Tioga County Local Development Corporation

Commercial Façade Improvement Program

Application Form

1. Location of Property

Street Address: _________________________________________________

Municipality: _________________________________________________

Tax Map Number: ________-_______________-________

2. Ownership

Owner’s Name: _________________________________________________

Owner’s Address: _______________________________________________

Telephone Number(s): ( ) _____-__________ ( ) _____-__________

3. Encumbrances

First Mortgage:

Lender: _____________________________________________________

Original Amount $_______________ Remaining Balance ________________

Second Mortgage/Other Outstanding Loans (if applicable):

Lender: _____________________________________________________

Original Amount $_______________ Remaining Balance ________________

Amount of Other Liens or Taxes Outstanding $_________________________

For any other encumbrance please attach a separate page setting forth the type of encumbrance, the holder of the encumbrance, the original amount and remaining balance.

4. Property and Building

Commercial Space __________ sq. ft. __________%

Residential Space __________ sq. ft. __________%

Other (Specify Use: __________ ) __________ sq. ft. __________%

Total __________ sq. ft. 100 %

5. Current Commercial Tenants

Please list all current commercial tenants including the amount of square feet occupied and the term of the current lease. Please list square footage of available commercial space for lease. Attach a copy of all executed leases to this application.

6. Proposed Work

Please describe proposed work and attach contractor’s cost estimates. Include plans and specifications and/or architectural drawings.

a. Front:	_________________________________________________
	_________________________________________________
	_________________________________________________
	_________________________________________________

b. Sides:	_________________________________________________
	_________________________________________________
	_________________________________________________
	_________________________________________________
c. Back:	_________________________________________________
	_________________________________________________
	_________________________________________________

7. Attach a copy of Deed/Proof of Ownership.

8. Attach a confirmation letter from mortgage holder(s) of any outstanding balance(s) and status of said loan(s).

9. Project Funding

	Private Lender		Owner’s Equity		TCLDC		Other		Total
Amount	______	+	______	+	______	+	______	=	______
Term	______		______		______		______		______
Interest Rate	______		______		______		______		______
Annual Debt Service	______	+	______	+	______	+	______	=	______

Name of Private Lender: __________________________________________

10. Owner authorizes the Tioga County Local Development Corporation (TCLDC) to obtain a credit report on the applicant/owner.

11. Owner hereby represents and certifies that the information submitted herein with respect to mortgages, loans, and other liens and encumbrances is accurate and complete as of the date of this statement. Owner further represents that all current municipal obligations, including real property taxes, school taxes, special assessments, and water and sewer payments, are paid in full.

12. Owner shall notify the TCLDC of any changes with respect to ownership of property, mortgages, loans and/or other liens or encumbrances from the date of this application until TCLDC funds are disbursed.

__________________ ________________________________

Date Owner’s Signature

__________________ ________________________________

Date Co-Owner’s Signature