Moderate Income Revolving Loan (MIRL)Intent to Apply for the Program Loan Request

Moderate Income Revolving Loan (MIRL)

Intent to Apply for the Program Loan Request

This form notifies OHCS that a Sponsoring Jurisdiction (SJ) intends to submit a Program Loan Request under MIRL. Submission of this for does not confirm loan approval but allows OHCS to initiate the process and open a work center for application submission.

Name of the Sponsoring Jurisdiction*

Type of Jurisdiction*

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County in which the SJ is located

Housing Financing Account(HFA)#*

You can locate your HFA# in your executed Master Agreement.

Number of MIRL Applications to date

Enter the total number of applications your jurisdiction has previously submitted to OHCS—not including this current submission. This count should reflect all applications submitted to date, including any that were incomplete or withdrawn.

Type of Project

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Rural or Urban *

To determine whether your project qualifies as rural, refer to the MIRL Manual on Page 9 under "Rural Sponsoring Jurisdictions " for the specific definition.

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Project Application Request Amount*

Primary Contact Name

Official representative from SJ

Primary Contact Phone Number

Phone

Primary Contact Email*

Upload the Master Agreement and Ordinance/Resolution*

Please upload the executed Master Agreement and adopted Ordinance/ Resolution

Drag and drop files here or

Acknowledgment *

I understand that submitting this form does not guarantee loan approval and that OHCS will review and follow up as needed.

Send me a copy of my responses

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