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Instruction Sheet

VIEWS: 2 PAGES: 3

									                                                                                                                                                                            Form #: AHAP-330


                                                           Affordable Housing Assistance Program
                                                         Schedule of Rental Assistance Payments Due
Purpose:                            To track the use of rental assistance and calculate the total payment to the property for the month requested.

                                                                               Owner/Project Name:
         For Month of:                                                         Mailing Address:
             Year of:                                                          Project Address:
                                                                               County:
                                                                                                                    Original        Type in        TENANT ASSISTANCE PAYMENT INFORMATION
                       Tenant Name                                                      # of       Family         Qualification   "RECERT"    Actual Amount Received Amount Requested from     Approved
                                                                     Unit #           Bedrooms      Size              Date         or "NEW"          by Tenant           AHAP Fund           MHDC USE ONLY

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                                                                                                 Sub-Total from Page 2                                      0.00                   0.00
                                                                                                 Sub-Total                                                  0.00                   0.00
                                                                                      Adjustments For The Month Of
                                                                                                               Move-in Date                      Move-out Date
                           Tenant Name                              Unit #      # of Bedrooms    Family Size   or Date on RA                     or Date off RA           Requested          MHDC USE ONLY




                                                                                                 Sub-Total                                                                       $0.00
                                                                                      Adjustments For The Month Of
                                                                                                               Move-in Date                      Move-out Date
                           Tenant Name                              Unit #      # of Bedrooms    Family Size   or Date on RA                     or Date off RA           Requested          MHDC USE ONLY




                                                                                                 Sub-Total                                                                       $0.00
OWNER/AGENT CERTIFICATION
I hereby certify that all information on this schedule is true and that all amounts
were computed in accordance with MHDC instructions, that each person or family
identified meets the eligibility requirements and that each of the identified units has                        Current Month Assistance:                                         $0.00
passed Housing Quality Standards.
                                                                                                               Prior Month(s) Adjustments:
Signature:__________________________________________________________________                                   Month of:                                                         $0.00
Date:                                                                                                          Month of:                                                         $0.00
Print or type name here:                                                                                       Month of:
Title:
Managing Agency:
Telephone Number:
                                           MHDC USE ONLY
Reviewed By:                                          Date:                                                                        Total Due:                                    $0.00




                                                                                                    Page 1 of 3                                                            Effective date: 01/11/08
                                                                                                                                Form #: AHAP-330


                               Affordable Housing Assistance Program
                             Schedule of Tenant Assistance Payments Due
Continuation of page 1
                                          Owner/Project Name:                                                                                                 0
     For Month of:           0            Mailing Address:                                                                                                    0
         Year of:            0            Project Address:                                                                                                    0
                                          County:                                                                                                             0
                                                                         Original       Type in        TENANT ASSISTANCE PAYMENT INFORMATION
               Tenant Name                    # of       Family        Qualification   "RECERT"   Actual Amount Received Amount Requested from     Approved
                                 Unit #     Bedrooms      Size             Date        or "NEW"          by Tenant           AHAP Fund           MHDC USE ONLY

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                                                       Sub-Total                                                0.00                   0.00




                                                         Page 2 of 3                                                           Effective date: 01/11/08
                                                    Affordable Housing Assistance Program
                                                  Schedule of Tenant Assistance Payments Due
                                                                                          Instruction Sheet

                                                                        Owner/Project Name:          Sterling Properties / Custom Court Apartments
                                                                                                    Sterling Properties / Custom Court Apartments
For Month of:       June                                                Mailing Address:            5369 Main St., Lotsoluck, MO 64000
     Year of:       2007                                                Project Address:            2552 Somewhere St., Sterling, MO 64444
                                                                        County:                     Juniper
                                                                                                       Original         Type in        TENANT ASSISTANCE PAYMENT INFORMATION
                   Tenant Name                                              # of           Family    Qualification     "RECERT"       Actual Amount      Amount Requested      Approved
                                                              Unit #      Bedrooms          Size         Date          or "NEW"     Received by Tenant     From MHDC        MHDC USE ONLY

1      Jane Ann Smith                                          4A             2              3       5/30/2002        RECERT                $125.00            $125.00
2      Karrie Jones                                            4B             2              4       8/1/2004                                 $85.00            $85.00
3      Raymond Johnson                                         4C             2              3       2/1/2003                                 $95.00            $95.00
4      Beth Anderson                                           4D             2              2       12/1/2006                                $81.00            $81.00
5      Janetta Kent                                            4E             2              3       6/1/2007           NEW                 $125.00            $125.00
6      Ben Williams                                            4F             2              4       10/2/2005                                $65.00            $65.00
7      Mary Morris                                             4G             2              3       5/12/2007          NEW                   $90.00            $90.00
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                                                                                                             Sub-Total                     $666.00             $666.00
                                                                        Adjustments For The Month Of                  May
                                                                                                  Move-in Date                       Move-out Date
                                                              Unit #    # of Bedrooms Family Size or Date on RA                      or Date off RA        Requested        MHDC USE ONLY
       Priscilla Anze                                          4G             2              3       12/1/1996                         5/1/2003               ($120.00)
       Mary Morris                                             4G             2              3       5/12/2007                                                  $90.00
       Sahra Shoe                                              4E             2              4       6/1/1998                         5/15/2007                   $0.00



                                                                                                             Sub-Total                                          ($30.00)
                                                                        Adjustments For The Month Of                 April
                                                                                                  Move-in Date                       Move-out Date
                                                              Unit #    # of Bedrooms Family Size or Date on RA                      or Date off RA        Requested        MHDC USE ONLY




                                                                                                             Sub-Total                                            $0.00
OWNER/AGENT CERTIFICATION
I hereby certify that all information on this schedule is true and that all amounts
were computed in accordance with MHDC instructions, that each person or family
identified meets the eligibility requirements and that each of the identified units has             Current Month Assistance:                                  $666.00
passed Housing Quality Standards.
                                                                                                    Prior Month(s) Adjustments:
Signature: ___________________________________________________________ Month of:                                     May                                        ($30.00)
Date: May 13, 2003
            5/18/2002                                                  Month of:                                     April                                        $0.00
Print or type name here:         Sue Z. Que
                                Sue Z. Que                                                          Month of:

        Ocupation
Title: Occupation Specialist
Managing Agency:                Anyone Management Co., Inc.
Telephone #                     (816) 222-2222
                                      MHDC USE ONLY
Reviewed By:                                          Date:                                                            Total Due:                              $636.00




           0eedd353-5dc7-408f-98fe-babc7fbf0de8.xls Instruction Sheet                                                                                               Revised 1/7/2004

								
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