Exhibits.pdf

Form RD 3560-8 USDA-RURAL HOUSING SERVICE

TENANT CERTIFICATION

Form Approved (Rev. 08-11) OMB No. 0575-0189

PART I-PROJECT AND UNIT IDENTIFICATION

1. Effective Date

M M D D Y Y

2. Project Name 3. Borrower ID and Project Number 4. Unit Type 5. Unit Number

Initial Certification

Designate 60 Day Absenc e

Recertification

End 60 Day Absence

WARNING STATEMENT: Section 1001 of Title 18, United States Code provides, ''Whoever, in any matter within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies, conceals or covers up by any trick, scheme, or device a material fact, or makes any false, fictitious or fraudulent statements or representations, or makes or uses any false writing or document knowing the same to contain any false, fictitious or fraudulent statement or entry, shall be fined under this title or imprisoned not more than five years, or both.''

Modify Certification

Assign/Remove RA Tenant TransferVacate a Unit

Certification Expired & Eviction in Process

PART II-TENANT

HOUSEHOLD INFORMATION

STATEMENT REQUIRED BY THE PRIVACY ACT: Title V of the Housing Act of 1949 authorizes RHS to collect the information on this form. Your disclosure of the information is voluntary. However, failure to disclose certain information may delay the processing of your eligibility or rejection. RHS will not deny eligibility if you refuse to disclose your Social Security Number.

6. Tenant Subsidy Code (enter code)

0 - No Deep Tenant Subsidy This information is collected principally to determine eligibility for occupancy and to determine your tenant contribution for rent. However, the information collected may be released to appropriate Federal, State and Local Agencies, credit bureaus and Servicing agents when relevant to civil, criminal or regulatory proceedings or to enforce regulations by manual or automated verification procedures.

4 - Other Public RA 5 - Private RA 6 - HUD Voucher Round all monetary figures up to the nearest dollar at. 50 and above. 13. Minor, 14. Elderly,7 - Other Types at Basic Rent Disabled, DisabledOther Subsidy Indicator (leave blank if none, P-Partial or F-Full) Other Subsidy Amount (For Partial) $ Handicapped or Handi-or Full-Time7. Social Security No. 8. Household Member Name 10. Date of Birth 11. Race 12. Ethnicity cappe dStudent 18

(Last, First and Middle Initial) MM DD YY or Older (Complete this only(Complete whenthis only householdwhen memberhousehold is amember Tenant or is not Co-Tenant the Tenant or a (Check Co-Tenant when coded above)

Choices for Race are:

1 - American Indian or

TotalAlaskan Native Elderly2 - Asian (Line 13)

8a. Number of Foster Children (if any)

Status3 - Black or African PART III- ASSET INCOMEAmerican

4 - Native Hawaiian or Pacific Islander 15. Net Family Assets (NOTE: If Line 15 is less than $5,000, enter zero on Line 16.)

16. Imputed Income from Assets (Bank Passbook Savings Rate (*

17. Income from Assets

5 - White Choices for Ethnicity are:

a - Hispanic/Latino b - Non-Hispanic Latino

) x Line 15.)

PART IV- INCOME CALCULATIONS

18. Income 19. Adjustments to Income

b. Soc. Sec., Pensions, etc,

a. $480 x total of Line 13

b. $400 if elderly status

c. Medical exceeding 3% of Line 18f.

(if elderly, handicapped or disabled)

d. Child Care

e. Other

e. Total Adjustments

f. Annual Income $

$20. Adjusted Annual Income (Line 18.f. minus Line, 19.e.)

PART V-INCOME LEVELS

MM DD YY

21. Number of Household Members 23. Date of Initial Project Entry

22. Current Eligibility Income Level (Enter Code) 24. Eligibility Income Level at Initial Project Entry (Enter Code)

PART VI- CERTIFICATION BY TENANT

I certify and acknowledge that if the Agency provides unauthorized assistance to the borrower/multi-family housing project owner for my benefit based on erroneous or fraudulent information provided in this tenant certification. I will reimburse the Agency for the unauthorized amount. If I do not, the Agency may use all remedies available to collect it, including those under the Debt Collection Act to recover on the Federal debt directly from me. In accordance with the requirements of the Privacy Act of 1974. which protects my confidential records from unauthorized release. I authorize the Agency to release information collected i this tenant certification to appropriate Agencies for income recertification purpose.

MM DD YY b. Tenant Signaturea. Date:

MM DD YY d. Co-Tenant Signature

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0575-0189. The time required to complete this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

1 - Rental Assistance (RA)

d. Income Contributed by Assets (Greater of Line 16 or Line 17)

a. Wages, Salaries, etc.

c. Assistance

c. Date:

12a. Race Determina-tion Code

Choices for Race Det. Code:

C - Customer Provided E - Employee Observed

g. Household Has Exempt Income

Cotenant to Tenant

2 - Project Based Section 8 below

9. Sex

PART VII - PRELIMINARY CALCULATIONS

25. Adjusted Monthly Income (Line 20 ÷ 12)

26. Monthly Income (Line 18.f. ÷ 12)

a. $ x .30 = b. $

a. $ x .10 = b. $ $27. Designated Monthly Welfare Shelter Payment

28. Highest of Line 25.b., Line 26.b., or Line 27,

29. Gross Basic Rent 30. Gross Note Rate Rent

a. Basic Rent $ a . Note Rate Rent

b. Utility Allowance $ b. Utility Allowance C. (Line 29.a. + Line 29.b.) $ c. (Line 30.a. + Line 30.b)

PART VII DETERMINING GROSS TENANT CONTRIBUTION (GTC)

Decision: (check- one)

A. If tenant receives rental assistance (RA) enter Line 28 on Line 31 below. If Line 28 exceeds Line 29. c. , go to Decision B since this Tenant will not receive RA..

B. If tenant does not receive RA and this project receives Plan II Interest Credit, enter the greater of Line 28 or Line 29. c. , (but not to exceed Line 30.c.) on Line 31 below.

C. If tenant does not receive RA and this project is a Plan 1 , Full Profit or Labor Housing project complete Lines C.1. thru C.3. and enter Line C.3. on Line 31.

$1. Enter Line 30.c.

2. Add Plan I Surcharge (if any) $

3. Total (enter on Line 31) $

PART IX-DETERMINING NET TENANT CONTRIBUTION (NTC)

31. GTC (From PART VIII)

32. Utility Allowance (Line 29.b. or Line 30.b.)

33. Final N'TC (Line 31 minus Line 32)

(Amount Tenant pays Borrower for rent. If Line 33 is negative, Borrower pays the difference to Tenant for utilities.)

PART X - CERTIFICATION BY BORROWER

I certify that the information on this form has been verified as required by federal law and the tenant household is eligible to live in the unit, or has been granted ineligible occupancy by RHS.

a. Date Signed b. Signature of Borrower or Borrower's Representative

MM DD YY

-2-

7 CFR 3560.160 TENANT GRIEVANCES

(a) General.

(1) The requirements established in this section are designed to ensure that there is a fair and equitable process for addressing tenant or prospective tenant concerns and to ensure fair treatment of tenants in the event that an action or inaction by a borrower, including anyone designated to act for a borrower, adversely affects the tenants of a housing project.

(2) Any tenant/member or prospective tenant/member seeking occupancy in or use of Agency facilities who believes he or she is being discriminated against because of age, race, color, religion, sex, familial status, disability, or national origin may file a complaint in person with, or by mail to the U.S. Department of Agriculture's Office of Civil Rights, Room 326-W, Whitten Building, 14th and Independence Avenue, SW., Washington DC 20250-9410 or to the Office of Fair Housing and Equal Opportunity, U.S. Department of Housing and Urban Development (HUD), Washington, DC 20410. Complaints received by Agency employees must be directed to the National Office Civil Rights Staff through the State Civil Rights Manager.

(b) Applicability.

(1) The requirements of this section apply to a borrower action regarding housing project operations, or the failure to act, that adversely affects tenants or prospective tenants.

(2) This section does not apply to the following situations:

(i) Rent changes authorized by the Agency in accordance with the requirements of Sec.

3560.203(a);

(ii) Complaints involving discrimination which must be handled in accordance with Sec.

3560.2(b) and paragraph (a)(2) of this section;

(iii) Housing projects where an association of all tenants has been duly formed and the association and the borrower have agreed to an alternative method of settling grievances;

(iv) Changes required by the Agency in occupancy rules or other operational or management practices in which proper notice and opportunity have been given according to law and the provisions of the lease;

(v) Lease violations by the tenant that would result in the termination of tenancy and eviction;

(vi) Disputes between tenants not involving the borrower; and

(vii) Displacement or other adverse actions against tenant as a result of loan prepayment handled according to subpart N of this part.

(c) Borrower responsibilities. Borrowers must permanently post tenant grievance procedures that meet the requirements of this section in a conspicuous place at the housing project.

Borrowers also must maintain copies of the tenant grievance procedure at the housing project's management office for inspection by the tenants and the Agency upon request. Each tenant must receive an Agency summary of tenant's rights when a lease agreement is signed. If a housing project is located in an area with a concentration of non-English speaking individuals, the borrower must provide grievance procedures in both English and the non-English language. The notice must include the telephone number and address of USDA's Office of Civil Rights and the appropriate Regional Fair Housing and Enforcement Agency.

(d) Reasons for grievance. Tenants or prospective tenants may file a grievance in writing with the borrower in response to a borrower action, or failure to act, in accordance with the lease or

Agency regulations that results in a denial, significant reduction, or termination of benefits or when a tenant or prospective tenant contests a borrower's notice of proposed adverse action as provided in paragraph (e) of this section. Acceptable reasons for filing a grievance may include:

(1) Failure to maintain the premises in such a manner that provides decent, safe, sanitary, and affordable housing in accordance with Sec. 3560.103 and applicable state and local laws;

(2) Borrower violation of lease provisions or occupancy rules;

(3) Modification of the lease;

(4) Occupancy rule changes;

(5) Rent changes not authorized by the Agency according to Sec. 3560.205; or

(6) Denial of approval for occupancy.

(e) Notice of adverse action. In the case of a proposed action that may have adverse consequences for tenants or prospective tenants such as denial of admission to occupancy and changes in the occupancy rules or lease, the borrower must notify the tenant or prospective tenant in writing. In the case of a Borrower's proposed adverse action including denial of admission to occupancy, the Borrower shall notify the applicant/tenant in writing. The notice must be delivered by certified mail return receipt requested, or a hand-delivered letter with a signed and dated acknowledgement of receipt from the applicant/tenant, The notice must give specific reasons for the proposed action. The notice must also advise the tenant or prospective tenant of “the right to respond to the notice within ten calendar days after date of the notice” and of “the right to a hearing in accordance with Sec. 3560.160(f), which is available upon request.”

The notice must contain the information specified in paragraph (a)(2) of this section. For housing projects in areas with a concentration of non-English speaking individuals, the notice must be in English and the non-English language.

(f) Grievances and responses to notice of adverse action. The following procedures must be followed by tenants, prospective tenants, or borrowers involved in a grievance or a response to an adverse action.

(1) The tenant or prospective tenant must communicate to the borrower in writing any grievance or response to a notice within 10 calendar days after occurrence of the adverse action or receipt of a notice of intent to take an adverse action.

(2) Borrowers must offer to meet with tenants to discuss the grievance within 10 calendar days of receiving the grievance. The Agency encourages borrowers and tenants or prospective tenants to make an effort to reach a mutually satisfactory resolution to the grievance at the meeting.

(3) If the grievance is not resolved during an informal meeting to the tenant or prospective tenant's satisfaction, the borrower must prepare a summary of the problem and submit the summary to the tenant or prospective tenant and the Agency within 10 calendar days. The summary should include: The borrower's position; the applicant/tenant's position; and the result of the meeting. The tenant also may submit a summary of the problem to the Agency.

(g) Hearing process. The following procedures apply to a hearing process.

(1) Request for hearing. If the tenant or prospective tenant desires a hearing, a written request for a hearing must be submitted to the borrower within 10 calendar days after the receipt of the summary of any informal meeting.

(2) Selection of hearing officer or hearing panel. In order to properly evaluate grievances and appeals, the borrower and tenant must select a hearing officer or hearing panel. If the borrower and the tenant cannot agree on a hearing officer, then they must each appoint a member to a hearing panel and the members selected must appoint a third member. If within 30 days from the date of the request for a hearing, the tenant and borrower have not agreed upon the selection of a hearing officer or hearing panel, the borrower must notify the Agency by mail of the situation. The Agency will appoint a person to serve as the sole hearing officer. The Agency may not appoint a hearing officer who was earlier considered by either the borrower or the tenant, in the interest of ensuring the integrity of the process.

(3) Standing hearing panel. In lieu of the procedure contained in paragraph (g)(2) of this section for each grievance or appeal presented, a borrower may ask the Agency to approve a standing hearing panel for the housing project.

(4) Examination of records. The borrower must allow the tenant the opportunity, at a reasonable time before a hearing and at the expense of the tenant, to examine or copy all documents, records, and policies of the borrower that the borrower intends to use at a hearing unless otherwise prohibited by law or confidentiality agreements.

(5) Scheduling of hearing. If a standing hearing panel has been approved, a hearing will be scheduled within 15 calendar days after receipt of the tenant's or prospective tenant's request for a hearing. If a hearing officer or hearing panel must be selected, a hearing will be scheduled within 15 calendar days after the selection or appointment of a hearing panel or a hearing officer. All hearings will be held at a time and place mutually convenient to both parties. If the parties cannot agree on a meeting place or time, the hearing officer or hearing panel will designate the place and time.

(6) Escrow deposits. If a grievance involves a rent increase not authorized by the Agency, or a situation where a borrower fails to maintain the property in a decent, safe, and sanitary manner, rental payments may be deposited by the tenant into an escrow account, provided the tenant's rental payments are otherwise current.

(i) The escrow account deposits must continue until the complaint is resolved through informal discussion or by the hearing officer or panel.

(ii) The escrow account must be in a Federally-insured institution or with a bonded independent agent.

(iii) Failure to make timely rent payments into the escrow account will result in a termination of the tenant grievance and appeals procedure and all sums will immediately become due and payable under the lease.

(iv) Receipts of escrow account deposits must be available for examination by the borrower.

(7) Failure to request a hearing. If the tenant or prospective tenant does not request a hearing within the time provided by paragraph (f)(1) of this section, the borrower's disposition of the grievance or appeal will become final.

(h) Requirements governing the hearing. The following requirements will govern the hearing process.

(1) Subject to paragraph (f)(2) of this section, the hearing will proceed before a hearing officer or hearing panel at which evidence may be received without regard to whether that evidence could be used in judicial proceedings.

(2) The hearing must be structured so as to provide basic due process safeguards for both the borrower and the tenants or prospective tenants, which must protect:

(i) The right of both parties to be represented by counsel or another person chosen as their representative;

(ii) The right of the tenant or prospective tenant to a private hearing unless a public hearing is requested;

(iii) The right of the tenant or prospective tenant to present oral or written evidence and arguments in support of their grievance or appeal and to cross-examine and refute the evidence of all witnesses on whose testimony or information the borrower relies; and

(iv) The right of the borrower to present oral and written evidence and arguments in support of the decision, to refute evidence relied upon by the tenant or prospective tenant, and to confront and cross-examine all witnesses in whose testimony or information the tenant or prospective tenant relies.

(3) At the hearing, the tenant or prospective tenant must present evidence that they are entitled to the relief sought, and the borrower must present evidence showing the basis for action or failure to act against that which the grievance or appeal is directed.

(4) The hearing officer or hearing panel must require that the borrower, the tenant or prospective tenant, counsel, and other participants or spectators conduct themselves in an orderly manner.

Failure to comply may result in exclusion from the proceedings or in a decision adverse to the interests of the disorderly party and granting or denial of the relief sought, as appropriate.

(5) If either party or their representative fails to appear at a scheduled hearing, the hearing officer or hearing panel may make a determination to postpone the hearing for no more than five days or may make a determination that the absent party has waived their right to a hearing under this subpart. If the determination is made that the absent party has waived their rights, the hearing officer or hearing panel will make a decision on the grievance. Both the tenant or prospective tenant and the borrower must be notified in writing of the determination of the hearing officer or hearing panel.

(i) Decision. Hearing decisions must be issued in accordance with the following requirements.

(1) The hearing officer or hearing panel has the authority to affirm or reverse a borrower's decision.

(2) The hearing officer or hearing panel must prepare a written decision, together with the reasons thereof based solely and exclusively upon the facts presented at the hearing within 10 calendar days after the hearing. The notice must state that the decision is not effective for 10 calendar days to allow time for an Agency review as specified in paragraphs (i)(3) and (i)(4) of this section.

(3) The hearing officer or hearing panel must send a copy of the decision to the tenant, or prospective tenant, borrower, and the Agency.

(4) The decision of the hearing officer or hearing panel shall be binding upon the parties to the hearing unless the parties to the hearing are notified within 10 calendar days by the Agency that the decision is not in compliance with Agency regulations.

(5) Upon receipt of written notification from the hearing officer or hearing panel, the borrower and tenant must take the necessary action, or refrain from any actions, specified in the decision.

Form RD 3560-29 FORMAPPROVED OMB No. 0575-0189

UNITED STATES DEPARTMENT OF AGRICULTURE

RURAL DEVELOPMENT(02-05)

NOTICE OF PAYMENT DUE REPORT

1. BORROWER NAME 2. CASE NUMBER 3. PROJECT NO.

4. AUDIT RECEIVABLES 5. LATE FEES 8. LOAN PAYMENT6. COST ITEMS 7. OVG/SURG

9. PAST DUE 13. TOTAL PAYMENT10. UNITS ON RA 11. TOTAL RA 12. RA CHECK

ONLY FOR SECTION 8 PROJECTS WHERE HUD RENT EXCEEDS THE RHS NOTE RATE RENT

--14. No. of Section 8 units x 15. HUD Rent 16.

--17. No. of Section 8 units 19.x 18. RHS Note Rate Rent

ADDITIONAL PAYMENT TO THE RESERVE ACCOUNT 20.

In accordance with Rural Housing Service's (R.HS) formula and procedures, all rental units are occupied by households who have executed Form RD 3560-8 ''Tenant Certification,'' and for labor housing projects, farmworkers, or for rental housing projects, have incomes within the limits set in Agency regulations or the project has written permission from RHS to rent to ineligible occupants on a temporary basis.

I certify that the statements made above and per attached Multi-Family Information System Notice of Payment Due Report are true to the best of my knowledge and belief and are made in good faith.

*WARNING: Section 1001 of title 18, United States Code provides, ''Whoever, in any matter within the jurisdiction of the executive, legislative, or judicial branch of the Government of the United States, knowingly and willfully falsifies, conceals, or covers up by any trick, scheme, or device a material fact, makes any materially false, fictitious, or fraudulent statement or representation, or makes or uses any false writing or document knowing the same to contain any materially false, fictitious, or fraudulent statement or entry, shall be fined under this title or imprisoned not more than 5 years, or both.''

21. 22.

(Borrower or Borrower 's Representative)(Date)

According to the Paperwork Reduction Act of 1995, an agency may not conductor sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0575-0189. The time required to complete this information collection is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

Reflects date as of 1st day ofName of BorrowerPART II

'Page of2.1.

12.11.10. 15.14.13.9.8

7.6.5.4.3.

Rental

Assistance Due

Borrower

Amt. Due Tenant to Cover Utilities

Initial Occupancy

Date

No. of Indiv.

In

Unit

TypeApt.

No.

Overage and/or Surcharge

%Leased To ofNote Rate

Rent Utility

Allowance Basic Rent

HUD

Rent NTCGTC

TOTALS

1817.16.

Exp. Date of

Certification

Position 3USDA FORM APPROVED OMB NO. 0575-0189Form RD 3560-7 MULTIPLE FAMILY HOUSING PROJECT BUDGET/

(Rev. 05-06)

PROJECT NAME BORROWER NAME BORROWER ID AND PROJECT NO.

Loan/Transfer Amount $ Note Rate Payment $ IC Payment $ Project Rental TypeReporting Period Budget Type Profit Type The following utilities are master I hereby request metered: units of RA. Current numberAnnual Initial Full ProfitFamily Limited Profit of RA unitsQuarterly Regular Report Elderly Electricity Non-Profit WaterMonthly Rent Change Congregate Borrower Accounting MethodSewer

SMR Group Home Mixed LH Cash AccrualOther Servicing Other

PART I-CASH FLOW STATEMENT

CURRENT PROPOSED COMMENTS

BUDGET ACTUAL BUDGET or (YTD)

BEGINNING DATES>

OPERATIONAL CASH SOURCES

1. RENTAL INCOME

2. RHS RENTAL ASSISTANCE RECEIVED

3. APPLICATION FEES RECEIVED

4. LAUNDRY AND VENDING

5. INTEREST INCOME

6. TENANT CHARGES

7. OTHER -PROJECT SOURCES

8. LESS (Vacancy and Contingency Allowance)

9. LESS (Agency Approved Incentive Allowance)

10. SUB-TOTAL [(1 thru 7) - (8 & 9)]

NON-OPERATIONAL CASH SOURCES

11. CASH-NON PROJECT

12. AUTHORIZED LOAN (Non-RHS)

13. TRANSFER FROM RESERVE

14. SUB-TOTAL (11 thru 13)

15. TOTAL CASH SOURCES (10+14)

OPERATIONAL CASH USES

16. TOTAL O&M EXPENSES (From Part II)

17. RHS DEBT PAYMENT

18. RHS PAYMENT (Overage)

19. RHS PAYMENT (Late Fee)

20. REDUCTION IN PRIOR YEAR PAYABLES

21. TENANT UTILITY PAYMENTS

22. TRANSFER TO RESERVE

23. RETURN TO OWNER/NP ASSET MANAGEMENT FEE

24. SUB-TOTAL (16 thru 23)

NON-OPERATIONAL CASH USES

25. AUTHORIZED DEBT PAYMENT (Non-RHS)

26. ANNUAL CAPITAL BUDGET (From Part III, Lines 4-6)

27. MISCELLANEOUS

28. SUB-TOTAL (25 thru 27)

TOTAL CASH USES (24+28)29.

30. NET CASH (DEFICIT) (15- 29)

CASH BALANCE

31. BEGINNING CASH BALANCE

32. ACCRUAL TO CASH ADJUSTMENT

33. ENDING CASH BALANCE (30+31+32)

According to the Paperwork Reduction Act of I 995, an agency may not conduct sponsor and a person is not required to respond to a collection of information unless it displays a valid 0MB control number. The valid 0MB control number for this information collection is 0575-0189. The time required to complete this information collection is estimated to average 2 1/2 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

ENDING DATES>

Gas

Trash

UTILITY ALLOWANCE

PART II-OPERATING AND MAINTENANCE EXPENSE SCHEDULE

CURRENT PROPOSED COMMENTS

BUDGET ACTUAL BUDGET or (YTD)

1. MAINTENANCE AND REPAIRS PAYROLL

2. MAINTENANCE AND REPAIRS SUPPLY

3. MAINTENANCE AND REPAIRS CONTRACT

4. PAINTING

5. SNOW REMOVAL

6. ELEVATOR MAINTENANCE/CONTRACT

7. GROUNDS

8. SERVICES

9. ANNUAL CAPITAL BUDGET (From Part V- Operating)

10. OTHER OPERATING EXPENSES (Itemize)

11. SUB-TOTAL MAINT. & OPERATING (1 thru 10)

12. ELECTRICITY If master metered check box on13. WATER front.14. SEWER

15. FUEL (Oil/Coal/Gas)

16. GARBAGE & TRASH REMOVAL

17. OTHER UTILITIES

18. SUB-TOTAL UTILITIES (12 Thru 17)

19. SITE MANAGEMENT PAYROLL

20. MANAGEMENT FEE

21. PROJECT AUDITING EXPENSE

22. PROJECT BOOKKEEPING/ACCOUNTING

23. LEGAL EXPENSES

24. ADVERTISING

25. TELEPHONE & ANSWERING SERVICE

26. OFFICE SUPPLIES

27. OFFICE FURNITURE & EQUIPMENT

28. TRAINING EXPENSE

29. HEALTH INS. & OTHER EMP. BENEFITS

30. PAYROLL TAXES

31. WORKMAN'S COMPENSATION

32. OTHER ADMINISTRATIVE EXPENSES (Itemize)

33. SUB-TOTAL ADMINISTRATIVE (19 thru 32)

34. REAL ESTATE TAXES

35. SPECIAL ASSESSMENTS

36. OTHER TAXES, LICENSES& PERMITS

37. PROPERTY& LIABILITY INSURANCE

38. FIDELITY COVERAGE INSURANCE

39. OTHER INSURANCE

40. SUB-TOTAL TAXES& INSURANCE (34 thru 39)

41. TOTAL O&M EXPENSES (11 +18+33+40)

Form RD 3560-7 Page 2

PART III-ACCOUNT BUDGETING/STATUS

CURRENT PROPOSED COMMENTS

BUDGET ACTUAL BUDGET or (YTD)

RESERVE ACCOUNT:

1. BEGINNING BALANCE

2. TRANSFER TO RESERVE

TRANSFER FROM RESERVE

3. OPERATING DEFICIT

4. ANNUAL CAPITAL BUDGET (Part V - Reserve)

5. BUILDING & EQUIPMENT REPAIR

6. OTHER NON-OPERATING EXPENSES

7. TOTAL (3 thru 6) ( ) ( ) ( )

8. ENDING BALANCE [(1 +2)-7]

GENERAL OPERATING ACCOUNT:*

BEGINNING BALANCE

ENDING BALANCE

REAL ESTATE TAX AND INSURANCE ESCROW

ACCOUNT:*

BEGINNING BALANCE

ENDING BALANCE

TENANT SECURITY DEPOSIT ACCOUNT:*

BEGINNING BALANCE

ENDING BALANCE

(*Complete upon submission of actual expenses.)

NUMBER OF APPLICANTS ON THE WAITING LIST RESERVE ACCT. REQ. BALANCE

NUMBER OF APPLICANTS NEEDING RA AMOUNT AHEAD/BEHIND

Form RD 3560-7 Page 3

C: PROPOSED UTILITY ALLOWANCE - Effective Date:

B. PROPOSED RENTS - Effective Date:

PART IV-RENT SCHEDULE AND UTILITY ALLOWANCE

A CURRENT APPROVED RENTS/ UTILITY ALLOWANCE

POTENTIAL INCOME FROM

UNIT DESCRIPTION RENTAL RATE S

NOTE NOTE

BR SIZE RATE RATE

UNIT

TYPE NUMBER BASIC BASICHUD HUD

CURRENT RENT TOTALS:

BASIC NOTE HUD

POTENTIAL INCOME FROM

UNIT DESCRIPTION RENTAL RATES

NOTE NOTE

RATE RATE

UNIT

TYPE NUMBER BASIC BASICHUD HUD

PROPOSED RENT TOTALS:

BASIC NOTE HUD

MONTHLY DOLLAR ALLOWANCES

Form RD 3560-7 Page 4

EACH RATE

EACH RATE

BR SIZE

BR SIZE UNIT TYPE ELECTRICNUMBER GAS WATER SEWER TRASH OTHER TOTAL

UTILITY

ALLOWANCE

PART V - ANNUAL CAPITAL BUDGET

ProposedProposed Proposed

Actual Total Total ActualActual from Actual fromNumber of fromfrom Units/ItemsCostReserveUnits/Items Reserve OperatingOperating

Appliances:

Range Refrigerator Range Hood Washers & Dryers Other:

Carpet & Vinyl:

1BR

2BR

3BR

4BR

Other:

Cabinets:

Kitchens Bathrooms Other:

Doors:

Exterior Interior Other:

Window Coverings:

List:

Other:

Heating & Air Conditioning:

Heating Air Conditioning Other:

Plumbing:

Water Heater Bath Sinks Kitchen Sinks Faucets Toilets Other

Major Electrical:

List:

Other:

Structures:

Windows Screens Walls Roofing Siding Exterior Painting Other

Paving:

Asphalt Concrete Seal & Stripe Other:

Landscape & Grounds:

Landscaping Lawn Equipment Fencing Recreation Area Signs Other:

Accessibility Features:

List:

Other:

Automation Equipment:

Site Management Common Area Other:

Other:

List:

List:

List:

TOTAL CAPITAL

EXPENSES:

RD 3560-7 Page 5

PART VI -- SIGNATURES, DATES AND COMMENTS

Warning: Section 1001 of Title 18, United States Code provides: ''Whoever, in any matter within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies, conceals or covers up by any trick, scheme, or device a material fact, or makes any false, fictitious or fraudulent statements or representations, or makes or uses any false writing or document knowing the same to contain any false, fictitious or fraudulent statement or entry, shall be fined under this title or imprisoned not more than five years, or both.

I HAVE READ THE ABOVE WARNING STATEMENT AND I HEREBY CERTIFY THAT THE FOREGOING INFORMATION IS

COMPLETE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.

(DATE) (Signature of Borrower or Borrower's Representative)

(Title)

AGENCY APPROVAL (Rural Development Approval Official): DATE:

COMMENTS:

Form RD 3560-7 Page 6

(7 CFR 3560.303 and 3560.454).

(For special servicing) (most recent approved annual budget) (current month actual)

(leave blank)

(For normal servicing) (most recent approved annual budget) (current quarter actual)

(leave blank)

Example: 987654321 01-2

[Check this box if utilities are master metered and not included in a utility allowance.

When a utility allowance is used, include only the project related expense for utilities on Lines 12, 13 and 14 of Part II.]

[Check this box if additional servicing rental assistance is requested. Insert number of units needed. Insert current number of RA units.]

(VACANCY AND CONTINGENCY ALLOWANCE)

(AGENCY APPROVED INCENTIVE ALLOWANCE)

(NON-RHS)

(from PART III, line 7)

(FROM PART II)

(or full note rate payment when a loan has no interest credit)

(OVERAGE)

(LATE FEE)

(NON-RHS)

(From Part III, Lines 4-6)

(Deficit)

(during the first 7 years or until it is withdrawn, whichever comes first) heating, cooling, electrical, plumbing

(from Part V - Operating)

(Part V - Reserve).

(Not included in PART V).

(Described in Note No. 2 above)

(Described in Note No. 2 above)

[(NUMBER x BASIC) x 12]

[(NUMBER x NOTE RATE) x 12]

[(NUMBER

x HUDx12)] monthly, quarterly

(From Part I - Lines 16, 17, 22 & 23)

(From Part I - Lines 4, 5, 6 & 7)

(For example enter “.95” for 95% expected occupancy) (Divide Line 2 by Line 4)

(Refer to 7 CFR part 3560.205)

Exhibit

Invoice Number Invoice Date

Purchase Order No.

Payment to be sent to:

Name

Address

Address

City State Zip Code

Discount/Payment Terms:

Payment Amount Due:

Contractor’s Signature

Pr ev io us

P ar tic ip at io n C er tif ic at io n

O M

B A pp ro va l N o.

2-

(E xp . 0

5/

/2

9)

Pr ev io us e di tio ns a re o bs ol et e re f H an db oo k

.1

F or m H

U D

-2

(2

/2

3) Pa ge o f 2

U S

D ep ar tm en t o f H ou si ng a nd

U rb an D ev el op m en t

U S

D ep ar tm en t o f A gr ic ul tu re

O ff ic e of H ou si ng /F ed er al H ou si ng C om m is si on er

Fa rm er s H om e

A dm in is tra tio n

Pa rt

I to b e co m pl et ed b y Pr in ci pa ls o f M ul tif am ily

P ro je ct s ( Se e in st ru ct io ns

R ea so n fo r s ub m is si on

Fo r

H U

D H

Q /F m H

A u se o nl y

1.

A ge nc y na m e an d

C ity w he re th e ap pl ic at io n is fil ed

2.

Pr oj ec t N am e, P ro je ct N um be r, Ci ty a nd Z ip C od e

3.

Lo an o r C on tra ct a m ou nt

4.

N um be r o f U ni ts or B ed s

5.

Se ct io n of

A ct

6.

Ty pe o f P ro je ct

(c he ck o ne

Ex ist in g

R eh ab ili ta tio n

P ro po se d (N ew

7.

L is t a ll pr op os ed P ri nc ip al s a nd a tt ac h or ga ni za tio n ch ar t f or a ll or ga ni za tio ns

N am e an d ad dr es s o f P rin ci pa ls a nd

A ffi lia te s ( N am e:

L as t, Fi rs t, M id dl e

In iti al ) p ro po si ng to p ar tic ip at e

R ol e of E ac h

Pr in ci pa l i n

Pr oj ec t

9.

SS

N o r

IR

S E m pl oy er um be r

C er tif ic at io ns

Th e pr in ci pa l(s ) l is te d ab ov e he re by a pp ly to H

U D o r U

SD

A

F m

H A

, a s t he c as e m ay be , f or a pp ro va l t o pa rti ci pa te a s p rin ci pa l(s

) i n th e ro le

(s ) a nd p ro je ct li st ed a bo ve

Th e pr in ci pa l(s ) e ac h ce rti fy th at a ll th e st at em en ts m ad e on th is fo rm a re tr ue

, c om pl et e an d co rre ct to th e be st o f t he ir kn ow le dg e an d be lie f a nd a re m ad e in g oo d fa ith , i nc lu di ng a ny

E xh ib its ta ch ed to th is fo rm

. W ar ni ng

: H U

D w ill p ro se cu te fa lse c la im s a nd st em en ts . C on vi ct io n m ay re su lt in c rim in al a nd /o r c iv il pe na lti es . T he p rin ci pa l(s

) f ur th er c er tif y th at to th e be st o f t he ir kn ow le dg e an d be lie f:

1.

Sc he du le

A c on ta in s a li sti ng , f or th e la st te n ye ar s, of e ve ry p ro je ct a ss ist ed o r i ns ur ed b y H

U D

, U

SD

A F m H

A a nd /o r S ta te a nd lo ca l g ov er nm en t h ou sin g fin an ce a ge nc ie s i n w hi ch th e pr in ci pa l(s ) h av e pa rti ci pa te d or a re no w p ar tic ip at in g.

2.

Fo r t he p er io d be gi nn in g y ea rs p rio r t o th e da te o f t hi s c er tif ic at io n, a nd e xc ep t a s s ho w n on th e ce rti fic at io n:

a.

N o m or tg ag e on a p ro je ct li ste d ha s e ve r b ee n in d ef au lt, a ss ig ne d to th e

G ov er nm en t o r f or ec lo se d, n or h as it re ce iv ed m or tg ag e re lie f f ro m th e m or tg ag ee b.

Th e pr in ci pa ls ha ve n o de fa ul ts o r n on co m pl ia nc e un de r a ny

C on ve nt io na l C on tra ct o r T ur nk ey C on tra ct o f S al e in c on ne ct io n w ith a p ub lic h ou sin g pr oj ec t;

c.

Th er e ar e no k no w n un re so lv ed fi nd in gs a s a re su lt of

H U

D a ud its

, m an ag em en t r ev ie w s o r o th er G ov er nm en ta l i nv es tig at io ns c on ce rn in g th e pr in ci pa ls or th ei r p ro je ct s;

d.

Th er e ha s n ot b ee n a su sp en si on o r t er m in at io n of p ay m en ts u nd er a ny

H U

D a ss ist an ce c on tra ct d ue to th e pr in ci pa l’s fa ul t o r n eg lig en ce e.

Th e pr in ci pa ls ha ve n ot b ee n co nv ic te d of a fe lo ny a nd a re n ot p re se nt ly th e su bj ec t o f a c om pl ai nt o r i nd ic tm en t c ha rg in g a fe lo ny

A fe lo ny is d ef in ed a s a ny o ffe ns e pu ni sh ab le b y im pr is on m en t f or a te rm e xc ee di ng ne ye ar , b ut d oe s n ot in cl ud e an y of fe ns e cl as si fie d as a m isd em ea no r u nd er th e la w s o f a

S ta te a nd p un ish ab le b y im pr is on m en t o f t w o ye ar s o r l es s) f.

Th e pr in ci pa ls ha ve n ot b ee n su sp en de d, d eb ar re d or o th er w is e re st ric te d by a ny D ep ar tm en t o r A ge nc y of th e

Fe de ra l G ov er nm en t o r o f a S ta te

G ov er nm en t f ro m d oi ng b us in es s w ith su ch D ep ar tm en t o r A ge nc y;

g.

Th e pr in ci pa ls ha ve n ot d ef au lte d on a n ob lig at io n co ve re d by a su re ty o r p er fo rm an ce b on d an d ha ve n ot b ee n th e su bj ec t o f a c la im u nd er a n em pl oy ee fi de lit y bo nd

3.

A ll th e na m es o f t he p rin ci pa ls w ho p ro po se to p ar tic ip at e in th is pr oj ec t a re li st ed a bo ve

4.

N on e of th e pr in ci pa ls is a

H U

D /F m H

A e m pl oy ee o r a m em be r o f a H

U D

/F m

H A e m pl oy ee 's im m ed ia te h ou se ho ld a s d ef in ed in

S ta nd ar ds o f E th ic al

C on du ct fo r E m pl oy ee s o f t he E xe cu tiv e

B ra nc h in

C .F

.R . P ar t 2

(5

FR

) a nd

H U

D 's

St an da rd o f C on du ct in

C.

F.

R . P ar t 0 a nd

U

SD

A 's

St an da rd o f C on du ct in

C

.F .R

. P ar t 0 S ub pa rt B

5.

N on e of th e pr in ci pa ls is a p ar tic ip an t i n an a ss ist ed o r i ns ur ed p ro je ct a s o f t hi s d at e on w hi ch c on st ru ct io n ha s s to pp ed fo r a p er io d in e xc es s o f 2 da ys o r w hi ch h as b ee n su bs ta nt ia lly c om pl et ed fo r m or e th an da ys a nd do cu m en ts fo r c lo si ng

, i nc lu di ng fi na l c os t c er tif ic at io n, h av e no t b ee n fil ed w ith H

U D o r F m H

A

6.

N on e of th e pr in ci pa ls ha ve b ee n fo un d by H

U D o r F m H

A to b e in n on co m pl ia nc e w ith a ny a pp lic ab le fa ir ho us in g an d ci vi l r ig ht s r eq ui re m en ts in

C

FR

.1

(a

(If a ny p rin ci pa ls or a ffi lia te s h av e be en fo un d to b e in no nc om pl ia nc e w ith a ny re qu ire m en ts, a tta ch a si gn ed st at em en t e xp la in in g th e re le va nt fa ct s, ci rc um st an ce s, an d re so lu tio n, if a ny

7.

N on e of th e pr in ci pa ls is a

M em be r o f C on gr es s o r a

R es id en t C om m is sio ne r n or o th er w is e pr oh ib ite d or li m ite d by la w fr om c on tra ct in g w ith th e G ov er nm en t o f t he U ni te d St at es o f A m er ic a.

8.

St at em en ts ab ov e

(if a ny ) t o w hi ch th e pr in ci pa l(s ) c an no t c er tif y ha ve b ee n de le te d by st rik in g th ro ug h th e w or ds w ith a p en

, a nd th e re le va nt p rin ci pa l(s ) h av e in iti al ed e ac h de le tio n (if a ny

) a nd h av e at ta ch ed a tr ue ac cu ra te si gn ed st at em en t ( if ap pl ic ab le ) t o ex pl ai n th e fa ct s a nd c irc um sta nc es

N am e of

P ri nc ip al

Si gn at ur e of

P ri nc ip

C tif ic at io n D at e( m m

/d d/ yy

A a

C od e an d Te l.

o.

T hi s f or m p re pa re d by (p ri nt n am e) a C od e an d

T el

. N o.

io us

P ar tic ip at io n C er tif ic at io n

O M

B A pp ro va l N o.

2-

(E xp . 0

5/

/2

9)

Pr ev io us e di tio ns a re o bs ol et e re f H an db oo k

.1

F or m H

U D

-2

(2

/2

3) Pa ge f 2

Sc he du le

A

L is t o f P re vi ou s P ro je ct s a nd S ec tio n

C on tr ac ts

B el ow is a c om pl et e lis t o f t he p rin ci pa ls ’ p re vi ou s p ar tic ip at io n pr oj ec ts a nd p ar tic ip at io n hi st or y in m ul tif ily

H ou si ng p ro gr am s o f H

U D

/F m

H A

, S ta te a nd lo ca l H ou si ng F in an ce A ge nc ie s.

N ot e:

R ea d an d fo llo w th e in st ru ct io n sh ee t c ar ef ul ly

. M ak e fu ll di sc lo su re

A dd e xt ra sh ee ts if y ed m or e sp ac e.

D ou bl e ch ec k fo r a cc ur ac y.

I f n o pr ev io us p ro je ct s, w rit e by y ou r n am e, N o pr ev io us p ar tic ip at io n, F ir st

E xp er ie nc e”

1.

P rin ci pa ls N am e

(L as t, Fi rs t)

2.

L is t o f p re vi ou s p ro je ct s ( Pr oj ec t n e, pr oj ec t I

D a nd , G ov t.

ag en cy in vo lv ed

3.

Li st P rin ci pa ls’

R ol e( s)

(in di ca te d at es p ar tic ip at ed

, a if fe or id en tit y of in te pa rti ci pa nt

4.

S ta tu s o f l oa n

(c ur re nt

, d ef au lte d, as si gn ed

, f or ec lo se d)

5.

W as th e Pr oj ec t e ve r in d ef au lt du rin g yo ur ci pa tio n

Y es

N o

I f y es , e xp la in

6.

L as t M

O R ra tin g an d Ph ys ic al In sp . S co re da te

Pa rt

II

- F or H

U D

In te rn al

P ro ce ss in g

O nl y R ec ei ve d an d ch ec ke d by m e fo r a cc ur ac y an d co m pl et en es s;

re co m m en d ap pr ov al o r r ef er to H ea dq ua rte rs a fte r c he ck in g ap pr op ria te b ox

D at e (m m /d d/ yy yy

Te l N o.

a nd a re a co de

N o ad ve rs e in fo rm at io n;

fo rm H

U D

-2 ap pr ov

. D is cl os ur e or

C er tif ic at io n pr ob le m m m en d.

B

N am e m at ch in sy em

D . O th er

(a tta ch m em or an du m

St af f Pr oc es si ng a nd

C on tro l

Su pe rv is or ire ct or o f H ou si ng /D ire ct or , M ul tif am ily

D iv is io n A pp ro ve d

Y es e (m m /d d/ yy ge o f 2

In st ru ct io ns fo r

C om pl et in g th e

Pr ev io us

Pa rt ic ip at io n C er tif ic at e, fo rm H

U D

-2

C ar ef ul ly r ea d th es e in str uc tio ns a nd t he a pp lic ab gu la tio ns

. A c op y of th os e re gu la tio ns p ub lis he

.F .R

. 2

.2 to

.2 c an b e ob ta in ed fr om th e M ul tif si ng R ep re se nt at iv an

H

O ffi ce

. T yp e or p rin t n ea tly in in k w he n fil lin g ou t t hi s fo rm

. M ar k an sw er s in a ll bl oc ks o f th e fo rm . I f th e fo rm is n ot fi lle d co m pl et el y, it w ill d el ay a pp ro va l o f yo ur a pp lic at io n.

tta ch e xt ra s he et s as y ou n ee d th em

B e su re t o in di ca

"C on tin ue ch m en ts w he re ve r ap pr op ria te

. S ig n ea ch a dd iti on al p ag e th at y ou a ch it re fe rs to y ou o r y ou r r ec ef ul ly r ea d th e ce rt ifi ca tio n be fo re y ou s ig it.

ny q ue sti on s re ga rd in g th e fo rm o rh ow to c om pl et e it ca n be a ns w er ed b y yo ur H

U D

O ff ic e

M ul tif si ng

R ep re se nt at iv e.

Pu rp os e:

T hi s fo rm p ro vi de s H

U D w ith a ce rti fie d re po rt of a ll pr ev io us p ar tic ip at io n in H

U D m ul tif ho us in g pr oj ec ts by th os e pa rti es m ak in g ap pl ic at

Th e i nf or m at io n re qu es te d in th is fo rm is u se d by H to et er m in e if yo u m ee t t he s ta nd ar ds e st ab lis he en su re th at a ll pr in ci pa l p ar tic ip an ts in

H U

D p ro je ct s ill r th ei r le ga l, fin an ci co nt ra ct ua l ob lig at ns ar e ac ce pt ab ris ks fro th un de rw rit in g sta nd po in t of re r, le go rn m en ta l a ge nc y.

H U

D r eq ui re s th at y ou c er tif y yo ur re co rd o f p re vi ou s pa rti ci pa tio n in

H U

D /U

SD

A

Fm

H A

St at e an d

Lo ca l H ou si ng F in an ce A ge nc y pr oj ec ts b y co m pl et in g an d si gn in g th is fo rm , b ef or e ec t ap pl ic at io ci pa tio n ca be ap ov ed

H U

D a pp ro va l of y ou r ce rti fic at io n is a n ec es sa ry ec on di tio n fo r y ou r p ar tic ip at io n in th e p ro je ct a ca pa ci ty th at y ou p ro po se

. I f yo u do n ot f ile th is ce rti fic at io n, d o no t f ur ni sh th e in fo rm at io n re qu es te d ac cu ra te ly

, o r d o no t m ee t e st ab lis he d st an da rd s, H n ot a pp ro ve y ou r c er tif ic at ot e th at a pp ro va l of y ou r ce rti fic at io n do es ob lig at e

H U

D t o ap pr ov e yo ur p ro je ct a pp lic at n, it do es n ot s at is fy a ll ot he r

H U

D p ro gr qu ir em en ts re la tiv e to y ou r q ua lif ic at io ns

W ho

M us t S ig n an d Fi le F or m

H U

D -2

0:

Fo rm

H U

D -2 m us t b e co m pl et ed a nd si gn ed b y al l pr in ci pa ls ap pl yi ng to p ar tic ip at e in H

U D m ul tif in g pr oj ec ts in cl ud in g th os e ha io us p ar tic ip at io n.

T he f or m m us t b e si gn ed fil b y al l p rin ci pa ls an d th ei r a ffi lia te s w ho p ro po ci pa tin g in th e

H U

D p ro je ct . U se a s ep ar at e fo rm r e ac h ro le in th e pr oj ec t u nl es s t he re is a n id en tit re st

Pr in ci pa ls in cl ud e al l in di vi du al s, jo in t ve nt ur es pa rtn er sh ip s, co rp or at io ns tru sts no n-pr of it or ga ni za tio ns , a ny o th er p ub lic o r pr iv at e en tit y p ar tic ip at e in th e pr op os ed p ro je ct a s a sp on so r, ow ne r, pr im e co nt ra ct or

, t ur nk ey d ev el op er , m an ag in g ag en t, nu rs in g ho m e ad m in ist ra to r op at or pa ck ag er

, o r c on su lta nt

. A rc hi te ct s an d at to rn ey s a ny i nt er es t in t he p ro je ct o th er t ha n an a

’s ng th f ee a rra ng em en t fo r pr of es si on al s er vi ce s ar e al so c on sid er ed p rin ci pa ls by

H U

D

In rtn er sh ip s, al l ge ne ra l pa rtn er s re ga rd le ss o f th ei r pe rc en ta ge i nt er es t an d lim ite d pa rtn er s ha vi ng a pe rc en t or m or e in te re st i n th e pa rtn er sh ip a re c on si de re d pr in ci pa ls.

I n th e ca se o f pu bl ic o r p riv at e c or po ra tio ns o r g ov er nm en ta l e nt iti es pr in ci pa ls in cl ud e th e pr es id en t, vi ce id en t, se cr et ar y, tr ea su re r a nd al l o th er ex ec ut iv e o ffi ce rs e d ire ct ly re sp on si bl e t o th e b oa rd o f d ire ct or s, or eq ui va le nt g ov er ni ng b od y, a s w el l a s a ll di re ct or s a ea s to ck ho ld er h av in g a p er ce nt o r m or e in te e co rp or at ff ili de fin pe rs b us in es s co nc er n th at d ire ct ly o r i nd ire ct ly c on tro ls th e p ol ic in ci pa l or h as t he p ow er t o do s o.

A h ol di ng o r pa re nt c or po ra tio n w ou ld b e an e xa m pl e of a n af fil ia e of it s s ub sid ia rie s i s a p rin ci pa l.

E xc ep tio n fo r C or po ra tio ns

A ll pr in ci pa ls an d af fil ia te s m us t p er so na lly s ig n th e ce rti fic at e ex ce pt fo llo w in g si tu at io n.

W he n a co rp or at io n is a pr in ci pa l, al l of i ts of fic er s, di re ct or s, tru st ee s an d st oc kh ol de rs w ith pe rc en t o r m or e of th e co m

(v in g) st oc k ne ed n ot si gn p er so na lly if th ey a ll e s am e r ec or d to re po rt.

T he o ffi ce r w ho is au th or iz gn fo r t he co rp or at io n or ag en cy w ill li st th e n tit le o f t ho se w ho e le ct n ot to s ig n.

H ow ev er , a pe on w ho h as a r ec or d of p ar tic ip at io n in H ec ts t ha t is s ep ar at e fro m t ha t of h is o r he r or ga ni za tio n m us t r ep or t t ha t a ct iv ity o n th is fo rm gn h is or h er n am e.

T he o bj ec tiv e is fu ll di sc lo su re

E xe m pt io ns

T he n am es o f t he fo llo w in g pa rti es d o no t ne ed t o be l ist ed o n fo rm H

U D

-2

0:

P ub lic si ng A ge nc ie s, te na nt s, ow ne rs o f le ss t ha n fiv e co nd om in iu m o r c oo pe ra tiv e u ni ts an d al l o th er s w re st s w er e ac qu ire d by in he rit an ce o r c ou rt or de r.

W he re a nd

W he n Fo rm H

U D

-2

M us t B e Fi le d:

T he o rig in al o f t hi s fo rm m us t b e su bm itt

H U

D O ffi ce w he re y ou r p ro je ct a pp lic at io n w ill b e pr oc es se d at th e sa m e tim e yo u fil e yo ur in iti al p ro je ct pl ic at io n.

T hi s fo rm m us t b e fil ed w ith a pp lic at pr oj ec ts n ot he rw is e re qu ire si tu at io ns li st ed b el ow

Pr oj ec ts to b e f in an ce d w ith m or tg ag es in su re d un de r th e N at io na l H ou si ng A ct (F

H A

Pr oj ec ts to b e fin an ce d ac co rd in g to S ec tio n of t he

H ou si ng

A ct o f

El de rly di ca pp oj ec ts in w hi ch pe rc en t o r m or e of th e un its ce iv e a su bs id y as d es cr ib

.F .R

. 2

.2

Pu rc ha se o f a p ro je ct s ub je ct to a m or tg ag e in su re d or h el d by th e

Se cr et ar y of

H U

D

Pu rc ha se o f a S ec re ta ry

-o w ne d pr oj ec t.

Pr op os ed s ub st itu tio n or a dd iti on o f a pr in ci pa l ci pa l pa rti ci pa tio n in a d iff er en t ca pa ci ty f p re vi ou sly a pp ro ve d fo r t he sa m e pr oj ec t.

Pr op os ed ac qu is iti on b y an ex is tin g lim ite d pa rtn er o f an a dd iti on al in te re st in a p ro je ct re su lti ng in a to ta l in te re st o f 2 pe rc en t o r m or e o r p ro po se d ac qu is iti by co rp or at e s to ck ho ld er o f a n ad di tio na l i nt er es t i n a pr oj ec t r es ul tin g in a to ta l i nt er es t o f 1 pe rc en t o r m

P je ct s ith

.S .D

.A

Fa rm er s

H om e d-is tra lo l go ve rn m en t ho us in g fin ag ci cl ud e re sta nc e un de r

Se ct io n of t he

H ou si ng

A ct o f

Fo r pr oj ec ts o f th is t yp e, f or m H

U D

-2 sh ou ld b e fil ed w ith t he a pp ro pr ia te a pp lic at di ct ly to th os e ag en ci es

R ev ie w o f

A dv er se

D et er m in at io n:

I f ap pr ov al o f ci pa tio ec ni ed w ith he ld

, o r c on di tio na lly g ra nt ed o n th e ba sis o f y ou r re co rd o f p re vi ou s p ar tic ip at io n, y ou w ill b e n ot ifi ed b y th e H

U D

O ffi ce . Y ou m ay re qu es t r ec on si de ra tio by

H U

D R ev ie w C om m itt ee

. A lte rn at iv el y, y ou ay es t a he ar in g be fo re a H ea rin g O ffi ce r.

Ei es t m us t b e m ad e in w rit in g w ith in da ys fr om re ce ip t o f t he n ot ic e of de te rm in at

If u do r eq ue st r ec on sid er at io n by t he R ev ie om m itt ee th e re co ns id er at io n re lts ad rs e de te rm in at io n, y ou m ay th en re qu es t a h ea rin g be fo re a H ea rin g O ffi ce r.

Th e H ea rin g O ffi ce r e a re po rt to th e

R ev ie w

C om m itt ee . Y ou w ill b e no tif ie d of th e fin al ru lin g by c er tif ie d m ai l.

Sp ec ifi c

L in e In st ru ct io ns

R ea so n fo r su bm itt in g tif ic at n:

g.

re fin an ce ch ow rs p, ag em en t a ge nt

, t ra ns fe r o f p hy si ca l a ss et s, et c.

ck

: F ill in th e na m e of th e ag en cy to w hi ch ap pl yi ng

Fo r ex am pl e:

H U

D O ffi ce

Fa rm er s H om e

A dm in is tra tio n D ist ric t o ffi ce , o r t he n am e

St e or lo ca l h ou sin g fin an ce a ge nc y.

B el ow th at

, f e na m e of th e ci ty w he re th e of fic e is lo ca ck

Fi ll in t he n am e of t he p ro je ct su

"G en w oo d A pt s."

I f th e na m e ha s no t ye t ct ed

, w rit e " N am e u nk no w n.

" B el ow th at , e nt er th e

H U

D c on tra ct o r pr oj ec t id en tif ic at io n nu m be r, th e

Fa rm er s

H om e A dm in ist ra tio n pr oj ec t n um be r, or th e

St at e or l oc al h ou sin g fin an ce a ge nc y pr oj ec ra nu be r.

In cl ud e al l pr oj ec id tif ic at io n nu m be rs th at a re re le va nt to th e pr oj ec t.

A lso e nt er th e na m e of th e ci ty in w hi ch th e pr oj ec t i s lo ca te d, a nd th e

ZI

P

C od ck

Fi ll in t he d ol la r am ou nt r eq ue st ed i n th e pr op os ed m or tg ag e, o r th e an nu al a m ou nt o f re sta nc e re qu es ck

4:

Fi ll in be r of a pa rtm en t un its pr op os ed , s uc h as u ni ts

Fo r ho sp ita l p ro je ct s in g ho m es

, f ill i n th e nu m be r of b ed s pr op os ed su ch a s " be ds

B lo ck

: F ill in th e se ct io n of th e

H ou si ng

A ct un de r w hi ch th e ap pl ic at io n is fi ck

D ef in iti on s of a ll th os e w ho a re co ns id ci pa ls an d af fil ia te s ar e gi ve n ab ov e in th e se ct io n tit le d

"W ho

M us t S ig n an d Fi le

B lo ck

: B es id e th e na m e of e ac h pr in ci pa l, fil l i n th e ap pr op ria

Th e fo llo w in g ar e ex am po ss ib s pr in ci pa ls e:

ne r/M or tg ag or

M an ag in g A ge nt

Sp on so r, D ev el op er

, G en er al

C on

-tr ac to r, Pa ck ag er

, C on su lta nt

N ur sin g

H om e A dm in ist ra to r e tc

B lo ck

Fi ll in th e

So ci al S ec ur ity N um be r or

IR

S em pl oy er n um be r o f e ve ry p rin ci pa l l is te d, in cl ud in g af fil ia te s.

In st ru ct io ns f or C om pl et in g Sc he du le A

B e su re t ha t

Sc he du i s fil le d-in c om pl et el y, ac ra ly th e ce rti fic…