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Form SHIP AR/2009 <br />67-37.008(3)(f), F.A.0 <br />Effective Date. 11/2009 <br />Special Needs Breakdown <br />SHIP Expended and Encumbered for Special Needs Applicants <br />§,` '� <br />>> . <br />- <br />rCode s 1. <br />.. -v _ .(:. ). <br />-.i.;n:�u`si^"::•i' -, , --'�.r,'- _it ; ,� _y, <br />; z r = •: ;.. <br />,�„ t.. i- : _ '.r-„ .t;. �' :i ..;r' <br />;..;�- s Strate gigs :..# °^= <br />i 5'? �, 9 -...- _ ;=* _,.,. �'3- <br />.".t. 0__.;`,.%es.;:— -•.< <br />' ;,: P.-_ - <br />cam': '�r. : a'�.. <br />'w" •;Amount.=:.. <br />I., �ft:i F�.,c._ �....�, � <br />_ <br />'' s :.: <br />..s$"�a'w <br />Units:. <br />�-�.,..,.,..,, <br />�X; �,'.' _ s?=. ._ <br />EncumbereOJi ' <br />s, _ yY _ • ..., g•..„ <br />''.. r-.• ,•Amount :3. <br />-.,.� _...., t ....r, <br />=k:. <br />Viµ` -.c. <br />rUnits <br />1 <br />Purchase Assistance with Rehab <br />$30,064.61 <br />1 <br />2 <br />Purchase Assistance without Rehab <br />$.00 <br />0 <br />3 <br />I ehabilitation <br />$142,716.00 <br />3 <br />6 <br />Emergency Repair <br />$3,434.25 <br />1 <br />2 <br />Purchase Assistance with Impact Fee <br />Loan <br />$25,569.00 <br />1 <br />Special Needs Category Breakdown by Strategy <br />trategies: <br />(1) Purchase Assistance <br />with Rehab <br />(3) Rehabilitation <br />Developmental Disabilities <br />Receiving Social Security <br />Disability Insurance <br />(3) Rehabilitation <br />Receiving Social Security <br />Disability Insurance <br />(3) Rehabilitation <br />Receiving Social Security <br />Disability Insurance <br />(6) Emergency Repair <br />Receiving Social Security <br />Disability Insurance <br />(2) Purchase Assistance <br />with Impact Fee Loan <br />Receiving Supplemental <br />Security Income <br />$30,064.61 <br />$47,891.00 <br />1 <br />$44,835.50 <br />1 <br />$49,989.50 <br />1 <br />$3,434.25 <br />1 <br />$25,569.00 <br />1 <br />Page it j' <br />41 <br />