Laserfiche WebLink
1/Lf0-52663 <br />5-7St <br />U.S. DEPARTMENT OF HOUSING AN DC-:VEL.OPMENT HUD USE ONLY <br />REQUISITION FOR PARTIAL PAYMENT OF ANNUAL CONTRiBUTiONS <br />HOUSING ASSISTANCE PAYMENTS PROGRAM voucher Number <br />SECTION 23 L_.a SECTIONS <br />Date of Requisition 11/5/80 Fiscal Year Ending Date 10/30/81 For Quart3r Ending 3131_.181 <br />NAME AND ADDRESS OF PUBLIC HOUSING AGENCY (Inciudinq sip Code) <br />Indian River County Board of County Commissioners <br />ACC Contract Number _A, . hnq <br />Project Number FL -29—E132-001 <br />800 20th Place Suite 3 Vero Bea Fla. 0 <br />No. of Months in Fiscal Year 12 <br />Type of Project: <br />DEPOSITARY BANK (Nome, Addrese and Account Number) <br />First Citrus Bank <br />Vero Beach, Fla. 32960 Acct. (x'98-04000-1 <br />® EXISTING NEW REHAB. <br />a. Number of Units Under Lease to Eligible Families as of Date of Requisition 78 <br />b. Estimated Number of Units to be under Lease at End of Requested Quarter 120 <br />c. Average Monthly Housing Assistance Payment Per Unit as of Date of Requisition 154 <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 TO END <br />OF REQUESTED <br />QUARTER <br />CUMULATIVE <br />TOTAL <br />FUNDS <br />REQUIRED <br />(1) <br />(2) <br />(3) <br />(4) <br />(5) <br />PRELIMINARY ADMIPHSTRATIVE EXPENSE <br />1. Preliminary Administrative Expense—Prior to ACC (Account 4010). <br />0 <br />0 <br />0 <br />0 1 <br />0 <br />2. Preliminary Administrative Expense—After ACC (Account 4012) <br />0 <br />0 <br />0 <br />0 <br />0 <br />3. Total Preliminary Administrative Expense (Lines 1 & 2) <br />"."> <br />° ' ' <br />0 <br />0 <br />0 <br />NONEXPENDABLE EQUIPMENT <br />4. Replacement of Nonexpendable Equipment (Account 7520): <br />5. Property Betterments and Additions (Account 7540) <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />6. Total Nonexpendable Equipment (Lines 4 & 5) <br />HOUSING ASSISTANCE PAYMENTS <br />7. Housing Assistance Payments (Account 4715) <br />265,476 <br />23,688 <br />55,440 <br />79,128 <br />ADMINISTRATIVE FEE <br />8. Total Administrative Fee Approved for Fiscal Year <br />31,212 <br />9. Monthly Rate of Administrative Fee (Line 8 divided by number of months <br />in fiscal year) <br />2,601 <br />10. Amount Previously Requisitioned for fiscal year <br />6,611 <br />6,611 <br />11. Estimated Additional Amount Required to end of Requested Quarter <br />13.922 <br />12. Total Administrative Fee (Lines 10 & 11) <br />INDEPENDENT PUBLIC ACCOUPITANT 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 />0 <br />0 <br />16. Estimated Additional Amount Requirod to End of Requested Quarter <br />0 <br />17. Total Security and Utility Deposits (Lines 15 & 16) <br />AMOUNT OF THIS REQUISITION <br />X <br />18. Total Funds Required to End of Requested Quarter (Lines 3, 6, 7, 12. <br />13& 17) <br />19. Total Partial Payments Received for Fiscal Year to Date <br />92,350 <br />64,305 <br />28,045 <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 />9-148 <br />9,349, <br />9,148 <br />99,045 <br />1 CERTIFY that housing assistance paymonts have been or will be made only with respect to units which: (1) are under lease by Families at the time such <br />housing assistance payments are made except as otherwise provided in the blousing Assistance Payments Contracts and (2) the Housing Agency has withirl <br />one year prior to the mating of such housing assistance payments, adequately inspected or coused to be inspected (including inspection of grounds, facilities, <br />and areas for the benefit and use of the Families) to assure that decent, safe and sanitary housing accommodations are being provident; 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 knowledge and belief it is true, correct and complete. Indian River County <br />Board ofoCounty <br />11/19/80 (Na of Public Housing Agency) <br />a C <br />(Date) ignatur file of Offici Authorized to Certify) <br />HUD FIELD OFFICE APPROVAL <br />(Signature and Title of Official Authorized to Approve) (Date) <br />REGIONAL ACCOUNTING DIVISION <br />PrevelidatBd by: <br />PAYMENT <br />FOR <br />MONTH OF <br />AMOUNT <br />PAID <br />DATE <br />CERTIFIED FOR <br />PAYMENT <br />CERTIFIED <br />BY <br />(Initials) <br />(Signature) <br />(Date) <br />TOTAL <br />Replaces <br />Nov I <br />Form HUD -52663 dated June 197!1. <br />HUD -52663 <br />mot 45 w fo <br />J <br />