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• US. DEPARTMENT OF HOUSING AND URBAN U::Vr.LOPMENT _ 1 FOR HUD USE ONLY <br />REQUISITION FQR PARTIAL PAYMENT OF ANNUAL CONTRIBUTIONS <br />HOUSING ASSISTANCE PAYMENTS PROGRAM Voucher Number <br />SECTIO() 23 SECTION B <br />Date of Requisition 10/27/821 L ; Fis 1 11al Year9/30/83 3/30/83 <br />..ndihp ate For Quarter Ending <br />NAME AND ADDRESS OF PUB Ito l?SING AGE CY (tnciudlnp 1,ip Cuitp) I I A-3409 <br />t ACC Contract Number <br />Indian River County Boald of Cou ty Commissioners FL29—El 2-0 <br />Project Number <br />OI <br />1840 25th St. , Suite S-321, Vero Beach, Fla. 32960 No. of Months in Fiscal Year <br />DEPOSITARY BANK (Name. Addreu and Account Number) <br />The First Bankers of Indian River County Type of Project: <br />Vero Beach, Fla. 32960 Acct. #98-04000-1 © EXISTING El NEW REHAB. <br />a. Number of Units Under lease to Eligible Families as of Date of Requisition 126 <br />b. Eitimeted Number of Units to be undar Lease at End of Roquested Quarter 160 <br />c. Average Monthly Housing Assistance Payment Per Unit as of Date of Requisition 163 <br />DESCRIPTION <br />10 <br />ESTIMATE OF <br />REQUIRED <br />ANNUAL <br />CONTRIBUTIONS <br />(2) <br />TOTAL COST <br />INCURRED <br />TO DATE <br />(3) <br />ES-rIMATED <br />ADDITIONAL <br />COST TO END <br />OF REQUESTED <br />QUARTER <br />(4) <br />CUMULATIVE <br />TOTAL <br />FUNDS <br />REQUIRED <br />(5) <br />PRELIMINARY ADMINISTRATIVE EXPENSiEaf�? <br />1. Preliminary Administrative Expense—Pgior to A�C (Account 4010) <br />2. Preliminary Administrative Expense—After ACC (Account 4014 <br />0 <br />0 <br />„ , ,; ; ;,z:,1. .t. <br />0 <br />9,996 <br />0 <br />9,996 <br />9,996 <br />9,996 <br />0 <br />9,996 <br />9,996 <br />3. Total Preliminary Administrative Expense (Lines I d 2) - <br />NONEXPENDABLE EQUIPMENT <br />4. Replacement of Nonexpendable Equipment (Account 75201 <br />5. Property Betterments and Additions (4ccount 7540) <br />6. Total Nonexpendnble Equipment (Lines 4 & 5) <br />7`"r <br />rtA <br />,,', . r,'.,. • .:; <br />"a.='= ='�j.. <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />7,600 <br />0 <br />7,600 <br />7,600 <br />444,363 <br />41,033 <br />104,320 <br />145,353 <br />HOUSING ASSISTANCE PAYMENTS <br />7. Housing Assistance Payments (Account 4715) <br />ADMINISTRATIVE FEE <br />B. Total Administrative Fee Approved for Fiscal Year <br />54,309 <br />9. Monthly Rate of Administrative Fee (L,bie 8 divided by number of months <br />in ji'sed year) <br />4,525 <br />10. Amount Previously Requisitioned for fiscal year <br />13,575 <br />11. Estimated Additional Amount Required to and of Requested Quarter <br />12. Total Administrative Fee (Lincs 10 & 11) <br />• <br />27,150 <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 DEPOSIT'S (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 />16. Estimated Additional Amount Requirod to End of Requested Quarter <br />0 <br />17. Total Security and Utility Deposits (Lincs 15 d 161 <br />0 <br />AMOUNT OF THIS REQUISITION <br />18. Total Funds Required to End of Requested Quarter (Lines 3, 6, 7, 12, <br />13d 17J <br />1 <br />190,099 <br />19. Total Partial Payments Received for Filcal Year to Date <br />126,171 <br />20. Partial Payment Requested (Line 18 minus Line. 19) <br />63,928 <br />METHOD OF PAYMENTINSTALLMENT INSTALLMENT INSTALLMENT TOTAL <br />cl. Requested Installment Payments 21,309 21.3nq <br />1 CERTIFY that housing assistance payments have been or will be made only with respect to units which: (1) are under lease by Families at the time such <br />bausing asshtence payments are made except as otherwise provitied in the Housing Anistarl Payments Controab and (2) the Housing Agency has within <br />etre year prior to the making of turolr bagrtpng �s rptrypB,ately inspected or cwsod to be inspected (including inspection of grounds, facilities. <br />and areas for the benefit and use of th Families) to arsur that rl�en, ".le and sanitary housing accommodations are being provided; that all applicable pro- <br />vision of the above nuimberett Contra ,+�iflj'fi8 n4yPi�ILWAs h by th Housing Agency; orad that this requisition for annual contributions has been exam- <br />insd by me and to the best of !ny k V", �% • corn and completo. <br />I d' <br />(Date) <br />HUD FIELD OFFICE AI'PR <br />(rignI le an..un urrteial Authorized it* Approve) <br />REGIONAL ACCOUNTING DIVISION <br />PAYMENT <br />Prevalidated by: FOR <br />MONTH OF <br />(Signature) <br />(Date) <br />TOTAL <br />Ian River County <br />a of Publ' ivusin me ° Chairman <br />(Signature a d Title of Official A rased to Certify) <br />(Date) <br />AMOUNT DATE CERTIFIED <br />PAID CERTIFIED FOR BY <br />PAYMENT I (initials) <br />