Application PBV 2011

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Application PBV 2011 Powered By Docstoc
					                                   Spokane Housing Authority
                                          Application for
                        Section 8 Project Based Housing Choice Vouchers


Name of Applicant: __________________________________________________
Contact: ___________________________________________________________
Address: ___________________________________________________________
Telephone: _________________________________________________________
Fax Number: _______________________________________________________
Email: _____________________________________________________________


Date submitted: _______________________

Name of project: ____________________________________________________

Address of Project: ____________________________________________________

1) Are units existing, substantially rehabilitated, or new construction? Please state year built, when
   rehabilitated, current unit condition and if newly constructed, provide Certificate of Occupancy.
   _________________________________________________________________________________
   _________________________________________________________________________________
   _________________________________________________________________________________

2) How long have you owned the property? _______ years.

3) Location and description of the project, including number of bedrooms and size of units:
   _________________________________________________________________________________
   _________________________________________________________________________________
   _________________________________________________________________________________
   _________________________________________________________________________________
   _________________________________________________________________________________
   _________________________________________________________________________________

4) Please explain the need for Project Based Housing Choice Vouchers:
   _________________________________________________________________________________
   _________________________________________________________________________________
   _________________________________________________________________________________
   ________________________________________________________________________
                      _____________________________________________

5) General Unit Information: Remember there is no limit on number of units in a project/building,
   however only 25% of total units in a project can be considered for project vouchering. Projects with
   15 units or less will be given priority. Single family dwellings (i.e. 1 to 4 units) and those projects
   serving elderly and/or disabled are exempt from the 25% cap. Projects providing supportive

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   services to all residents (subject to a HUD waiver) are also exempt from the 25% cap.

       Total number of units: ________.
              How many units are handicapped accessible units? ________.
              Of those how many are for sensory impaired? _________.


              Number of units for which assistance is requested _________.

              This represents _________% of total units in the project/building.

              Identify unit numbers and profile of residents.
              ________________________________________________________________________
              ________________________________________________________________________
              ________________________________________________________________________
              ________________________________________________________________________
              ________________________________________________________________________
              ________________________________________________________________________
              ________________________________________________________________________
              ________________________________________________________________________
              ________________________________________________________________________

       Date of proposed HAP Contract ____________.
       How many units do you expect to be vacant on this date ________?

       What is your requested lease/HAP Contract term? _________Years

       Do any other units in the project/building receive (Section 8) Housing Choice Voucher Rental
       Assistance? If yes, how many ________, or does the project receive assistance of any kind
       through any other agency? If yes, please describe type of assistance and number of units
       covered under the assistance.
       ______________________________________________________________________________
       ______________________________________________________________________________
       ______________________________________________________________________________
       ______________________________________________

       Are all of the units in the project/building set aside for elderly and/or disabled? _____
       If yes, what are the total number of units in the project/building ________?
       In this case the total number of units may be eligible for Housing Choice Voucher Rental
       Assistance under Project Based Housing Choice Vouchers.


6) Resident characteristics:
      ______________________________________________________________________________
   _________________________________________________________________________________
   _________________________________________________________________________________
   _____________________________________________________                ____________

7) Project Basing may not be located in areas of minority concentrations or in neighborhoods in which
   substandard dwelling or other undesirable conditions predominate. How will the Project Based

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   Housing Choice Vouchers for this project/building promote deconcentration of poverty and further
   housing choice?
   _________________________________________________________________________________
   _________________________________________________________________________________
   _________________________________________________________________________________
   _________________________________________________________________________________
   _________________________________________________________________________________

           a) If this project requires a waiver of the deconcentration rule a copy of the formal waiver
              request to HUD must be submitted with this application.


8) What is the income served (adjusted for family size) _________ % above 30% of Median and
   _______% below 30% of median income. What is the % of median income to be served in the
   number of units for which assistance is requested? _____%.

9) Does this project serve special needs populations, elderly & disabled or are their supportive services
   provided?
   _________________________________________________________________________________
   _________________________________________________________________________________

10) Is this Transitional Housing? If so, explain extent of services and maximum time family can remain
    in transitional housing.
    _________________________________________________________________________________
    _________________________________________________________________________________
    _________________________________________________________________________________
    _________________________________________________________________________________
    _________________________________________________________________________________
    _________________________________________________________________________________
    _________________________________________________________________________________
    _________________________________________________________________________________

11) Incomes for those proposed to be served must be at or below 30% of the area median for the
    household size?

   Do all households qualify for number of vouchers requested in this proposal? ____yes ______no




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Attachments:

       1. Provide the current tenant rent roll, with current resident incomes and rents paid, including
           utilities if any.

       2. Necessary documentation to support the request:

          a) Current Income and expense proforma
             OR
          b) Proposed income and expense proforma (with Project Basing Housing Choice Voucher
             assistance) showing the ability to absorb operational costs beyond the control of the
             project (i.e.: utility rates etc.) the ability to maintain an Operating and Capital Reserve at
             reasonable levels and support services provided to the residents.

       3. If you own other subsidized properties provide a list with project name, address, unit
          bedroom sizes, and describe funding sources.

       4. Explain your experience in ownership, marketing and running this type of low-income
          housing. If you provide services, what is your agency capacity? Include proposed staff
          roles, identify staff concerned and provide resumes.

       5. Show documentation that the current project rents are at or below the Fair Market Rents
          (FMR) for your area. Include number of units at or below FMR and number of units above
          FMR.

       6. Provide a copy of the management plan for the project.

       7. Provide a copy of your tenant selection policy for the project.

       8. Will this request for project vouchers create displacement of residents permanently or for a
          short period of time? _______ yes _____no. If yes please include a copy of your relocation
          plan. The plan must meet HUD guidelines. Also, explain how relocation will be funded.

       9. Identify all principal participants in your organization (i.e. Owner, Management Company,
          Service Provider). For each principal participant provide name, address, telephone number,
          fax, email. Include a written certification that each principal participant (officers, members,
          shareholders, directors, board members investors or any person with substantial interest) is
          not on the U.S. General Services list of excluded parties.

       10. Provide a site, building and neighborhood description. Include census tract, street address,
          age of property, current unit condition, description of topography, description of
          neighborhood, location of public transit, location of employment opportunities, type and size
          of units and project. The accessibility and location of social, recreational, educational,
          commercial & health facilities. Describe any physical design elements included to directly
          benefit the population served. If a waiver of deconcentration is required, include a copy of
          the waiver request in this attachment.

       11. Provide project financial information: Furnish evidence of existing funding and any
           proposed funding for project. Furnish copies of operating statements for the three previous
           years. Provide a copy of the Capital Replacement Plan or Life-cycle plan for replacements.

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          Provide details of capital expenditures within the previous five years and a list of major
          deferred capital work.

       PROVIDE SIX (6) COMPLETE HARD COPIES AND ONE (1) COMPLETE ELECTRONIC COPY WITH
       YOUR SUBMITTAL

       Selected proposals are subject to a NEPA review, some proposals may also require a subsidy
       layering review by HUD.




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