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1 <br />Requisition for Martial Payment <br />of Annual Contributions <br />Note: See instructions in appropriate program handbooks <br />1 Program Type (Mark one) 2. Date of Requisition 3. For Quarter Ending: <br />Section 23;7 Section 8 2/3/86 _ 6/30/86 <br />U.B. Depil►Inleni ut Nouaiq <br />and Urban Development <br />Section 8 and Section 23 <br />Housing Assistance Payments Program <br />OMB No. 2502-0348 (exp. 10/31/86) <br />6 Public Housing Agency (Name and Address) 7. Depositary bank (Name and Address) <br />Indian River County Board of County Colmnission rs Southeast Bank; P.A. <br />1840 25th St., Suite S-319 Vero Beach Banking Center <br />Vero Beach, Fla. 32960-3394 Box 40 <br />Vero Beach, Fla. 32960 <br />- _- - 9. Depositary Bank Account No. ---•----- - <br />#107-453490 <br />V. u11A Annual 1•urd,rbuhuno Conlgct NO •- _--- <br />A=3409 <br />10, Housing Program Type (Mark ones <br />(a) New Conatrucuon I 1 (b) Substantull Rebablliration �._ fel Moderate Rehabilitation XX (d) Existing Housing Certificates u (e) Housing 1louchers <br />t PMA Fiscal Year f:nding Date (Mark one box and complete year) <br />i—: IaI March 31. F -J (b) June 30, K.; (c) September 30, ❑ (d) December 31, 19: <br />Number of Units Under Lease to 13 Average Monthly Housing 14. Estimated Number of Units to '15. Unit Months Under Leas* 16 Average Monthly Housing <br />Eligible Famiiies as of Date Assistance Payment Par Unit be Under Lease at End of Year to Date Assistance Payment Per unit <br />Of kngL--.ion as of Date of Requishon Requested Quarter <br />Year to Oata <br />190 186 214 1792 186 <br />Estimate of Required ( Total Coat Incurred Estimated Additional Cumulatlre Funds <br />Annual Contributions and Fees EarnedCost and Fees Earned Required <br />(a) Year to Dale to End of Requested 101 <br />Ibl Ouen <br />X' <br />5 j a <br />,_:.'11•/:« _ 1!..11.1 02�01�86 <br />17. Preliminary Administrative and General Expense 0 <br />ta. Carr} Over of Preliminary Administrative and General <br />E-<vvnso Approved in Previous Fiscal Year � 0 <br />19. PreGmUtary• Non -Expendable EyLlipmant Expense <br />0 <br />20 Carry Over of Preliminary Non -Expendable Equipment <br />Eirpense Approved in Previous Fiscal Year <br />21. Estimated Housing Assistance Payments <br />IA1-7;aunt 4715) 588,564 <br />22 E:.t^rated Ongnln,; Aaministrativr, Fee <br />_ __ 68,578 <br />tin:aten Ha c)•t(: H ,;,se Fee (Existing <br />h..us`r,y Cc'rtlf+ i::cs and Hol.,sing Vouchers Only) 900 <br />24. Tc;at Independent Public Accountant Audit Costs <br />(Section 8 Only! 2,5_00 <br />25 7-:�Tal Ailowance Approved'or Security and Utility <br />=ncsas (Section 23 Only) 0 <br />Amoun! of Requisition <br />2L•. it t,d C;v,sts Incultod it) D ite (;aunt of L iticrs 17 <br />;•„ :h 251 <br />27. T;: F -encs F+_•cuired to End of R( -quested Ou2rter <br />0! Liv -f- 1.7 through 251 <br />29. Pi.r : c:Tts Recei':;::d to Date <br />r-, r;rien(s Previously Approved for Fiscal Year <br />tG i)..iB <br />30. Over or Underpayrnent to Date (Difterence of Line 28 / <br />r,r1d Liri i 25. Do not Usf, brackets: <br />. F rt; :i Pa;. -Tient Requirt;ment DUling Requested i <br />t l(:artrl (Line 27 minus Line 29) ' <br />Ji7/lriii�l�h7�TTTlI� <br />U <br />32. <br />37. <br />34. <br />0 0 <br />0 0 <br />0 0 <br />0 1 <br />0 <br />175,667 157,542 333,209 <br />26,604 .1 23,846 50,450 <br />180 i 225 I 405 <br />0 i 0 1 <br />0 <br />0 0 0 <br />r <br />202,451 i <br />215,854 <br />384,064 <br />261,18 <br />3.403 <br />1 <br />7 <br />Aethod of Payment Fast MstsitaaeM Second InstsifinetM Third IrtstallmeM Total <br />'otei Esti mated Additional Funds Required to End (0) (1s) to 1411 <br />11 Requested quarter by Installment (Line 31 plus <br />illy overpayment or minus any underpayment on 45,427 45,428 45,428... 136,283 <br />.Ina 30 divided into three installments) <br />.ass Any Overpayment or Plus Any Underpayment <br />rim line 30. 3 4 <br />? Guested Installment Payments (Sum of Lines 32 -- <br />Ind 3-3) <br />I (:erti:y that (1) housing assistance payments have been or will be made only in accordance with Housing Assistance Payments <br />C:ortrtzcts or Housing Voucher Contracts in the form prescribed by HUD and in accordance with HUD regulations and requirements; <br />121 units have been inspected by the PHA in accordance with HUD regulations and requirements; and (3) this requisition for annual <br />c-,� tllrtbutions has been examined by me and to the best of my knowledge and belief is true, correct and complete. <br />`� _------ <br />1,10 -me t•1 Hul:nc Ncu*Ing Agency signature and Title of Authorlre0 ONlclel land Oa+N <br />Board of County Commissioners Don C. Scurlock Jr firman 2-12-86 <br />Indian River County, Florida <br />- ------------------ <br />_ 32,024_ <br />45,4213 <br />-- 45,428 <br />y 122,880 <br />C <br />FEB 12 1986 -aoolc 63 PAGE 583 <br />