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U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT <br />FOPWISE ONLY <br />VOUCHER FOR PAYMENT OF ANNUAL CONTRIBUTIONS <br />HOUSING ASSISTANCE PAYMENTS PROGRAM <br />(Voucher Number) <br />SECTION 23 [^ SECTIONS <br />i <br />FOR FISCAL YEAR ENDED <br />{See Instructions on reverse) <br />9/30/84 <br />NAM6 AND ADDRESS OR PUBLIC HOUSING AGENCY (InCIU910111 ZIP Code)AC <br />ilndian River County Board of County Commissioner <br />11840 25th St., Suite S-319 <br />'.Vero Beach, Fla. 32960 <br />CONTRACT NUMBER <br />A-3409 <br />PROJECT NUMBER <br />FL29-E132-001 <br />FL29.-E132-002 <br />HUD FIELD OFFICE <br />U.S. Department of HUD <br />325 W. Adams St., Jacksonville, Fl. 32202 <br />TYPE OF PROJECT (Check One) <br />NEW Q REHAB EXISTING ( <br />BEGINNING DATE OF FIRST <br />FISCAL YEAR <br />7/1/79 <br />HUD REGIONAL OFFICE NUMBER OF DWELLING <br />75 Spring St., S.W. UNDER ACC UNDER <br />Atlanta, Ga. 30303 190 170 <br />UNITS 1NUMBER OF UNIT MONTHS <br />LEASE <br />2,040 <br />Request is hereby made for the payment of annual contributions payable pursuant to the terms <br />and conditions of the above number - <br />ad Annual Contributions Contract for the project and the fiscal your shown above; as set forth <br />in the following statement: <br />REQUESTED BY PHA HUD ADJUSTMENTS <br />(2) (3) <br />MAXIMUM ANNUAL CONTRIBUTIONS AVAILABLE <br />1. Maximum annual Contribution Authorized - per Annual Contributions Contract <br />2. Pro Rata Maximum Annual Contribution Applicable to a Period of <br />440.1-72 <br />Less Than Twelve (12) Months <br />3. Maximum Annual Contribution For Fiscal Year (Lines 1 and 2) <br />4. Contingency ReserWAccouut 2825) for Sectioq 23 projects or Project Account <br />(Account 2827) for Section 8 projects - Balance at beginning of Fiscal Year <br />5. Total Annual Contributions Available (Lines 3 and 4) <br />A PROV�j��jT� 1 TE OF <br />ANNUAL CONTRIBUTIONS REQUIRED ANNUAL`LFdfJYTIONS <br />121 <br />6. Housing Assistance Payments (Account 4715) 460v660 <br />7. Administrative Fee (see instructions) <br />8. Preliminary Administrative Expense - Prior to ACC (Acct, 4010) <br />9. Preliminary Administrative Expense - After ACC (Acct. 4012) <br />10. Nonexpendable Equipment (Accounts 7520 and 754o) <br />11. Security and Utility Deposit Fund (section 23 Proiects on(y) <br />12. Independent Public Accountant Audit Costs 2,500 <br />13. Total Funds Required - Current Year (Lines 6 through 12) 929,914 <br />14. Deficit at End of Preceding Fiscal Year <br />15. Total Funds Required (Lines 13 and 14) 59-9-914 <br />440,172. <br />. <br />3 <br />- <br />1,500 <br />401,523 <br />__401.523 <br />16. Project Receipts other than Armual Contributions (Accts: 3614 3690, and 7530) <br />17. Total Annual Contnbutions Required (Line is minus Line 16) <br />401,523 <br />EXCESS OR DEFICIT IN ANNUAL CONTRIBUTIONS AVAILABLE <br />18. Excess (Amount by u ouch Line s exceeds Line 17) 1 <br />19. Deficit (Amount by uAich Line 17 exceeds Line s) <br />MWMM <br />559,700 <br />YEAR-END SETTLEMENT Per Au( <br />fit <br />20. Annual Contributions Due for Fiscal Year (Line -l7minus Line 19) <br />21. Total Partial Payments Received by PHA for Fiscal Year <br />401 523 <br />22. Underpayment Due PHA (Amount by uiltich Line 20 exceeds Line 21) FY82 +FY83 + FY84 <br />23. overpayment Due HUD (Amount by uhich Line 21 exceeds Line 20) 115 967 18,701 =19 <br />A 783 <br />STATUS OF PROJECT ACCOUNT (Section 8 Projects only) <br />24. Project Account - Balance at the End of Fiscal Year (Aecosnt 2827) (Line 18) <br />25. Provision for Project Account (Account 7027) <br />559.7 0 <br />38-649 <br />a. Increasi(Amount by which Line 24 exceeds Line 4) <br />b. Decrease (Amount by which Line 4 exceeds Line 24) <br />STATUS OF CONTINGENCY RESERVE (Section 23 Projects only) <br />26. Contingency Reserve - Balance at the End of Fiscal Year (Account 2825) <br />(Lute 18 or 10%, of Line 1. uAichetw is lesser) <br />21. Provision for Contingency Reserve - (Account 7025) <br />a. • 11106111M (Amount by which Line 26 exceeds Line 4) <br />b. Decrease (Amount by u&ch Line 4 exceeds Line 26) <br />STATUS OF SECURITY AND UTILITY DEPOSIT FUND (Section 23 projects only). <br />28. Security and Utility Deposit Funds Provided, Account 2168.1 <br />19. Security and Utility Deposits - Uncollectible Advances; Account 2168.2 <br />30. Balance of Security and Utility Deposit Fund (Line 2s minus line 29) <br />31. Accents Receivable - Advances for Security anc Utility Deposits Account 1127 <br />32. Security and Utility Deposit Funds Available (Li,.:. 30 minus Line 31) <br />I CERTIFY that housing assistance payments have been or will be made only with respect to units which# (1) are under loose by Families at the time such <br />housing assistance payments aro made except as otherwise provided in the Mousing Assistance Payments Contracts and (2) the Housing Agency has, within one <br />year prior to the slaking of such housing assistance payments, adequately inspected or caused to be inspected (Including inspection of grounds, facilities, and <br />areas for the benefit and use of the Families) to assure #hot 4106411011, safe and sanitary housing occemodo-ions are being provided; that all applicable provisions <br />of 'him above numbered Annual Contributions Contract flow bass complied with by the Housing Agency; o: d that this Voucher for Annual Contributions has baa <br />ex6sd100d by we and to die best of my knowledge and belief it is trio, correet•and completo. <br />Indian River County 11-7-84 <br />(Name of Public Housing Agency) '- (Date) (signature and Title of Official Auth s to Certify) <br />FOR REGIONAL CHECK ONE: <br />REVIEWED BY: 1. Overpayment or ; received from PHA <br />(signature) <br />2. = Underpayment of s certified for payment to <br />(Dees) the PHA on (enter date certified). <br />is <br />B40K 58 FAUE.761 <br />