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Hilb-52663 _ <br />U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT.. FOR HUD USE ONLY <br />REQUISITION FOR PARTIAL PAYMENT OF ANNUAL CONTRIBUTIONS <br />HOUSING ASSISTANCE PAYMENTS PROGRAM Voucher Number <br />SECTION 23 [D SECTION 8 0 <br />Date of Requisition 1/24/85 Fiscal Year Ending Bete 9/30/85 For Quarter Ending X6/30185 <br />NAME AND ADDRESS OF PUBLIC HOUSING AGENCY (/ncludino Zip Code) <br />Indian River County Board of County Commissioners <br />1840 25th St., Suite S-319, Vero Beach, Fla. 32960-3394 <br />DEPOSITARY BANK (Name, Address and Account Number) <br />Southeast Bank, N.A. Vero Beach Banking Center <br />ACC Contract Number A-3409 <br />Project Number FL -29-E132-001 & 002 <br />N0. of Months in Fiscal Year 12 <br />Type of Project: <br />Box 40, Vero Beach, Fla. 32960, A/C #107-453490 <br />EXISTING NEW Cl REHAB. <br />a. Number of Units Under Lease to Eligible Families as of Date of Requisition 170 <br />b. Estimated Number of Units to be under Lease at End of Requested Quarter 190 - <br />c. Average Monthly Housing Assistance Payment Per Unit as of Date of Requisition 177 <br />DESCRIPTION <br />ESTIMATE OF <br />REQUIRED <br />ANNUAL <br />CONTRIBUTIONS <br />TOTAL COST <br />INCURRED <br />TO DATE <br />ESTIMATEDCUMULATIVE <br />ADDITIONAL <br />COST TO END <br />OF REQUESTED <br />QUARTER <br />TOTAL <br />FUNDS <br />REQUIRED <br />(1) <br />(2) <br />(3) <br />(4) <br />(5) <br />PRELIMINARY ADMINISTRATIVE EXPENSE <br />1. Preliminary Administrative Expense—Prior to ACC (Account 4010) 1 <br />2. Preliminary Administrative Expense—After ACC (Account 4012) <br />3. Total Preliminary Administrative Expense (Lines 1 d 2) <br />0 1 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />NONEXPENDABLE EQUIPMENT <br />4. Replacement of Nonexpendable Equipment (Account 7520)0 <br />W <br />0 <br />_ <br />0 <br />0 <br />0 <br />0 <br />5. Property Betterments and Additions (Account 7540) <br />0 <br />0. <br />0 <br />6. Total Nonexpendable Equipment (Lines 4 & 5) <br />0 <br />HOUSING ASSISTANCE PAYMENTS <br />7. Housing Assistance Payments (Account 4715) <br />478,402 <br />150,086 <br />134,520 <br />284,60-0 <br />ADMINISTRATIVE FEE <br />8. Total Administrative Fee Approved for Fiscal Year <br />67,298 <br />9. Monthly Rate of Administrative Fee (Lime 8 divided by number of months <br />in fiscal year) <br />5,608 <br />10. Amount Previously Requisitioned for fiscal year <br />33,648 <br />16,824 <br />11. Estimated Additional Amount Required to end of Requested Quarter <br />12. Total Administrative Fee (Lines 10 & III <br />INDEPENDENT PUBLIC ACCOUNTANT AUDIT COSTS (Section 8 only) <br />13. Total Independent Public Accountant Audit Costs <br />24on <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 />16. Estimated Additional Amount Required to End of Requested Quarter <br />0 <br />17. Total Security and Utility Deposits (Lines 15 dt 16) <br />AMOUNT OF THIS REQUISITION <br />X <br />18. Total Funds Required to End of Requested Quarter (Lynes 3. 6, 7. 12, <br />13 d 17) <br />19. Total Partial Payments Received for Fiscal Year to Date <br />335,078 <br />8, 770 <br />lUb,308 <br />20. Partial Payment Requested (Line 18 minus Line 19) <br />IST <br />INSTALLMENT <br />2ND <br />INSTAL MENT <br />3RD <br />INSTALLMENT <br />T07AL <br />METHOD OF PAYMENT <br />21. Requested Installment Payment= <br />3b.436 <br />35,436 <br />1 35,436 <br />1 106,308 <br />1 CERTIFY that housing assistants payments 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 Housing Assistance Payments Contracts and (2) the Housing Agency has within <br />one year prior to the malting of such housing assistance payments, adequately inspected or caused to be inspected (including inspection of grounds, facilitiet. <br />art! areas for the benefit and use of the Families) to assure that decent, safe and sanitary housing accommodations are being provided; that all applicable pro- <br />vowns 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 andm et . <br />>f°o rof County Commissioners <br />In ' <br />February 6, 1985 / G(Nm <br />ae� Rubs' H% tgVice Chairman <br />(Date) (Signature and Title of i Authorized to Certify) <br />HUD FIELD OFFICE APPROVAL <br />(Signature and Title of Official Authorired to Approve) (Date) <br />REGIONAL ACCOUNTING DIVISION <br />Prevalidated by: <br />PAYMENT <br />FOR <br />MONTH OF <br />AMOUNT <br />PAID <br />DATE <br />CERTIFIED FOR <br />PAYMENT <br />CERTIFIED <br />13'/ <br />(Initials) <br />(Signature) <br />(Date) <br />FEB 6 1995 <br />- TOTAL <br />B <br />J;J ';.. <br />I <br />RPn1 ACPs Fnrm HUD -52663 dated J!,np 19711 • HUD -5266 <br />