occupation Description *

46. Co-Applicant Start Date at Current Employer *

Example: January 7, 2019

47. Co-Applicant Total Monthly Income Before Taxes *

To determine monthly income based on different pay schedules, you can use the following methods:

1. Hourly:

Calculate the total weekly hours worked.
Multiply the total weekly hours by the hourly wage to get the weekly earnings.
Multiply the weekly earnings by 4.33 (the average number of weeks in a month) to get the monthly income.
Formula: Monthly Income=Hourly Wage×Weekly Hours×4.33

2. Biweekly (every two weeks):

Calculate the total biweekly earnings.
Multiply the biweekly earnings by 2.17 (the average number of biweekly
periods in a month) to get the monthly income.
Formula: Monthly Income=Semi-monthly Earnings×2

3. Semi-monthly (twice a month):

Determine the earnings for each semi-monthly period.
Multiply the semi-monthly earnings by 2 to get the monthly income.
Formula: Monthly Income=Semi-monthly Earnings×2

4. Annually::

Determine the annual salary.
Divide the annual salary by 12 to get the monthly income.
Formula: Monthly Income=12Annual Salary

These methods ensure accurate conversion of various pay schedules to a consistent monthly income figure.

48. Co-Applicant Other Sources of income (Please list the income source * and monthly amount).

Other sources of income could include but are not limited to: interest, child support,
SSI, trusts, etc.

49. Co-Applicant Total Monthly Income (this will be sum of your Total Monthly Income Before Taxes and Other Sources of income in the previous questions).

50. Co-Applicant Liquid Assets (Please list the account name and * amount for all liquid assets).

Cash: Physical currency and money in checking or savings accounts.
Certificates of Deposit (CDs): These are considered liquid if they mature within 90 days.
Money Market Funds: Accounts or funds that invest in short-term, high-quality investments.
Stocks and Bonds: Securities that can be quickly sold on the market, though
there might be some fluctuation in value.
Mutual Funds: These can generally be liquidated within a few days.
Treasury Bills: Short-term government securities that can be sold easily.
Brokerage Accounts: Accounts holding stocks, bonds, or other investments
that can be quickly sold.

Please list the account name and amount for all liquid assets.

51. Current Housing *

Mark only one oval.

RentOwnStaying with family/ friends

52. Current Housing Type *

Mark only one oval.

ApartmentHouseTownhomeCondo

53. Quality of Current Housing *

Mark only one oval.

GoodOkPoor

54. Do you currently receive Section 8 Subsidy? *

Mark only one oval.

YesNo

55. Current Monthly Household Rent *

56. Are utilities included? *

Mark only one oval.

YesNo

Household Information

57. Are you a ﬁrst-time homebuyer (have not owned a home in the * last 3 years)?

Mark only one oval.

YesNo

58. Are you a ﬁrst-generation homebuyer (your parents did not own * a home)?

Mark only one oval.

YesNo

59. How many people (in total) will live in the house? *

60. How many dependent children under 18 years of age will live in * the house?

61. Ages of dependent children *

62. Are there any persons living in the home with special needs? *

Mark only one oval.

YesNo

63. If you indicated there are persons in the home with special needs, * please let us know how many:

Mark only one oval.

12345More than 5 people living in the home have special needsThere are no people living in the home with special needs

Mortgage Approval

64. Have you been approved for a mortgage by one of or approved * lenders?

You can view the most recent list of Rondo CLT approved lenders
here: https://www.rondoclt.org/approved-lenders

Mark only one oval.

Yes Skip to question 67No Skip to question 70

Mortgage Approval Information

65. You indicated approval for a mortgage by one of Rondo CLT's * approved lenders, let us know who:

Mark only one oval.

Bell BankBremer BankCMG FinancialSWBCMortgages UnlimitedUS BankSunrise BankOld National BankTopline Credit Union

66. What is the date of approval for the Mortgage? *

Example: January 7, 2019

67. What amount was the mortgage approved for? *

Housing Preference

69. Number of Bathrooms Desired *

Check all that apply.

123 or more bathrooms

St. Paul Neighborhoods

Please note that this list is not exhaustive, and there may be smaller neighborhoods or micro-neighborhoods within these larger neighborhoods. Additionally, neighborhood boundaries and designations may change over time.

A map of neighborhoods in Saint Paul, Minnesota.

St. Paul Neighborhoods

I hereby authorize the Rondo Community Land Trust (RCLT), a Minnesota non-profit
corporation, to share the information provided on this form with the affordability
investment funders associated with RCLT. Additionally, I authorize the sharing of my
information with my lender to verify home purchases.

I understand that Rondo CLT will use this information to evaluate its program and to
understand the characteristics of the individuals it serves. I acknowledge that
personally identifying information, such as my name and social security number, will
never be shared. All information collected will be treated with strict confidentiality.

73. By granting this authorization, I acknowledge and agree to the * following terms:

Check all that apply.

Validity: This authorization is valid only for the above-mentioned application and purpose.Security: I understand that my digital signature will be used securely and in
accordance with relevant laws and regulations.Responsibility: I accept full responsibility for any actions taken using my digital
signature on this application.Revocation: This authorization may be revoked by providing written notice to
Rondo Community Land Trust prior to the completion of the application process.

74. Applicant's Full Name *

Digital Signature:

By typing my name below, I am signing this authorization form electronically. I agree that my electronic signature is the legal equivalent of my manual signature on this form.

75. Applicant Authorization Date *

Example: January 7, 2019

76. Is there a Co-Applicant? *

Note: Co-Applicant is required to authorize this application.

Mark only one oval.

Yes Skip to question 79No Skip to question 18 (Required Documents)

Co-Applicant Authorization for Release of Information

77. By granting this authorization, I acknowledge and agree to the * following terms:

Check all that apply.

78. Co-Applicant's Full Name *

Digital Signature:

By typing my name below, I am signing this authorization form electronically. I agree that my electronic signature is the legal equivalent of my manual signature on this form.

79. Co-Applicant Authorization Date *

Example: January 7, 2019

STEP 3- Upload Images of all the Necessary Documentation

(Rondo CLT will not accept an application that does not include all income documents.)

Copy of pre - approval letter from a participating lender
Copies of paystubs (Last 90 days) of most recent paycheck stubs for each person in the household 18+ years of age
Complete copies of the previous 2 years signed income tax returns for wage earners 18 years + in your household
SELF-EMPLOYED ONLY: Copies of previous 3 years federal tax return including Schedule C (i.e. Profit & Loss Worksheet)
Copies of previous 2 years W-2's from all jobs for all wage earners 18+ years in your household
Copies of 2 months' most recent bank statements for all accounts
Signed Tennessen Form: Download Here
Copy of your Homebuyer Education Workshop Certificate of Completion
$20 application fee (check, money order, or we will send a bill)

Thank you! Your submission has been received!

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