Rental Assistance Demonstration (RAD) |
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HUD Form 5261 (DRAFT) |
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Mod Rehab Application for Conversion |
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Office of Public Housing, Office of Multifamily Housing |
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There are several explanation boxes that extend the full width of this form. Increase or decrease the height of the box as needed (click to the left on the horizontal line below the row number, then dragthe line up or down as needed). |
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Section 1: Owner and Project |
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1 |
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Legal name of ownership entity |
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Owner Contact Information: |
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This is the person that HUD should contact with any questions about the proposed RAD transaction.
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Contact Person |
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Title |
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Mailing Address |
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City |
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State |
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Enter two character State code |
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Zip Code |
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Telephone |
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Email |
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Identify who will sign the certifications at the end of this form, on behalf of the owner / applicant |
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Authorized Owner Representative |
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Title |
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Date Signed |
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Date owner will sign this form |
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Project Name |
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Project Street Address |
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City |
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County |
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State |
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Enter two character State code |
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Zip Code |
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Contract Number: Enter the 15 character Housing Assistance Payments (HAP) contract number. The HAP contract number will be in this format:
XX999 indicating the PHA
MR indicating a Mod Rehab contract
9999-9999 contract number
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Mod Rehab Contract Number |
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Contract Effective Date |
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Contract Expiration Date |
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Section 2: Type of Conversion |
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2 |
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Are you requesting conversion to PBRA or to PBVs? |
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PBRA (Project Based Rental Assistance) |
PBV (Project Based Vouchers) |
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PBVs |
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Are you requesting a Choice-Mobility exemption? |
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0 |
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Section 3: Unit Mix and Rents |
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3 |
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Enter the rent schedule from the Mod Rehab contract and information for the assisted and unassisted units at the project post-conversion. |
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Exhibit A of the Mod Rehab contract contains (1) units under contract by bedroom type, (2) Contract Rents for each bedroom type, and (3) Utility allowances for each bedroom type.
? |
Mod Rehab Contract Units |
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0BR |
1BR |
2BR |
3BR |
4BR |
5BR+ |
Total |
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0 |
1 |
2 |
3 |
4 |
5 |
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Units under Contract |
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0 |
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Units to Convert |
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0 |
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Contract Rent Levels (from Exhibit A) |
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$0 |
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Utility Allowance |
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$0 |
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Other Affordable Units |
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Units |
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0 |
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Rents |
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$0 |
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Market Rate Units |
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Units |
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0 |
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Rents |
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$0 |
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Total Units Post-RAD |
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0 |
0 |
0 |
0 |
0 |
0 |
0 |
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TotalMonthly Rent |
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$0 |
$0 |
$0 |
$0 |
$0 |
$0 |
$0 |
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De Minimis Reduction Allowance |
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The table below compares the units currently under the Mod Rehab contract, the number proposed for conversion, the number proposed to be reduced, and the applicable de minimis threshold. If applicable, indicate the number of reductions by eligible category in the rows that follow, along with an explanation in the accompanying text box. |
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Current Units Under Mod Rehab Contact |
Total Units Proposed for Conversion |
Units Proposed to be Reduced |
de minimis threshold |
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0 |
0 |
0 |
5 |
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No entry or explanation necessary |
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1 |
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1=same 2=increase 3=de minimis red'n 4=greater red'n |
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0 |
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0 |
Units have already received Section 18 Demolition-Disposition approval from HUD |
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0 |
Reconfiguring efficiency apartments |
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0 |
Facilitating social service delivery |
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0 |
Units vacant for more than 24 months |
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0 |
Total |
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0 |
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0 |
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Please provide an explanation for each affected category. Please limit response to 200 words. |
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Explanation of reduction in number of assisted units |
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Section 4: Capital needs and Replacement Reserves |
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4 |
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The PHA is not required, at the time of application, to have completed an updated, third-party Physical Needs Assessment (PNA). The PHA can esimate its capital needs and explain the basis for its estimates in the narrative box below. If the project includes market or other units, include the capital needs for those units as well in these estimates.
? |
Enter the most recent estimate of capital needs for the projet, broken down by Immediate, Short-term, and Long-term needs. If these break-downs are not available, provide reasonable estimates. |
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Total |
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Per Unit |
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Include all rehabilitation or constructions costs, site improvements, general requirements, contractor overhead, contractor profit, P&P Bond or LoC, Contingency, Permits & Impact Fees, and other costs…
? |
Year 1 (Immediate) |
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$0 |
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$0 |
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Years 2-5 (Short-term) |
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$0 |
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$0 |
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Years 6-20 (Long-term) |
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$0 |
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$0 |
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Please explain how you have arrived at these estimates. |
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Explanation |
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The application calculates a "formula amount" for both the initial deposit to replacement reserve (IDRR) and the annual deposit to replacement reserve (ADRR). For purposes of the application, you must enter an amount ("Your Proposal") that is not less than these formula amounts.
The formula for the IDRR is as follows: the amount of short-term needs minus (5 x ADRR). (This formula is intended to insure that sufficient funds are available over the initial five years to cover identified needs.)
The formula for the ADRR is as follows: total of needs from years 2-20, divided by 20.
? |
Replacement Reserve Funding |
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$0 |
avg annual needs years 2-20 |
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Enter the current balance of the project's Replacement Reserve and the proposed Initial Deposit and Annual Deposit to the Replacement Reserve |
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$0 |
avg annual needs years 6-20 |
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Current Replacement Reserve Balance |
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$0 |
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Formula Need |
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Proposed |
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Initial Deposit to Repl. Reserve (IDRR) |
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$0 |
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$0 |
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Annual Deposit to Repl. Reserve (ADRR) |
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$0 |
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$0 |
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$0 |
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$0 |
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0 |
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Section 5: Existing Debt |
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5 |
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840 |
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Existing First Mortgage Loan: |
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Origination Date |
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Original Loan Amount |
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Unpaid Principal Balance |
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as of |
01/01/2012 |
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Interest Rate |
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per year |
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MIP / Other Credit Enhancement |
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per year |
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Amortization Term |
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years |
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Maturity Term |
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years |
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Calculated Monthly P+I |
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$0.00 |
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Monthly P+I |
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Current Monthly MIP |
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If FHA Insured, please provide the following information: |
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If the Mod Rehab project has existing FHA-insured financing, it will have an FHA project number and an iREMS ID number.
? |
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FHA Project Number: |
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Yes |
No |
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iREMS ID Number: |
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Will this loan be refinanced in conjunction with the RAD Conversion? |
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0 |
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Existing Additional Loan: |
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Origination Date |
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Original Loan Amount |
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Unpaid Principal Balance |
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as of |
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Interest Rate |
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per year |
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MIP / Other Credit Enhancement |
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per year |
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Amortization Term |
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years |
0.0 |
years |
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Maturity Term |
|
|
|
|
years |
0.0 |
years |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Calculated Monthly P+I |
|
|
|
$0.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Monthly P+I |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current Monthly MIP |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Will this loan be refinanced in conjunction with the RAD Conversion? |
|
|
|
|
|
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Section 6: Pro Forma Post-RAD Cash Flow |
|
|
|
|
|
|
|
|
|
|
|
|
6 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Enter three-year historical cash flow data and proposed pro forma data |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fiscal Year End: |
|
|
|
Post-RAD |
Explanation |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross Potential Rents (Apartments) |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vacancy Loss (Apartments) |
|
|
$0 |
$0 |
$0 |
$0 |
0.0% |
|
|
|
|
Explain variance less than 85%. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Bad Debt (Apartments) |
|
|
$0 |
$0 |
$0 |
$0 |
0.0% |
|
|
|
|
The proposed operating expenses is less than 85% of the 3 year historical average. Explanation in the Finaning Letter of Intent is required. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross Potential Rents (Commercial) |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vacancy Loss (Commercial) |
|
|
$0 |
$0 |
$0 |
$0 |
0.0% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Bad Debt (Commerical) |
|
|
$0 |
$0 |
$0 |
$0 |
0.0% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Late/NSF charges |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Damage Charges |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Laundry/Vending |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Concessions (Other) |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest Income |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Income |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Effective Gross Income |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Administrative Salaries and Expenses |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Asset Management Fee |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Tenant Services |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Utilities (Owner Paid) |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Garbage and Trash Removal |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Maintenance Salaries |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Protective Services |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Maintenance Supplies / Contract |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Operating & Maintenance |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Real Estate Taxes |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Property / Liability Insurance |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other taxes and insurance |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Operating Expenses |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Replacement Reserve Deposit |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
|
|
|
|
|
|
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|
|
|
|
|
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|
|
|
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|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net Operating Income |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
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|
|
|
|
|
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|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Existing First Mortgage Debt Service |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Principal and Interest |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
MIP / Other Credit Enhancement |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Existing Other Debt Service: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Principal and Interest |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
MIP / Other Credit Enhancement |
|
|
$0 |
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Historical Cash Flow |
|
|
$0 |
$0 |
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
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|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Available For New Debt Service (NOI, less ongoing debt service payments) |
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
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|
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|
|
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|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Section 7: New First Mortgage Loan Sizing |
|
|
|
|
|
|
|
|
|
|
|
|
1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
? |
Are you proposing to take out a new first mortgage loan for this project? |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
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|
|
|
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|
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|
|
|
|
|
|
|
|
|
|
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|
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|
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|
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|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest Rate % per Year |
|
|
|
0.000% |
|
|
|
|
|
|
|
0 |
2 |
5.0% |
program minimum (interest + MIP) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Mortgage Insurance Premium % |
|
|
|
|
|
|
|
|
|
|
|
|
|
40 |
years program maximum |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Amortization Term |
|
|
|
|
|
|
|
|
|
|
|
0 |
1 |
40 |
years program maximum for FHA |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Maturity Term |
|
|
|
|
|
|
|
|
|
|
|
0 |
|
18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Debt Service Coverage Ratio |
|
|
|
|
|
|
|
|
|
|
|
0 |
2 |
1.20 |
program minimum (interest + MIP) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Maximum Supportable Mortgage Loan |
|
|
|
$0 |
|
|
|
|
|
|
|
|
0.0000% |
P&I |
0.0000% |
P&I&MIP |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Proposed Mortgage Loan Amount |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Calculated Annual Debt Service |
|
|
|
$0 |
|
|
|
|
|
|
|
|
$0 |
monthly P&I |
$0 |
monthly MIP |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Post Conversion Debt Service and Cash Flow Summary |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net Operating Income (from Section 6) |
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
New First Mortgage Debt Service |
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Ongoing Debt Service (from Section 5) |
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating Cash Flow |
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1.20 |
Program standard |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
Section 8: Pro Forma Sources and Uses of Funds |
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7 |
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Sources of Funds |
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|
New First Mortgage Loan |
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|
|
$0 |
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|
Existing Replacement Reserve Balance |
|
|
|
$0 |
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|
Existing Balance in Other Escrow Accounts |
|
|
|
$0 |
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|
Low Income Housing Tax Credit Equity |
|
|
|
$0 |
|
|
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|
|
0 |
0 |
|
4% LIHTC |
9% LIHTC |
|
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|
4% LIHTC |
9% LIHTC |
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|
Other #1 |
$0 |
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|
Other #2 |
$0 |
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|
Other #3 |
$0 |
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|
Other #4 |
$0 |
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|
Other #5 |
$0 |
|
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|
Other #6 |
$0 |
|
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|
|
Other #7 |
$0 |
|
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|
|
|
|
|
|
Total Sources of Funds |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
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|
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|
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|
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|
|
Uses of Funds |
|
|
|
|
|
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|
|
|
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|
|
|
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|
|
Acquisition Costs |
|
|
|
|
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|
|
|
|
|
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|
|
|
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|
|
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|
|
In many cases, the covered project will not have any acquisition costs. If you will have acquisition costs, make sure that you have identified sources of financing, and that the acquisition costs are acceptable to your lender(s).
? |
Building and Land Acquisition |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
Could include amounts from Energy Service Contracts, Capital Fund Financing Program (CFFP), etc.
? |
Payoff Existing Loans (from Section 5) |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
Enter other acquisition costs, if applicable.
? |
Other Costs |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
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|
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|
|
|
|
|
|
|
|
Include actual costs of construction, including contractor overhead, general requirements, contractor profit, performance and payment bond, construction contingency, permits and impact fees, etc.
? |
Construction Costs |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
Include the costs associated with any relocation, if applicable.
? |
Relocation Costs |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
Professional Fees |
|
|
|
|
|
|
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|
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|
|
|
|
|
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|
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|
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|
|
|
|
|
|
|
|
Includes A/E fees to design project, prepare specifications, carry out inspections during construction, etc.
? |
Architecture & Engineering |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
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|
|
|
|
|
|
|
|
|
|
|
|
Includes cost of PCA for the project
? |
Physical Conditions Assessment |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
Legal fees may be incurred in submitting the application (and necessary certifications) and submitting the Financing Plan, and will be incurred in closing the transaction. Legal fees in establishing the single-asset entity to hold the project post-conversion (a lender will likely require this) would normally be considered "Organizational Costs" (see below).
? |
Borrower's Legal Counsel |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
Many lenders require the borrower to pay fees for the lender's attorney.
? |
Lender's Legal Counsel |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Includes cost of feasibility studies related to development of the project.
? |
Feasibility Studies (LEAN Costs) |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Includes cost of environmental reports related to development of the project.
? |
Environmental Reports |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
|
|
|
|
|
|
|
Includes cost of appraisal or market study as may be required by lender.
? |
Appraisal / Market Study |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ncludes cost of accounting services during development of the project, for example for a cost certification audit.
? |
Accounting |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Includes cost of surveys related to development of the project. Lenders typically require an as-built survey after construction completion.
? |
Survey |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Enter other professional fees, if applicable.
? |
Other Costs |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loan Fees and Costs |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
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|
|
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|
|
|
|
|
|
|
|
|
|
|
Includes cost of the initial (up front) Mortgage Insurance Premium on an FHA-insured mortgage loan. Ask the lender for an estimate.
? |
FHA MIP |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Includes standard FHA application fee, also sometimes called an examination fee.
? |
FHA Application Fee |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Includes standard FHA inspection fee.
? |
FHA Inpection Fee |
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
Includes fee charged by lender related to financing of the project. Also see "Lender's Legal Counsel" above. Note that some lenders break the financing fee into components, such as an origination fee, a placement fee, and a processing fee.
? |
Financing Fee |
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$0 |
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Includes costs associated with establishing the legal entity that will own the project after conversion.
? |
Organizational Costs |
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$0 |
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Title insurance premium. Check with your lenders regarding the amount of title insurance that will be required (typically, coverage will be required at least equal to the original principal balances of all loans).
? |
Title Insurance/Exam Fee |
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$0 |
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Includes fee charged for recordation of any legal documents that must be placed in the local land records. This will include the RAD Use Agreement and all mortgages or deeds of trust.
? |
Recordation Fee |
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$0 |
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Includes payment for the closing escrow agent.
? |
Closing Escrow Agent Fee |
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$0 |
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Includes penalty or premium charged for prepayment of existing loan.
? |
Prepayment Penalty/Premium |
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$0 |
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If the project has accounts payable that will not be paid as of the closing date, you will need to make arrangements to pay those payables at or prior to the closing.
? |
Payables |
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$0 |
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Includes the interest paid on the construction loan during the development period. When estimating construction interest, make a month by month estimate of sources and uses to determine the amount that will need to be drawn on the construction loan each month, and remember to account for the period after construction completion and prior to closing of the permanent loan. If you are utilizing a construction loan, be sure that your sources and uses of funds properly account for rental revenue and operating expenses during the construction and lease-up period (either by showing net rental income as a source of funds, by showing net expenses as a use of funds, or by showing income as a source and expenses as a use).
? |
Construction Interest |
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$0 |
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Includes any fees paid to obtain the construction loan. This could include an origination fee (points) and costs to cover the construction lender's attorney fees.
? |
Construction Loan Fees |
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$0 |
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Includes the cost of issuing bonds (4% tax credits are available only with tax-exempt bonds, and taxable bond financing may be an efficient approach for certain larger projects). Talk to bond counsel to obtain an estimate of those costs.
? |
Cost of Bond Issuance |
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$0 |
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Include other loan fees and costs, as applicable.
? |
Other Costs |
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$0 |
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Reserves |
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The amount of the IDRR varies based on the lender's minimum reserve balance requirements, the stream of annual long term capital needs from the PCNA, and the annual reserve deposit level. Some projects will require a large IDRR, and others may require a small IDRR or no IDRR.
? |
Initial Deposit to Replacement Reserve |
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$0 |
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If your permanent loan will be funded at the initial closing, this line item should contain an allowance for any temporary loss of NOI during the rehab and stabilization period. Temporary loss of NOI could occur because of needing to hold units off line for rehab, and/or because operating expenses may be unusually high during rehab.
? |
Initial Operating Deficit Escrow |
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$0 |
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Some lenders may require an operating reserve to guard against potential negative cash flow over the loan term.
? |
Operating Reserve |
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$0 |
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Lenders typically require that tax and insurance expenses be escrowed. Check with your lender regarding initial escrow funding.
? |
Tax and Insurance Escrow |
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$0 |
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Include other reserves, as applicable. Some lenders may require additional reserves (for example, a Debt Service Reserve).
? |
Other Costs |
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$0 |
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Developer Fee |
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For non-LIHTC transactions, the RAD Developer Fee may be up to 10 percent of the total development budget (all hard costs and reasonable soft costs), less developer fee and reserves and less any acquisition costs in non arms-length acquisitions, e.g., transfers of property title to related or wholly-owned entities for the purpose of meeting single asset entity ownership requirements. For LIHTC transactions, RAD permits a developer fee up to the lower of (a) 15% of total development cost and (b) the amount allowed by the state LIHTC allocating agency.
? |
Developer Fee |
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$0 |
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Include other reserves, as applicable.
|
Total Development Cost |
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$0 |
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0 |
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Section 9: Projects Utilizing 9% Low Income Housing Tax Credits ('LIHTCs') |
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You are not proposing to use 9% LIHTC. Skip this section |
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RAD allows PHA applicants to propose use of 9% LIHTCs without requiring that the PHA already hold a LIHTC Reservation letter. In such cases, the PHA must provide information on the QAP application timeline and demonstrate recent success in obtaining 9% LIHTCs. If a CHAP is issued, then based on this information, HUD will establish a property-specific milestone date, by which the PHA must have received a LIHTC Reservation letter. In addition, applicants proposing to utilize 9% credits must include a letter from the credit issuing authority- see the RAD Notice for detail.If the PHA is unable to secure such a letter from the credit-issuing agency, it must document its efforts to do so and must submit a self-scored QAP application.
? |
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RAD allows PHA applicants to propose use of 9% LIHTCs without requiring that the PHA already hold a LIHTC Reservation letter. In such cases, the PHA must provide information on the QAP application timeline and demonstrate recent success in obtaining 9% LIHTCs. If a CHAP is issued, then based on this information, HUD will establish a property-specific milestone date, by which the PHA must have received a LIHTC Reservation letter. In addition, applicants proposing to utilize 9% credits must include a letter from the credit issuing authority- see the RAD Notice for detail.If the PHA is unable to secure such a letter from the credit-issuing agency, it must document its efforts to do so and must submit a self-scored QAP application.
? |
Do you have a LIHTC reservation? |
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Yes |
No |
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Briefly discuss the application submission and approval timing that is provided under the current QAP. Please provide sufficient detail that HUD can understand when you will submit an application, when you will be notified regarding selection, and when a LIHTC Reservation letter would be issued to you. |
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Discussion of QAP timing |
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RAD requires that you demonstrate recent success, internally or through development team partners, in obtaining 9% LIHTCs. Below, briefly discuss your capacity and experience in obtaining 9% LIHTCs from the relevant State allocating agency. |
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Demonstration of recent success obtaining 9% LIHTCs |
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Do you have a letter from the credit-issuing authority as described in the RAD Notice? |
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Provide evidence that the applicant diligently attempted to secure such a letter |
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Efforts to secure letter from credit-issuing authority |
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RAD requires that you attach a self-scored QAP application. Below, briefly discuss why you believe that a QAP application for the subject project, at the indicated score, is likely to receive a 9% LIHTC award. |
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Likelihood of obtaining 9% LIHTCs |
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Section 10: Ranking Factors |
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1 |
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1) |
Are you requesting the Ranking Factor for Choice-Mobility? |
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a) |
Are you receiving choice-mobility vouchers? |
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b) |
Are you providing choice-mobility vouchers? |
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2) |
Are you requesting the Ranking Factor for Green Building and Energy Efficiency? |
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3) |
Do you want to designate this project as your PHA’s priority project? |
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By signing this application, the applicant certifies that the owner or its affiliates has not submitted another RAD application for which it is claiming priority project status. Below, if applicable list all projects under Mod Rehab contracts that are controlled by the owner or its affiliates of the subject project: |
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Project Name |
Mod Rehab Contract number |
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1) |
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2) |
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3) |
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4) |
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5) |
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Section 11: Narratives |
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Provide written responses in the grey highlighted rows below. Please limit each responses to 200 words. |
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Briefly describe the land, location / neighborhood, and physical plans for the project. |
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Description |
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Discuss any known environmental or building product risks such as lead based paint, asbestos, PCBs, flood zone status, aluminum wiring, and fuel storage tanks (whether underground or above ground), along with associated remediation measures. |
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Explanation |
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Discuss any needed accessibility modifications, including any rehabilitation mandated by 24 C.F.R. Section 8.23.
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Discuss any needed accessibility modifications. |
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Explanation |
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Discuss any known market competitiveness isues, such as small unit sizes or limited on-site parking, and how the conversion plans to address these issues. |
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Explanation |
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Discuss any proposed relocation plans for the project. |
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Explanation |
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In the Financing Plan, the PHA or proposed ownership entity must demonstrate previous successful experience (within the last several years) with properties requiring similar types and levels of development, rehabilitation, ownership, and operational capabilities. Capacity and experience can be demonstrated with existing PHA staff and/or by adding relevant expertise to the development team. HUD's decision regarding capacity and experience will be made at the time the Financing Plan is reviewed.
? |
Discuss the capacity of the development team to undertake the proposed conversion. |
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Explanation |
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Section 12: Application Validation |
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0 |
NUMBER OF FATAL ERRORS |
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The attachments indicated 'Yes' below must be included in your electronic application package. Incomplete application packages will be rejected. |
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Yes |
Mod Rehab Contract, including Exhibits |
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1 |
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Yes |
Compiled comments received from residents and description of how comments are addressed in conversion plan |
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1 |
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No |
Choice-Mobility Letter Agreement |
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0 |
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No |
Financing Letter of Intent for each proposed loan, grant, or equity contribution |
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0 |
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No |
Letter from PHA agreeing to administer PBVs |
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0 |
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No |
9% LIHTC Reservation Letter |
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0 |
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No |
Letter from credit-issuing authority |
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0 |
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No |
Self-Scored QAP Application for 9% LIHTCs |
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0 |
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2 |
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Section 11: Certification |
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8 |
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I hereby certify to the following: (1) that I have the requisite authority to execute this application on behalf of the owner; (2) that HUD can rely upon this certification in evaluating the Application, (3) that I acknowledge that I have read and understand PIH Notice 2012-32 (the "Notice"), which describes the Rental Assistance Demonstration (RAD) (the "Program"), and agree to comply with all requirements of the Program or Notice; (4) that all materials submitted in association with the application are accurate, complete and not misleading; (5) that the application meets all applicable eligibility requirements for the Program set forth in the Notice; (6) that the owner approves the creation of a single-asset entity of the affected project, if required by the lender to facilitate financing; (7) that, if selected for award, the owner will comply with the fair housing and civil rights requirements at 24 CFR 5.105(a) (general requirements) and will affirmatively further fair housing; (8) that this Board Approval Form has been approved by the Board of Commissioners on the date noted below; and (9) that, if selected for an award, the PHA will comply with all provisions of HUD’s Commitment to Enter into a HAP (CHAP), which shall indicate the HUD-approved terms and conditions for conversion of assistance, or will indicate to HUD within 15 days that it is refusing the terms of the CHAP and withdrawing from RAD participation. |
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Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties (18 USC Sections 1001, 1010, 1012; 31 USC Sections 3729, 3802) |
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By () |
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Date: January 00, 1900 |
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Authorized Signature: |
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