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HomeMy WebLinkAbout2026-164Florida Housing Finance Corporation Local Government Verification Of Contribution Form Name of Development: Ardent at Sebastian 1250 Main Street, Sebastian, FL. 32958 Development Location: (At a minimum, provide the address number, street name and city, and/or provide the street name, closest designated intersection and either the city (if located within a city) or county (if located in the unincorporated area of the county). If the Development consists of Scattered Sites, the Development Location stated above must reflect the Scattered Site where the Development Location Point is located.) Information regarding the Contribution* Type of the ONE Face amount of ONE Net present value Contribution amount contribution to be contribution* amount, if applicable (face amount minus net used as a source* present value) Fee Deferral Fee Waiver Not applicable Not applicable Grant $20,000.00 Not applicable Not applicable Loan to be repaid Loan with forgiveness Not applicable Not applicable *Each form can be used for one type of funding contribution. Use multiple forms if contributing multiple types of funding sources to the same Development (e.g. a combination of loans and grants). This contribution will not be considered Local Government Area of Opportunity funding. In certain RFAs, this contribution may make the Development eligible for points or other preferences in the selection process. There is no limit on the number of such contributions the Local Government stated above may make to Developments competing in the same RFA. Additionally, loans and grants will be eligible to be considered as a source of funding for the Development. Certification This amount is valid for 12 months from the date signed and may be used in any RFA in which the Applicant applies during that time unless a specific RFA is designated, here:.. 2Q26-205 . (Designate an RFA number here if the contribution is only valid in a specific RFAnd'i 60rjtei 4ed to be submitted in any other RFA.) The city/county of Indian River - omm ≤.the contribution stated above for the Applicant for its use solely for assisting the proposed Develop r a , g ed above. I certify that the foregoing information is true and corre that this commitment ieffecti • through the date required in the applicable RFA Beryl Loar Signature �i� 1 . -k Print or Type Name (N Yln 1rIM()Y1 R'N September 15. 2026 Print or Type Title Date Signed NOTE TO LOCAL GOVERNMENT OFFICIAL: Additional information is set forth in the applicable Request for Application under which the Applicant is applying for funding for the above referenced Development. This certification must be signed by the chief appointed official (staff) responsible for such approvals, such as the Mayor, City Manager, County Manager/Administrator/Coordinator, Chairperson of the City Council/Commission or Chairperson of the Board of County Commissioners. If the contribution is from a Land Authority organized pursuant to Chapter 380.0663, Florida Statutes, this certification must be signed by the Chair of the Land Authority. One of the authorized persons as described above may sign this form for certification of state, federal or Local Government funds initially obtained by or derived from a Local Government that is directly administered by an intermediary such as a housing finance authority, a community reinvestment corporation, or a state -certified Community Housing Development Organization (CHDO). Other signatories are not acceptable. The Applicant will not receive credit for this contribution if the certification is improperly signed. The amount of the contribution stated on this form must be a precise dollar amount and cannot include words such as estimated, up to, maximum of, not to exceed, etc. If there are alterations made to this form that change the meaning of the form, the form will not be accepted. Attest: Ryan L. Butler, Clerk of Circuit Court and Comptroller (Form Rev. 03-2025) By: Deputy Clerk