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r 79 <br />�O 1 MAR 51980 52663 <br />MaK 42 FADE 889 <br />U.S. DEPARTMENT OF HOUSING AND URBAN U'�Vt:LOPMENT FOR HUD USE ONLY. <br />• <br />REQUISITION FOR PARTIAL PAYMENT OF ANNUAL CONTRIBUTIONS <br />HOUSING ASSISTANCE PAYMENTS PROGRAM %'oucher Numhcr <br />SECTION 23 0 SECTION 8 <br />Date of Requisition Mar. 1, 1980 Fiscal Year ending Date Sept. 30,1980 For Quarter Ending June 30, 1980 <br />NAME AND ADDRESS OF PUBLIC HOUSING AGENCY (lncludinl .alp Code) <br />ACC Contract Number A-3409 <br />Indian River County Board of County Commissioners <br />800, 20th Place Suite 3 Vero Beach Fla. 32960 <br />Project NumberFL-29E132-001 <br />No. of Months in Fiscal Year 15 <br />Type of Project: <br />DEPOSITARY BANK Maine. Address and Account Number) <br />First Citrus Bank <br />Vero Beach, Fla. 32960 Acct. #98-04000-1 <br />® EXISTING � NEW � REHAB. <br />a. i'?t�umbor of Units Under lease to Eligible Families as of Date of Requisition 14 <br />b. Estimated Number of Units to be under Leese at End of Requested Quarter 85 <br />c. Average Monthly Housing Assistance Payment Per Unit as of Date of Requisition 113 <br />DESCRIPTION <br />ESTIMATE OF <br />REQUIRED <br />ANNUAL <br />CONTRIBUTIONS <br />TOTAL COST <br />INCURRED <br />TO DATE <br />ESTIMATED <br />ADDITIONAL <br />COST END <br />OF REQUUESTED <br />QUARTER <br />CUMULATIVE <br />TOTAL <br />FUNDS <br />REQUIRED <br />(1) <br />(2) <br />(3) <br />(4) <br />(5) <br />PRELIMINARY ADMINISTRATIVE EXPENSE <br />1. Preliminary Administrative Expense—Prior to ACC (Account 4010) <br />0 <br />0 <br />0 <br />40,387 <br />20,064 <br />20,323 <br />40,387 <br />2. Preliminary Administrative Expense—After ACC (Account 4012) <br />40 387 <br />20.064 <br />20,323 <br />40.387 <br />3. Total Preliminary Administrative Expense (Lincs 1 & 2) <br />NONEXPENDABLE EQUIPMENT, <br />4. Replacement of Nonexpendable Equipment (Account 7520) <br />5. Property Betterments and Additions (Account 7540) <br />y' <br />�:,• <br />0 <br />8,658 <br />0 <br />1,722 <br />0 <br />10,380 <br />10,380 <br />8,658 <br />1.722 <br />10.380 <br />S. Total Nonexpendable Equipment (Lines 4 & 5) <br />HOUSING ASSISTANCE PAYMENTS <br />7. Housing Assistance Payments (Account4715) <br />134,754 <br />1,931 <br />93,542 <br />95,473 <br />ADMINISTRATIVE FEE <br />8. Total Administrative Fee Approved for Fiscal Year <br />17.760 <br />9. Monthly Rete of Administrative Fee (Line 8 dipided by number of months <br />In fiscal year) <br />1,184 <br />10. Amount Previously Requisitioned for fiscal year <br />7,074 <br />10,686 <br />11. Estimated Additional Amount Required to end of Requested Quarter <br />17-760 <br />12. Total Administrative Fee (Lincs 10& 11) <br />INDEPENDENT PUBLIC ACCOUNTANT AUDIT COSTS (Section 8 only) <br />13. Total Independent Public Accountant Audit, Costs <br />0 <br />0 <br />SECURITY AND UTILITY DEPOSITS (Section 23 only) <br />14. Total Allowance Approved for Security and Utility Deposits <br />0 <br />15. Amount Previously Requisitioned for Fiscal Year <br />1G. Estimated Additional Amount Requirud to End of Requested Quarter <br />17. Total Security and Utility Deposits (Lines 15 & 16) <br />AMOUNT OF THIS REQUISITION <br />18. Total Funds Required to End of Requested Quarter (Lines 3, 6, 7, 12, <br />13 & 17) <br />164,000 <br />93,110 <br />19. Total Partial Payments Received for Fiscal Year to Date <br />70,890 <br />20. Partial Payment Requested (Line 18 minus Line 19) <br />IST <br />INSTALLMENT <br />2ND <br />INSTALLMENT <br />3RD <br />INSTALLMENT <br />TOTAL <br />METHOD OF PAYMENT <br />21. Requested Installment Payments <br />23,630 <br />23,63Q <br />1 23,630 <br />1 CERTIFY that housing assistance payments have been or will be made only with respect to units which: 111 are under louse by Families at the time such <br />housing assistance payments are made except as otherwise provided in the Housing Assistamm Payments Contracts and (2) the Housing Agency has within <br />one year prior to the making of such housing assistance payments, adequately inspected or caused to he inspected (including inspection of grcunds, foeilities. <br />and areas for the benefit and use of the Families) to assure that decent, safe and sanitary housing accommodations are being provided; that all applicable pro- <br />visions of the above numbered Contract have been complied with by the Housing Agency; and that this requisition for annual contributions has been exam- <br />ined by me and to the best of my knowludgo and belief it is true, correct and complete. <br />Indian R r CoMian <br />(Nun Public Housinq ,,, gency) <br />- March 1, 1980 �a vice Chairman <br />(Date) (Signature & Title of Official Authorized to Certify) <br />HUD FIELD OFFICE APPROVAL <br />(Signature and 'lltte of Official A uthorized to Approve) (Date) <br />REGIONAL ACCOUNTING DIVISION <br />Prevalidatedby: <br />PAYMENT <br />FOR <br />MONTH OF <br />APA DNT <br />DATE <br />CERTIFIED FOR <br />PAYMENT <br />CERTIFIED <br />By <br />(initials) <br />(Signature) <br />(Date) - <br />MAR _ _ ._ ® TOTAL <br />Replaces Form IUJD-52663 dated June 19711. <br />HUD -52663 <br />