Get documents about "HOME Rental Compliance Report
Document Sample
HOME INVESTMENT PARTNERSHPS PROGRAM Funding in Project Yes/No
HOME LIHTC Y N
USDA-RD (FmHA) 515 Y N
USDA-RD 538 Y N
Rental Housing Project Compliance Report HUD 202/811 Y N
Other Project Based Rental
Grantee: Assistance Y N
Total # HOME units: HOME units fixed or floating:
Grant #: #Low HOME units: ____________ # of these vacant 12/31
# High HOME units: ____________ # of these vacant 12/31
Project Name:
1, - December 31, 2006
Reporting Period: January 1, 2006 2008-December 31, 2008 Total # units in project: ____________ # of these vacant 12/31
A B C D E F G H I J K L M N
Unit # # Bedrooms Low HOME, High Tenant Name # in Tenant Annual Date Last Intial Occ. Lease Rent Tenat-paid Total Rent Plus Allowable Rent & Allowable % PBRA (Y/N)
HOME, or Non- Hshld Gross Income Income of Unit? Utilities Utilities Utilities AMI
HOME Unit Cert. (Y/N)
ATTACH ADDITIONAL SHEETS IF NECESSARY Page ___ of ____
PROPERTY MANAGEMENT CONTACT INFORMATION GRANTEE CONTACT INFORMATION
Contact Name: Contact Name:
Organization: Organization:
Address: Address:
Phone Number: Phone Number:
Fax Number: Fax Number:
E-Mail Address: E-Mail Address:
Individual Completing Report: Organization:
Contact Information if Different than Reported for Property Management or Grantee:
Instructions
Project Compliance Report: Rental Housing
Nebraska Department of Economic Development
F. * Tenant Annual Gross Income – What is the annual gross
Funding in Project – Circle Y next to the sources that income of the tenant household in the unit?
contributed to any stage of project. Circle N next to the G. * Date Last Income Cert. - Date of last time the tenant’s
sources that have not contributed to project. income was certified.
Grantee – Name of HOME Funds Recipient H. Initial Occ. Of Unit? (Y/N) – Is this tenant the first
Grant # – HOME Award Number inhabitant of this unit? Yes or No.
Project Name – Name of Project I. * Lease Rent – What the owner charges for renting the unit.
Reporting Period – Jan. 1, 2008, to Dec. 31, 2008 J. * Tenant-paid Utilities – If tenant pays utilities, enter
**Report on each tenant household that occupied a unit anytime appropriate utility cost figure from the local Public Housing
during the reporting period. The same unit number may appear Authority utility allowance worksheet or information
on the report more than once.** obtained from utility providers. If utilities are included in
Total # HOME units – Number of HOME-assisted units rent, enter “incl.”
in project. # vacant 12/31 – Number of HOME-assisted K. * Total Rent Plus Utilities – The sum of the lease rent and
units vacant on 12/31/08. tenant-paid utilities.
HOME units fixed or floating – Are the HOME units L. * Allowable Rent & Utilities – Enter from the published
designated as fixed or floating. HUD limits for High or Low HOME rent as applicable
# Low HOME units – Number of designated Low M. Allowable % AMI – The maximum % of AMI at initial
HOME units in project. # vacant 12/31 – Number of income certification allowed for a tenant household to
designated Low HOME units vacant on 12/31/08. qualify for renting the unit.
# High HOME units – Number of designated High N. * PBRA (Y/N) – Did the tenant receive project-based rental
HOME units in project. # vacant 12/31 – Number of assistance that requires them to pay no more than 30% of
designated High HOME units vacant on 12/31/08. their income for rent.
Total # units in project – Number of units in project. #
vacant 12/31 – Total number of units vacant on Contact Information – complete the fields to reflect the
12/31/08. current contacts for this project.
A. Unit # – Apartment unit number. Include all units in * These fields are not required for Non-HOME assisted units
project. The same unit number may appear on the report
more than once if different tenants occupied the unit during Contact Paula Rhian (402-471-3760 or
the reporting period. paula.rhian@nebraska.gov) if you have questions.
B. # Bedrooms– How many bedrooms does the unit have?
Revised 12/12/2008
C. Low HOME, High HOME, or Non-HOME Unit – Low
HOME units are designated for households at or below 50%
of the Area Median Income (AMI). High HOME units are
designated for households at or below 80% of the AMI (see
DED contract for further guidance – the project may be
restricted to at or below 60% of the AMI). Non-HOME
units are units not assisted with HOME funds.
D. Tenant Name – Name of the tenant in the unit.
E. # in Household – How many people live in the unit
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