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r 3- 1982
<br />U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
<br />VOUCHER FOR PAYMENT OF ANNUAL CONTRiBUTt.ONS
<br />HOUSING ASSISTANCE PAYMENTS PROGRAM
<br />SECTION 23 [� SECTIONS [X
<br />(See Instructions on reverse)
<br />kdAM9 AND ADDRESS oUBLIC HOuSIA ACENCr (Incamind a AC CONTRACT NUMBER
<br />Indian River County Board of County Commissioners
<br />1840 25th St., Suite S-321 A-3409
<br />Vero Beach, Fla. 32960
<br />FOR HUD USE ONLY
<br />(Voucher Number)
<br />FOR FISCAL YEAR ENDED
<br />9/30/82
<br />PROJECT NUMBER
<br />FL29-E132-001
<br />FL29-E132-002
<br />IF TF -M vr r-rvJECT(c:neCKOne) BEGINDATE OF FfRIIT
<br />325 West Adams St., BEGINFISCAYEAR
<br />Jacksonville, Fla. 32202 NEW Q REHAB 0 EXISTING (� 7/1/79
<br />75 Spring St., S.W. NUMBER OF DWELLING UNITS INUMBER OF UNiT MONTHS
<br />Atlanta, Ga. 30303 UNDER ACC UNDER LEASE
<br />190
<br />Request i 119 1270
<br />s hereby made for the pay"Wat of annuat-ee,*16tions
<br />payable purswnt to the tonins and conditions of the above nutnber-
<br />oaf Annual Glttribtilians Cenhoctfer the Project alai the fiscal year shown above, as sot forth in the following statetitint- -
<br />MAXIMUM ANNUAL CONTRIBUTIONS AVAILABLE REQUESTED 9Y PHA HUD ADJUSTMENTS
<br />1. Maximum Annllaf Contribution Authorized - per Annual Contributions Contract t21 lel
<br />2: Pro Rata Maximum Annual Contribution Applicable to a Period of , 20
<br />Less Monft
<br />T3- Maximum AnnuaContrn Twelve ) Contribution For Fiscal Year (Lines Land 2) o ,
<br />4. Colli 225, 204
<br />ngeney RlServ!(Aeeaw+t 2825) for Seetiolt 23 projects a Project Account
<br />(Acema 2327) for Section 8 projects . Balance at begiralin, of Fiscal , 639
<br />Year 247
<br />5. Total Annual Contributions Available (Liles 3 find 4) 47 Q 1
<br />ANNUAL CONTRIBUTIONS REQUIRED
<br />6. Housing Assistance Payments(Accmu 4715)
<br />7. Administrative Fee (See Inductions)
<br />8. Preliminary Administrative Expense - Prior to ACC (Acer_ nolo)
<br />9. Preliminary Administrative Expense - After ACC (Aeet 4012)
<br />10. 110nexPeudabte Equipment(Accourus 752o and 7540)
<br />11. Security and Utility Deposit Fund (section 23 Projects qt ly)
<br />12- Independent Public Accountant Audit Costs
<br />13. Total Funds Required - Current Year (Lines 611rough 12)
<br />14. Deficit at End of Preceding Fiscal Year
<br />IS. Total Funds Requiled (Lines 13 and 14)
<br />16. Project Receipts oflnr than Annual Contributions (Acca.3610, 3690. asd 7530)
<br />17. Total Annual Contributions Required (Line 15 inanua Lane 16) r.
<br />EXCESS OR DEFICIT IN ANNUAL CONTRIBUTIONS AVAILABLE
<br />8. Excess(AmtrxKu b7'A Lane 5 exceeds Lane 17)
<br />9. DefiCit(AKtoautt br U&CA Line. 17_ exceeds Lane S)
<br />YEAR-END SETTLEMENT
<br />D. Annual Contributions Due for Fiscal Year (Line.neinus Line 19)
<br />L Total Partial Payments Received by PHA for Fiscal Year
<br />?- Vlldero"ment Due PHA (Annum by u&ch Line 20 exccc& Lune 21)
<br />(.
<br />0*0ymeltt Due HUD (Amann by uAi'ch Lime 21 exceeds Line 201
<br />STATUS OF PROJECT ACCOUNT (Section 8 projects only)
<br />1. Project Account - Balance at the End of Fiscal Year (A cco m 2827) (Line 18)
<br />i- Provision for Project Account (Account 7027)
<br />a- increase (Amount by urhich Line 24 exceeds Line 4)
<br />-b. Decrease (Amount by which Line 4 exceeds Line 24) - - - - -
<br />STATUS OF CONTINGENCY RESERVE (Section 23 I� 4
<br />26. Conti P►BNets only)
<br />ngencyReserve • Balance at the Erol of Fiscal Year (Aceottnt 2325)
<br />I (Line 18 or 10%, of Lane 1. u*kheuer is lesser)
<br />27. Provision for Contin N
<br />R
<br />$iRICy eseroe - (Account 7025) k� ;s
<br />8- • inCM9 (Amiwnnt by which Line 26 exceeds Line 4) +� v
<br />b- Decrease (Amm u by which Line 4 excerds Line 26)
<br />STATUSOF SECURITY AND UTILITY DEPOSIT FUND (Section4111
<br />;28. Security wtd Utility Deposit Funds provided,Account 2168.1 a �, `
<br />29. Security UtilityDepceits - Uncollectible dvances, Account 2168.2��°�°�
<br />30. Balance Of Security and Utility Deposit Fund (Line 28 Minus (a,+e
<br />131. Accounts Receivable - Advances for Security anc Utility Deposits
<br />'i�, 2. Securi and Utili ee at Funds Available (Li. 30 minus Line
<br />int 11°11
<br />1 CERTIFY that hossieg esiistawea Payments have beaw or will be mode oe
<br />housing ssststewce peywsnte ars mods except as otherwise provided in the Nouiiin i►h respect nits which+ (1) are Under lease by Families at the Now such
<br />'rear prior to the making of such housing assistance sistane ayments Contracts and (2) the Housing Agency has, within of
<br />areae for the b&nellt and use, of the Families assure
<br />that
<br />payments, cent. safe i d sonitd or M be inspected (Including inspection of ground&, facilities, and
<br />of the ale- membered Armor l ro assure shot deeewt, sere end sonirory hens seeamedorions are being provided; that ells applicable esetal"d Cartb16trtlans %OnhOct no- been complied with b the Mousing p Provisions
<br />by ma cud h ahs if�eat of k+w,vhtd y g Agency; o: d that this Voucher for Annual Contributions has been
<br />'^l knowledge and belief it is taro, eeneet sed complete. _
<br />-Indian River County
<br />(Nana ar ifublic Noising agency) 1 l / i _ R,
<br />(Date)
<br />?EVIEWED By,
<br />(Signature)
<br />J'L
<br />of Official
<br />K ON
<br />to Certi1p)
<br />Overpeyttrent of S received from PHA
<br />2. Underpayment o : cartified for payment to
<br />the PHA on (e eerd fled).
<br />�' �' tit ■O■
<br />wIrl•:�:s t:r_�
<br />• .
<br />.,
<br />P.
<br />i►l:#�CSoI��
<br />STATUS OF CONTINGENCY RESERVE (Section 23 I� 4
<br />26. Conti P►BNets only)
<br />ngencyReserve • Balance at the Erol of Fiscal Year (Aceottnt 2325)
<br />I (Line 18 or 10%, of Lane 1. u*kheuer is lesser)
<br />27. Provision for Contin N
<br />R
<br />$iRICy eseroe - (Account 7025) k� ;s
<br />8- • inCM9 (Amiwnnt by which Line 26 exceeds Line 4) +� v
<br />b- Decrease (Amm u by which Line 4 excerds Line 26)
<br />STATUSOF SECURITY AND UTILITY DEPOSIT FUND (Section4111
<br />;28. Security wtd Utility Deposit Funds provided,Account 2168.1 a �, `
<br />29. Security UtilityDepceits - Uncollectible dvances, Account 2168.2��°�°�
<br />30. Balance Of Security and Utility Deposit Fund (Line 28 Minus (a,+e
<br />131. Accounts Receivable - Advances for Security anc Utility Deposits
<br />'i�, 2. Securi and Utili ee at Funds Available (Li. 30 minus Line
<br />int 11°11
<br />1 CERTIFY that hossieg esiistawea Payments have beaw or will be mode oe
<br />housing ssststewce peywsnte ars mods except as otherwise provided in the Nouiiin i►h respect nits which+ (1) are Under lease by Families at the Now such
<br />'rear prior to the making of such housing assistance sistane ayments Contracts and (2) the Housing Agency has, within of
<br />areae for the b&nellt and use, of the Families assure
<br />that
<br />payments, cent. safe i d sonitd or M be inspected (Including inspection of ground&, facilities, and
<br />of the ale- membered Armor l ro assure shot deeewt, sere end sonirory hens seeamedorions are being provided; that ells applicable esetal"d Cartb16trtlans %OnhOct no- been complied with b the Mousing p Provisions
<br />by ma cud h ahs if�eat of k+w,vhtd y g Agency; o: d that this Voucher for Annual Contributions has been
<br />'^l knowledge and belief it is taro, eeneet sed complete. _
<br />-Indian River County
<br />(Nana ar ifublic Noising agency) 1 l / i _ R,
<br />(Date)
<br />?EVIEWED By,
<br />(Signature)
<br />J'L
<br />of Official
<br />K ON
<br />to Certi1p)
<br />Overpeyttrent of S received from PHA
<br />2. Underpayment o : cartified for payment to
<br />the PHA on (e eerd fled).
<br />
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