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r -1 - <br />.'JUN 51995 <br />hUO-52663 <br />sooK 6'1 i'1,;F 53 1 <br />U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FOR HUD USE ONLY <br />• <br />REQUISITION FOR PARTIAL PAYMENT OF ANNUAL CONTRIBUTIONS <br />HOUSING ASSISTANCE PAYMENTS PROGRAM Voucher Number <br />SECTION 23 ❑ SECTION 8 <br />Date of Requisition MaV 16, l c)R Fiscal Year Ending Date 9/30/85 For auarter Ending 9/30/85 <br />NAME AND ADDRESS OF PUBLIC HOUSING AGENCY (including .'Lip Code) <br />ACC Contract Number A-3409 <br />Indian River County Board of County Commissioners <br />1840 25th St., Suite S-319, Vero Beach Fla. 32960-3394 <br />Project Number FL29-E132-003 <br />No. of Months In Fiscal Year 12 <br />Type of Project: <br />® EXISTING NEW REHAB. <br />DEPOSITARY BANK (Nar.te, Address and Account Number) <br />Southeast Bank, N.A. Vero Beach, Banking Center <br />Box 40, Vero Beach, Fla. 32960 A/C #107-453490 <br />a. Number of Units Under Lease to Eligible Families as of Date of Requisition 0 <br />b. Estimated Number of Units to be under Lease at End of Requested Quarter 18 <br />c. Average Monthly Housing Assistance Payment Per Unit as of Date of Requisition 189 <br />DESCRIPTION <br />(1) <br />ESTIMATE OF <br />REQUIRED <br />ANNUAL <br />CONTRIBUTIONS <br />(2) <br />TOTAL COST <br />INCURRED <br />TO DATE <br />(3) <br />AESTI MATED DDITIONAL <br />COST TO END <br />OF REQUESTED <br />QUARTER <br />(4) <br />CUMULATIVE <br />TOTAL <br />FUNDS <br />REQUIRED <br />(5) <br />PRELIMINARY ADMINISTRATIVE EXPENSE <br />1. Preliminary Administrative Expense—Prior to ACC (Account 4010) <br />2. Preliminary Administrative Expense—After ACC (Account 4012) 1 <br />3. Total Preliminary Administrative Expense (Lines 1 & 2) <br />0 <br />0 <br />0 <br />2,351 <br />0 <br />2.351 <br />2,351 <br />0 <br />2 3 <br />NONEXPENDABLE EOUIPMENT <br />4. Replacement of Nonexpendable Equipment (Account 7520) <br />5. Property Betterments and Additions (Account 7540) <br />6. Total Nonexpendable Equipment (Lines 4 & 5) <br />M <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />HOUSING ASSISTANCE PAYMENTS <br />7. Housing Assistance Payments (Account 4715) <br />553,986 <br />241,730 <br />153,846 <br />395,576 <br />ADMINISTRATIVE FEE <br />S. Total Administrative Fee Approved for Fiscal Year <br />73,289 <br />- <br />6,107 <br />9. Monthly Rate of Administrative Fee (Line 8 divided by number of months <br />In fiscal year) <br />10. Amount Previously Requisitioned for fiscal year <br />11. Estimated Additional Amount Required to end of Requested Quarter <br />67,298 <br />1,689 <br />12. Total Administrative Fee (Lines 10 & 11) <br />INDEPENDENT PUBLIC ACCOUNTANT AUDIT COSTS (Section 8 only) <br />0 <br />0 <br />13. Total Independent Public Accountant Audit Costs <br />SECURITY AND UTILITY DEPOSITS (Section 23 only) <br />14. Total Allowance Approved for Security and Utility Deposits <br />0 <br />0 <br />15. Amount Previously Requisitioned for Fiscal Year <br />16. Estimated Additional Amount Requirod to End of Requested Quarter <br />17. Total Security and Utility Deposits (Lines 15 & 16) <br />AMOUNT OF THIS REaUISITION <br />18. Total Funds Required to End of Requested Quarter (Lines 3, 6, 7, 12, <br />13 & 17) <br />19. Total Partial Payments Received for Fiscal Year to Date <br />466,914 <br />452,668 <br />20. Partial Payment Requested (Line 18 minus Line. 19) <br />IST <br />INSTALLMENT <br />2ND <br />INSTALLMENT <br />3RD <br />INSTALLMENT <br />TOTAL <br />METHOD OF PAYMENT <br />21. Requested Installment Payments <br />4,749 <br />1 14 2 <br />I CERTIFY that housing assistance payments have bean cr 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 making of such housing assistance payments, adequately inspaeted or caused to be inspected (including inspection of grounds, facilities. ; <br />and 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 />visions of the above numbered Contract have been complied with by the Housing Agency; and that this requisition for annual contributions has been exam - <br />fined by me and to the best of my knowledge and belief it is true, correct and complete. <br />N COMMISSIONFRS <br />6-5-85 (N o c Housi g Agency) <br />(Date) 8. T O gn1 Pure e o Official Authorize o e i y <br />HUD FIELD OFFICE APPROVAL <br />(Signature and Title of Official Authorized to Approve) (Date) <br />REGIONAL ACCOUNTING DIVISION <br />PrBvalidated by: <br />PAYMENT <br />FOR <br />MONTH OF <br />AMOUNT <br />PAID <br />GATE <br />CERTIFIED FOR <br />PAYMENT <br />CERTIFIED <br />BY <br />(Initials) <br />(Signature) <br />(Date) <br />TO <br />