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`46 FADE 4591 <br />U.S. DEPARTMENT OF H0'7StNG AND URBAN qt.%, L�Lol-MFNT FOR HUD USE ONLY <br />:REQUISITION FOR PARTIAL PAYMENT OF ANNUAL CONTRIBUTIONS <br />HOUSING ASSISTANCE PAYMENTS PROr3liA O Vjuchr►Number _ <br />SECTION -23 L1 SECTION 8 X <br />i Cate of Requisition 52/81 Fisc,11 Year Ending Date 9/30/81 - For Quarter Ending 9/16/m <br />NAME AND ADDRESS OF PUBLIC HOUSING AGLNCY-(Ineiudl,et stp_Cude/ ACC Contrast Number A-3409 <br />ll nd ian River County_ -Board of -County C.onialissioners - Project Number FL -29-E132-00-1 <br />jL)0, 20th Place.- Suite 3, Veroa rNo. of Months In Fiscal Year 12 <br />D.'_PC wrARY BANK (Neste, Address and Account Number) <br />Fi rst Citrus Bank - Typo of Project: <br />11 <br />'cro Beach, Fla. 32960 ACCT. #98-04000-1 � EXISTING � NEW � REHAB. <br />N-mibar of Units Under Lease to Eligible Families aE of D_ ate of Requisition <br />5. ,:stimated� Number of Units to be under Lease at End of Requbsted fluarter <br />j c. Aorage Monthly Huilsing Assistance Payment For Unit as of Date of Requisition <br />y T _ ESTIMATE OF <br />REQUIRED <br />DESCRIPTION ANNUAL <br />I CONTRIBUTIONS <br />(1) (2) <br />86 <br />126 <br />146 <br />PRELIMINARY ADMINISTRATIVE EXPENSE <br />ESTIMATED <br />CUMULATIVE <br />TOTAL COST <br />ADDITIONAL <br />TOTAL <br />INCURRED <br />COST TO END <br />OF REQUESTED <br />FUNDS <br />- TO DATE <br />- QUARTER <br />REQUIRED <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 />1 0 <br />2. F', eliminary Administrative Expense—After ACC (Account 4012) - <br />0 <br />1 3. Total Preliminary Administrative Expense (l iines 1 & 2J <br />_ - NOhiEXPENDABLE EQUIPMENT <br />l 4 Replacement of Nonexpendable Eq:lipment (Account 7524)Fak"�- <br />1: Property Betterments and Additions (,4ecount 7540) <br />0 <br />0 <br />0 <br />"� r�f� 0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />Total Nonexpendable Equipment (tires 4 d 5) <br />0 0 <br />- - - <br />HOUSING ASSISTANCE PAYMENTS <br />1. Housing Assistance Payments (Account 4715) <br />265,476 <br />9,72393 <br />55.1.88 <br />1520581 <br />AOMINISTRATIVE FEE . <br />1, Total Administrative Fee Approved for Fiscal Year <br />31,212 <br />( Monthly Rate of Administrative Fee (Lute 8 divided by number of months <br />cit fiscal Fear) - <br />2,601 <br />10. Amount Previously Requisitioned for fiscal year <br />19,833 <br />11. F:limated Additional Amount Required to end of Requested Quarter <br />11,379 <br />12. Total Administrative Fee (Lincs 10d 11) <br />31,212 <br />INDiPENDENT PUBLIC ACCOUPJTA14T AUDIT COSTS (Section 8only) <br />;3. Tot�l-iudspendent Public Accountant Audi. Custs <br />t <br />SECURITY AND UTILITY DEFCSI7 S (Section 23 onlyl <br />0 <br />it <br />0 <br />:4. Total Allowance Approved for Security and Utility Deposits <br />0 <br />15. Amount Previously Requisitioned for Fiscal Year <br />!! 13. Estimated Additional Amount Required to End of Requested Quarter : <br />7. Total Security and Utility Deposits (Lines 13 d 16) <br />0 <br />\ <br />0 <br />0 <br />j AMOUNT OF THIS REQUISITION <br />i Tula! Funds Required to End of Requested Quarter (Lines 3, 6. 7, 12. <br />134 17) <br />;. Tot31 Partial Payments Received for Fiscal Year to Data <br />\ <br />` <br />�\ <br />183,793 <br />133,778 <br />fiii. Partial Payment Requested (Line 1,; minus Linc 19) <br />50 O1 <br />IST <br />INSTALL .SENT <br />2NO <br />INSTALLMENT <br />3RD <br />INSTALMENT <br />TOTAL <br />METHOD OF PAYMEUT <br />Pi,quested Installment Payments <br />16,671 <br />50 015 <br />F 1111FY that housing ,+ssistance paymnn,3 have been ¢r will ba made only with rompoct to units which. 11) are under lease by Families at the time such <br />,.-;:ry etsttance payments are made ex *,pt as uthonviss provided in the Housing Aaisiance Pa munts Contracts and f2) the Housing Agency has within <br />;,^ar prior to the ma;ung of such housing assistcnce paymznts, adequately trtspectod or ccusad to be inspected (Including inspection of grounds, facilities, <br />,s• l.)r the henelit cnd use of the I.umilieoi) to assure that decent, safe and saniwry housing accommodations we being provided; that ull applicable pto- <br />,A :' tha above numbrsred Contract have been complied with by the Housing Agency; and that this requisition for annual contributions has been exam - <br />f1 ' y me and to the best of my knovrludge and belief it is true, correct and complete. Indian River County <br />B901 i of County Coamissioners <br />May 20, 1981 <br />(Dots,) <br />I t D OFFICE APPROVAL <br />_ (S.ynatury and Thh, of Ufftcsa: Authorized to Approve) <br />ACCOUNTING DIVISION <br />aln.;natad by: <br />(S,N w(we) <br />l l �:u.• 1 <br />TV IAL' <br />I'F+Vh7t:tJT AMOUNT <br />FOR PAID <br />MONTH OF <br />of Official Authorizai fo Certify) <br />(Date) <br />DATE CERTIFIED <br />CERTIFIED FOR BY <br />PAYMENT (Initials) <br />, <br />HUD -52663 <br />