HUD 5260 Rental Assistance Demonstration (RAD) Public Housing Pro

Rental Assistance Demonstration (RAD) Application Form

RAD Public Housing Application Version 7 23 12 Final.xlsx

Rental Assistance Demonstration (RAD) Application Forms

OMB: 2577-0278

Document [xlsx]
Download: xlsx | pdf

Overview

Instructions
PHA App Form
Board Approval Form
Financing Letter of Intent
Mixed Finance Affidavit
Choice Mobility Let Agreement
Validation
Sample PIC Data


Sheet 1: Instructions

RENTAL ASSISTANCE DEMONSTRATION
Instructions to Applicants: Public Housing Agencies


INTRODUCTION


1 In accordance with Notice PIH-2012-32, this Excel-based Application Form shall be used by public housing agencies (PHAs) in submitting applications under the Rental Assistance Demonstration (RAD).
2 As part of the application, the user will be completing both an Operating Pro-Forma and a Development Budget for the proposed conversion. An application cannot be submitted (see "fatal error" message, below) if the Pro-Forma or Development Budget do not balance or otherwise contain error messages.


GENERAL INSTRUCTIONS


1 Complete one Application Form for each public housing project proposed for conversion.
2 Upon completion of the application, print out the associated attachments.
3 Submit the completed application, along with the signed attachments (where applicable), and email to RADApplication@hud.gov.


HOW THIS EXCEL WORKBOOK WORKS


1 In order to obtain this Excel workbook, go to the RAD website (www.hud.gov/rad), and click on 'Obtain Excel Application for PHAs'. Enter the project's PIC Development Number. The web site will auto-populate certain cells with information on the project from HUD systems. You can then download this Excel workbook and save it on your computer.
2 Fill in all items that appear in grey highlight.
3 Bright blue squares containing a white question mark offer additional guidance. Place the mouse cursor over the square to read this guidance.
4 Note that, for the purposes of reviewing applications, HUD has standardized some of the financing assumptions. These benchmarks/assumptions are only for the purposes of reviewing the applications; actual lender underwriting may be different. If an entry trips one of these assumptions, an error message will appear, indicating either that the user provide an explanation or that the user enter not less than the indicated amount.
5 If a "fatal error" message appears in red, the application cannot be submitted. Review the fatal error message and correct the input(s) as needed. The fatal error message will disappear once the input(s) has been corrected.
6 Once all information has been entered, print the following form-generated attachments (where applicable):
• Board Approval Form. This is a document that the PHA and the PHA Board must approve. A PDF copy of the signed document must be submitted with the RAD Application. It summarizes key aspects of the application. Failure to submit an executed form with the application will result in its rejection.
• Financing Letter of Interest. This is a document that a lender or equity investor must sign. A PDF copy of the signed document must be submitted with the RAD Application. It is designed to give the lender or equity investor information on key aspects of the proposed transaction. A separate Financing Letter of Intent must be submitted for each proposed source of funding. Failure to submit all of the required Letters of Intent with the application will result in its rejection.
• Mixed-Finance Affidavit. This is a document that the PHA and the owner-representative of the mixed-finance project must sign. A PDF copy of the signed document must be submitted with the RAD application for any mixed-finance project. PHAs should note that the Notice provides that mixed-finance projects are eligible only if the Date of Full Availability (DOFA) is July 1, 2002 or earlier;, and
• Choice-Mobility Letter Agreement. This is a document that will be signed by both the PHA that is providing choice-mobility vouchers and by the PHA (or Mod Rehab project owner) whose RAD project will receive the choice-mobility vouchers. A PDF copy of the signed document must be submitted with the Application in order to qualify for the choice-mobility ranking factor.

These attachments will include the name of the authorized representative identified in the application. Additionally, the Board Approval Form and the Financing Letter of Interest will include both a Statement of Sources and Uses and a Financing Pro-Forma, generated from the information submitted on the Application Form.
Note that the Application Form, along with all the attachments, must be submitted electronically as part of the submission package. The full list of attachments needed will be automatically generated at the end of the Application Form once it has been completed.




THE VALIDATION WORKSHEET



This worksheet shows the detailed calculations for potential PBRA and PBV rents. It also shows the historical FASS-PH data for the referenced project.

Sheet 2: PHA App Form

Rental Assistance Demonstration (RAD)























































U.S. Department of HUD, Form HUD-5260 (DRAFT)














Public Housing Program Application























































Office of Public Housing, Office of Multifamily Housing














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 drag the line up or down as needed).























































































Section 1: PIC Development Number and Name

























































1












Enter the PIC Development Number and Name.




























































































Development Number


























Name of Development











Athough some public housing projects do not have names in PIC, you should expect that your lender (if your are obtaining financing), and Multifamily Housing (if you are converting to PBRA), will refer to the project by name rather than by the PIC number. ?





























































































































Public Housing Agency (PHA) Name






























Data Universal Numbering System (DUNS) #























































































































































Executive Director


















Telephone Number

Email























































































Section 2: Background Information on the PHA and the Project

























































2












Enter the requested contact information and complete the below questions regarding the project.









































PHA Contact Name Enter the name of the PHA staff person that HUD should contact with any questions about the application. ? Title



Telephone Number

Email























































































Type of Conversion:



You can change this decision later, but HUD encourages you to make a careful selection now because a change later could slow down your progress. ?


















PBRA (Project Based Rental Assistance) PBV (Project Based Vouchers)



1















































































Is this Project an existing Mixed Finance Project?





HUD will make awards to not more than 1,200 mixed-finance units. Further, eligibility for projects developed with HOPE VI grants is limited to those with a Date of Full Availability prior to October 1, 2002. ?




















Yes No




















































































Are you requesting the Choice-Mobility Exemption for this project?









































































































0






Review the below table of project unit counts, by bedroom size, per the PIC data extract as of 06/01/12






























PIC Bedroom Distribution Total Units Average Bedroom per Unit


















0-BR 1-BR 2-BR 3-BR 4-BR 5-BR 6-BR


















0 0 0 0 0 0 0 0 0.00




0 total ACC units in PIC




















































































Is the above PIC information correct?




















If the PIC information is incorrect, you must correct it in PIC prior to submitting the application, or you must generate a PIC ticket if the change cannot be made by the PHA, and you must also enter the correct information below. ?






















































































































Actual Bedroom Distribution (PIC corrected) Total Units Average Bedroom per Unit


















0-BR 1-BR 2-BR 3-BR 4-BR 5-BR 6-BR

























0





0 corrected ACC units in PIC












































































0















































































Enter the date corrected or PIC ticket created (MM/DD/YYYY)









0















































































Proposed Post-RAD-Conversion Unit Distribution. Below, show the mix of units that you have proposed to convert, as well as other dwelling units at the project

























































Total Units














0-BR 1-BR 2-BR 3-BR 4-BR 5-BR 6-BR














Units Converting






0
0












Market Rate






0
0 MR+OA











Other Affordable






0
0 0











Total 0 0 0 0 0 0 0 0
0












































For units converting under RAD, enter the current utility allowances and estimated reasonable rent determinations for each unit type.
















The information requested on utility allowances and reasonable rents is important in that it can effect the associated rent caps under PBRA or PBV. You can see a detailed calculation of the rent caps on the validation tab. ?





























































BR count






0-BR 1-BR 2-BR 3-BR 4-BR 5-BR 6-BR




Monthly Annual




0 1 2 3 4 5 6
Utility Allowances











$0 $0




0 0 0 0 0 0 0
Reasonable Rents




















Rents







































































$0 $0 $0 $0 $0 $0 $0
Section 3: De Minimis Reduction

























































3












The table below compares the current total public housing units, the number proposed for conversion, the number proposed to be reduced, and the applicable de minimis threshold. Indicate the number of reductions by category in the rows that follow, along with an explanation in the accompanying text box.
















Current Public Housing Units Total Units Proposed for Conversion Units Proposed to be Reduced de minimis threshold
































0 0 0 5






























Skip to section 4
1 1=same 2=increase 3=de minimis red'n 4=greater red'n



0







Units have already received Section 18 Demolition-Disposition approval from HUD















Reconfiguring efficiency apartments















Facilitating social service delivery















Units vacant for more than 24 months















Partial conversion If you are planning to convert a part of the project, enter the number of units in this box that wil not be converted here. For example, if the current project has 150 units, of which 100 are contained in a high rise and the remaining 50 are scattered single family units, and the PHA plans only to convert the 50 scattered sites, enter 100 units here. ?



















































0 Total























































0






Please provide an explanation for each affected category. Please limit response to 200 words.
























Explanation of reduction in number of assisted units























































































Section 4: Existing Indebtedness, Capital Needs, and Replacement Reserves

























































4












Enter below information on the project's existing indebtedness, if applicable:











































For purposes of this application, assume that all existing loans must be paid off at the RAD closing. If the project has non-ACC units, include also the debt on the non-ACC units. ?


































































































Energy Performance Contract (EPC)












Per Unit $0















Capital Fund Financing Program (CFFP)










Per Unit $0















Other











Per Unit $0















Other











Per Unit $0















Other




















Per Unit $0















Total




$0





Per Unit $0
























































































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.














Capital Needs:







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. ?





























































What are your capital needs?














Year 1 (Immediate)












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… ?
















Per Unit $0
















Years 2-5 (Short-term)






























Per Unit $0
















Years 6-20 (Long-term)





























Per Unit $0
























































































Please explain how you have arrived at these estimates.























Explanation







































Replacement Reserve Funding

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. ?




































$0 avg annual needs years 2-20











Enter the Initial Deposit and Annual Deposit to replacement reserves below.







































Formula Amount




Your Proposal







$0 avg annual needs years 6-20











Initial Deposit to Repl. Reserve (IDRR) $0













1 1 = at least the formula amount 2 = less than formula amt



0















































































Annual Deposit to Repl. Reserve (ADRR) $0













1 1 = at least the formula amount 2 = less than formula amt



0
























































































































































Section 5: Vacancy Loss and Bad Debt Loss, for Assisted Units

























































5












Enter vacancy and bad debt data for the proposed conversion.

























































































3 Yr Historical Avg
Proposed










































































































Vacancy Rate (%)











For purposes of the application, you must enter an amount of not less than 3%. You should also check with your lender to determine lender's requirements. ?


3.38%


Fatal Error: Must be 3.00% or above

















2 3.0% program minimum


1









Fatal Error. Must be 3% or above

2





















































































Bad Debt Rate (%)











If you enter a number that is less than the historical rate for the project, you must provide an explanation. ?


0.00%


Fatal Error: Must be 2.00% or above

















2 2.0% program minimum


1









Skip; no explanation necessary

1





















































































Section 6: Other Rent Potential, Vacancy Loss and Bad Debt Loss

























































6












In addition to units included under the HAP contract, enter other rent potential, vacancy loss, and bad debt loss for the proposed conversion.














Type of Add'l Gross Potential Rent
















Annual GPR
Vacancy Loss %
Bad Debt Loss %































































































Market rate apartments






























1 7.0% 2.0% program minimums









Other affordable apartments






























1 5.0% 2.0% program minimums









Office space






























1 10.0% 5.0% program minimums









Retail space






























1 10.0% 5.0% program minimums





























































































































































































































































































































Section 7: Other Income

























































7












Enter othr income for the planned project. When estimating other income, consider historical actuals, and consider how the RAD conversion may impact each item of other income. ?































































Annual



















































Late / NSF charges

















Explanation














Damage charges

















Explanation














Laundry / Vending

















Explanation














Other

















Explanation














Other

















Explanation














Other

















Explanation























































































Section 8: Operating Expenses

























































8





















































































Are you proposing the conversion in conjunction with new construction?

















































Enter the 'Latest Approved Operating Budget' for the current fiscal year and the proposed conversion Operating Expenses. An explanation is required if any line item is listed below.














Enter only the proposed conversion Operating Expenses. Leave the first column as zero. No explanations are required at this time.




























Latest Approved Operating Budget
Proposed


































Administrative






































1 85.0% program minimum
0











Explanation
























































































Asset Management Fee






































1 85.0% program minimum
0











Explanation
























































































Tenant Services






































1 85.0% program minimum
0











Explanation
























































































Utility Expense






































1 85.0% program minimum
0











Explanation
























































































Ordinary Maint and Ops






































1 85.0% program minimum
0











Explanation
























































































Protective Services






































1 85.0% program minimum
0











Explanation
























































































Real Estate Taxes






































1 85.0% program minimum
0











Explanation
























































































Property Insurance






































1 85.0% program minimum
0











Explanation
























































































Liability Insurance






































1 85.0% program minimum
0











Explanation
























































































Other General Expenses






































1 85.0% program minimum
0











Explanation
























































































Total Operating Expenses















$0
$0




















1 85.0% program minimum





































































$0











3 Year Historical Expenses















The validation tab shows the three most recent fiscal year operating data, per FASS-PH. If less than three years were available, HUD used only the year(s) reported. If you enter less than 85% of the historical average, you must provide an explanation. ?








n/a





















The proposed operating expenses is less than 85% of the 3 year historical average. Explanation is required.






























































No explanation is required.











No explanation is required.














Explanation























































































Section 9: Net Operating Income

























































9












Presented below is a summary calculation of the propesed project's Net Operating Income. Before proceeding, review and make any necessary changes in the applicable section of the application.














Apartment Gross Potential Rent:









































































RAD Units













$0 0 Units


$0 per unit annual




























Market Rate Units













$0 0 Units


$0 per unit annual




























Other Affordable Units













$0 0 Units


$0 per unit annual


























Office / Retail GPR















$0































RAD Market Other Aff Office Retail








Vacancy and Bad Debt Loss















$0 0.0% weighted average


























$0 $0 $0 $0 $0








Other Income















$0























































































































Effective Gross Income














$0






















































































































Total Operating Expenses















$0
$0 PUPA

































Annual Reserve Deposit















$0
$0 PUPA











































































































Net Operating Income














$0













1















































































Section 10: First Mortgage Loan Sizing

























































10












Are you proposing to take out a first mortgage loan for this project?























2 1 = new 1st mortgage financing 2 = no




















































































No first mortgage proposed. Skip this section.
















































































































































Interest Rate % per Year
For purposes of the application, you must enter an amount, when combined with the mortgage insurance premium, is not less than 5%. Your actual rate at closing may differ from the amount included here. ?
























2 5.0% program minimum (interest + MIP)


0






Mortgage Insurance Premium %
For FHA financing, enter the annual MIP provided by your lender. For non FHA financing, enter the annual % for any guaranty fees or other credit enhancement. Currently, the FHA MIP is 0.45%. Enter as follows: .0045. ?

























40 years program maximum










Length of Loan in Years
The Notice limits the amortization term to 40 years. Check with your lender; some lenders may not offer 40 year terms. Additionally, in the case of FHA financing, the loan term is limited to a maximum of 75% of the remaining economic life of the buildings. ?




1 40 years program maximum for FHA


0






Debt Service Coverage Ratio






DSC is the ratio of NOI to total debt service (P+I+MIP) and is sometimes also called the DSC Ratio (DSCR). For purposes of the application, in order to be prudent, HUD limits the DSC to 1.20 or above. HUD points out that many RAD projects will pursue financing that includes a "loan to value" (LTV) constraint, and that in current market conditions, an LTV constraint is likely to be the limiting factor in sizing the loan (which may lead to a relatively high DSC). ?
























2 1.20 program minimum (interest + MIP)


0






Maximum Supportable Mortgage Loan
























$0






















0.0000% P&I 0.0000% P&I&MIP









Proposed Mortgage Loan Amount





















Enter the amount here that you are proposing to take out in a first mortgage, which could be less than the calculated maximum supportable loan amount in the line above. ?






























0






Maximum Supportable Mortgage Loan Calculated Annual Debt Service























$0






















$0 monthly P&I $0 monthly MIP


















































































Is there a proposed balloon payment?










































If there is a proposed balloon payment, in how many years is it due?

Balloon loans are allowed as long as the loan amortizes over 30 years and the balloon payment does not occur before the end of the HAP contract. For purposes of this application, the user may not enter an amount less than 17. ?





18 years before loan payment explanation



















































































Section 11: Total Uses of Funds (Total Development Cost)

























































11












Enter uses of funds for the proposed conversion.














Acquisition Costs

















































Building and Land Acquisition





















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). ?



















Payoff Existing Loans























$0

















Other Costs





















Enter other acquisition costs, if applicable. ?






































































Construction Costs

$0


























































































Relocation Costs





















Include the costs associated with any relocation, if applicable. ?









































































Professional Fees

















































Architecture & Engineering





















Includes A/E fees to design project, prepare specifications, carry out inspections during construction, etc. ?



















Physical Conditions Assessment





















Includes cost of PCA for the project. ?



















Borrower's Legal Counsel





















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). ?



















Lender's Legal Counsel





















Many lenders require the borrower to pay fees for the lender's attorney. ?



















Feasibility Studies (LEAN Costs)





















Includes cost of feasibility studies related to development of the project. ?



















Environmental Reports





















Includes cost of environmental reports related to development of the project. ?



















Appraisal / Market Study





















Includes cost of appraisal or market study as may be required by lender. ?



















Accounting





















ncludes cost of accounting services during development of the project, for example for a cost certification audit. ?



















Survey





















Includes cost of surveys related to development of the project. Lenders typically require an as-built survey after construction completion. ?



















Other Costs





















Enter other professional fees, if applicable. ?



















Loan Fees and Costs

















































FHA MIP





















Includes cost of the initial (up front) Mortgage Insurance Premium on an FHA-insured mortgage loan. Ask the lender for an estimate. ?



















FHA Application Fee





















Includes standard FHA application fee, also sometimes called an examination fee. ?



















FHA Inpection Fee





















Includes standard FHA inspection fee. ?



















Financing Fee





















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. ?



















Organizational Costs





















Includes costs associated with establishing the legal entity that will own the project after conversion. ?



















Title Insurance/Exam Fee





















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). ?



















Recordation Fee





















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. ?



















Closing Escrow Agent Fee





















Includes payment for the closing escrow agent. ?



















Prepayment Penalty/Premium





















Includes penalty or premium charged for prepayment of existing loan. ?



















Payables





















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. ?



















Construction Interest





















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 Loan Fees





















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. ?



















Cost of Bond Issuance





















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. ?



















Other Costs





















Include other loan fees and costs, as applicable. ?



















Reserves

















































Initial Deposit to Replacement Reserve





















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 Operating Deficit Escrow





















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. ?



















Operating Reserve





















Some lenders may require an operating reserve to guard against potential negative cash flow over the loan term. ?



















Tax and Insurance Escrow





















Lenders typically require that tax and insurance expenses be escrowed. Check with your lender regarding initial escrow funding. ?



















Other Costs





















Include other reserves, as applicable. Some lenders may require additional reserves (for example, a Debt Service Reserve). ?






































































Developer Fees 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. ?



















Total Development Cost
























$0

aka Total Uses of Funds










































































































Section 12: Total Sources of Funds

























































12












Enter sources of funds for the proposed conversion.







































































New First Mortgage Loan
























$0

















Public Housing Operating Reserves






















Public Housing Capital Funds






















Replacement Housing Factor








0












Low Income Housing Tax Credit Equity









4% LIHTC 9% LIHTC
0 0 0






Other/Local




















Other/Local




















Other/Local





































































Total Sources of Funds




















Total sources of funds must be equal to or greater than Total uses of funds ?

$0






















$0 net cash out to PHA











Sources and uses are in balance































































0































































































Section 13: Projects Utilizing 9% Low Income Housing Tax Credits ('LIHTCs')

























































13












You are not proposing to use 9% LIHTC. Skip this section






































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?




































































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.














Discussion of QAP timing














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.














Demonstration of recent success obtaining 9% LIHTCs























































































Do you have a letter from the credit-issuing authority as described in Section 1.9(B) of the RAD Notice?

























































































Provide evidence that the applicant diligently attempted to secure such a letter














Efforts to secure letter from credit-issuing authority














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.














Likelihood of obtaining 9% LIHTCs























































































Section 14: Ranking Factors

























































14













1)
Do you want to designate this project as your PHA’s priority project?

Small PHAs may claim all projects as their "priority project". ?




































































































2)
Are you applying for a ranking factor for Choice Mobility?



0




















































































Yes
(a) Are you receiving choice-mobility vouchers? Enter code of the sponsoring agency




















1











Yes
(b) Are you providing choice-mobility vouchers? Enter code of the recipient project




















1





















































































3)
Are you requesting the Ranking Factor for Green Building and Energy Efficiency?




















































2 1










Describe the certification you will pursue, if applicable























































































Section 15: Additional Narratives

























































15












Provide written responses in the grey highlighted rows below. Please limit each responses to 200 words.























































































Briefly describe the land, location / neighborhood, and physical plant for the project.














Description























































































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.














Explanation























































































Discuss any needed accessibility modifications.

Discuss any needed accessibility modifications, including any rehabilitation mandated by 24 C.F.R. Section 8.23. ?





































Explanation























































































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.














Explanation























































































Discuss any proposed relocation plans for the project.














Explanation























































































Discuss the capacity of the development team to undertake the proposed conversion. 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. ?































Explanation























































































Section 16: Required Attachments

























































16












The Following Must Be Attached as Part of Your Electronic Application:







































































Yes

Board Approval Form





















































1










No

Mixed-finance Affidavit





















































0










No

Financing Letter of Interest/Intent for New First Mortgage Loan





















































0










No

Financing Letter of Interest/Intent for 4% LIHTCs





















































0










No

Financing Letter of Interest/Intent for 9% LIHTCs





















































0










Yes

Choice-Mobility Letter Agreement





















































1










No

9% LIHTC Reservation Letter





















































0










No

Letter from credit-issuing authority





















































0










No

Self-Scored QAP Application for 9% LIHTCs





















































0










No

QAP Timeline





















































0










The 2 attachments indicated 'Yes' above must be included in your electronic application package. Incomplete application packages will be rejected, and if you re-submit, your place on the waiting list will be based on the date of re-submission.











































































2










No changes were made to the PIC data

























































0 No changes




















































































This application will be rejected if submitted; there are 4 fatal errors.































































4




































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 3: Board Approval Form















Identify the person who will sign the PHA Certification:





















Name
Title

Date Signed
































Attachment 1A: Board Approval Form









This application will be rejected if submitted; there are 4 fatal errors.











RAD Application for
























AMP No: 0










Units 0























Type of Conversion




0






















Proposed Units for Conversion and De Minimis











Summary Total Units Proposed for Conversion Units Proposed to be Reduced de minimis threshold





0 0 5





Explanation for De Minimus reduction

Unit Count






































































Pro Forma Sources and Uses




Sources of Funds Amount Per Unit


New First Mortgage Loan $0 $0









Public Housing Operating Reserves $0 $0


Public Housing Capital Funds $0 $0


Replacement Housing Factor $0 $0


Low Income Housing Tax Credit Equity $0 $0


Other $0 $0


Other $0 $0


Other $0 $0


Total Sources of Funds $0 $0






















Uses of Funds Amount Per Unit


Acquisition Costs $0 $0


Construction Costs $0 $0


Relocation Costs $0 $0


Professional Fees $0 $0


Loan Fees and Costs $0 $0


Reserves $0 $0


Developer Fees $0 $0


Total Uses of Funds $0 $0






















Stabilized Cash Flow Pro Forma





Total PUPA


Gross Potential Rents for RAD Units $0 $0


Gross Potential Rents for Other Apartment Units $0 $0

Gross Potential Rents for Commercial $0 N/A


Vacancy Loss and Bad Debt Loss $0 $0


Other Income $0 $0








Effective Gross Income $0 $0








Total Operating Expenses $0 $0


Annual Deposit to Replacement Reserve $0 $0








Net Operating Income $0 $0








First Mortgage Debt Service $0 $0








Operating Cash Flow $0 $0





















PHA's Explanation of Any Relocation of Tenants (Estimated Relocation Cost is $0)

N/A





















PHA's Explanation of Capacity and Experience to Carry Out the RAD Conversion

N/A





















PHA's Explanation of the Proposed Total Operating Cost being less then 85% of the 3 Year Historical Operating Expenses



3 Year Historical Average Comparison 2009 2010 2011 Average Proposed



$350,000 $375,000 $400,000 $375,000 $0



N/A




























PHA's Explanation of the Capital Needs and Replacement Reserves Estimates

N/A





















Discussion of QAP timing

N/A





















Demonstration of recent success obtaining 9% LIHTCs

N/A





















Likelihood of obtaining 9% LIHTCs

N/A





















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.

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)














PHA Certification: By ()


























December 30, 1899




Signature:



Date:















































































Sheet 4: Financing Letter of Intent























Identify the lender firm / equity investor that will sign the Financing Letter of Intent



















ABC Mortgage Corporation








































Identify the person who will sign on behalf of the lender / investor:



















Gustavo Martinez
Vice President














Name
Title

Date Signed
























































Attachment 1B: Financing Letter of Intent






































RAD Application for








































AMP No: 0


















Units 0







































Type of Conversion












0






































Pro Forma Sources and Uses












Sources of Funds Amount Per Unit










New First Mortgage Loan $0 $0










Public Housing Operating Reserves $0 $0










Public Housing Capital Funds $0 $0










Replacement Housing Factor $0 $0










Low Income Housing Tax Credit Equity $0 $0










Other $0 $0










Other $0 $0










Other $0 $0










Total Sources of Funds $0 $0






































Uses of Funds Amount Per Unit










Acquisition Costs $0 $0










Construction Costs $0 $0










Relocation Costs $0 $0










Professional Fees $0 $0










Loan Fees and Costs $0 $0










Reserves $0 $0










Developer Fees $0 $0










Total Uses of Funds $0 $0






































Stabilized Cash Flow Pro Forma













Total PUPA










Gross Potential Rents for RAD Units $0 $0










Gross Potential Rents for Other Apartment Units $0 $0










Gross Potential Rents for Commercial $0 N/A










Vacancy Loss and Bad Debt Loss $0 $0










Other Income $0 $0
























Effective Gross Income $0 $0
























Total Operating Expenses $0 $0










Annual Deposit to Replacement Reserve $0 $0
























Net Operating Income $0 $0
























First Mortgage Debt Service $0 $0
























Operating Cash Flow $0 $0













































PHA's Explanation of the Proposed Total Operating Cost being less then 85% of the 3 Year Historical Operating Expenses











3 Year Historical Average Comparison 2009 2010 2011 Average Proposed











$350,000 $375,000 $400,000 $375,000 $0











N/A




































































PHA's Explanation of the Capital Needs and Replacement Reserves Estimates








N/A




























































































Discussion of QAP timing








N/A




























































































Demonstration of recent success obtaining 9% LIHTCs








N/A




























































































Likelihood of obtaining 9% LIHTCs








N/A




























































































Statement of Lender / Equity Provider:








The project appears feasible for ABC Mortgage Corporation to fund. Our general repayment terms and any conditions are stated above and/or in the comment block below. ABC Mortgage Corporation understands and acknowledges the RAD program requirements and policies and agrees to cooperate with the applicable RAD processes, as appropriate. This letter of intent is not a firm commitment. Final approval will be contingent on the results of ABC Mortgage Corporation due diligence process and approvals.


















State any exceptions or additional conditions





























ABC Mortgage Corporation: By Gustavo Martinez (Vice President)










































December 30, 1899








Signature:



Date:














































































































































































































































































































Sheet 5: Mixed Finance Affidavit
























Identify the person who will sign on behalf of the PHA:






































Name
Title

Date Signed



































Identify the legal entity that owns the mixed finance project:


































































































Name
Title

Date Signed


































Attachment 1C –Mixed-Finance Affidavit



















Of



















And



















Regarding RAD Application for








































1. certifies that he or she is the of and that he or she has been authorized by to execute this Mixed Finance Affidavit.











2. certifies that he or she is the of and that he or she has been authorized by to execute this Mixed Finance Affidavit.











3. and , through their duly authorized representatives, agree that if the application for (), is awarded entry into the Rental Assistance Demonstration, they will, if requested to do so by HUD:












(a) Convert the subject project’s current subsidy to long-term Section 8 rental assistance in accordance with the requirements of the Rental Assistance Demonstration ("RAD") including, without limitation, the requirements of Notice PIH-2012-32 (the "Notice").












(b) Agree to Section 8 contract rent levels in accordance with RAD and the Notice.












(c) Comply with all applicable requirements of RAD and the Notice.












(d) Enter into one or more agreements to carry out the foregoing commitments. Such agreements shall include, without limitation, a Housing Assistance Payments (HAP) contract that:












(a) In the case of a RAD conversion to project based rental assistance, shall be between the project owner and the contract administrator designated by HUD; and












(b) In the case of a RAD conversion to project based voucher assistance, shall be between the project owner and a public housing authority designated by HUD.











































































: By ()










































December 30, 1899












Signature:



Date:





























: By ()










































December 30, 1899












Signature:



Date:







Sheet 6: Choice Mobility Let Agreement
























Identify the PHA that is contributing choice-mobility vouchers:


























































Identify the person who will sign on behalf of the PHA that is contributing vouchers:






































Name
Title

Date Signed



































Identify the PHA that is receiving choice-mobility vouchers:


























































Identify the person who will sign on behalf of the PHA that is receiving vouchers:






































Name
Title

Date Signed


































Attachment 1D – Choice-Mobility Letter Agreement



















Between (contributing vouchers)



















And (receiving vouchers)



















Regarding RAD Application for








































1. Capitalized terms herein shall have the meaning given to them in Notice PIH-2012-32 (the "Notice") and in the Rental Assistance Demonstration ("RAD").











2. certifies that he or she is the of and that he or she has been authorized by to enter into this Choice-Mobility Letter Agreement regarding the RAD application submitted by ().











3. certifies that he or she is the of and that he or she has been authorized by to enter into this Choice-Mobility Letter Agreement regarding the RAD application submitted by ().











4. , through its duly authorized representative, commits that if the subject project converts assistance under RAD, will provide Section 8 Housing Choice Vouchers to the assisted residents of the subject project to achieve the choice-mobility objective described in Section 1.18 of the Notice. agrees that this commitment is binding on without regard to whether any RAD application submitted by is selected for participation in RAD.











5. acknowledges that if the subject project's application for RAD conversion is incomplete, fails to meet threshold criteria, or is submitted outside of the Initial Application Period, will not earn any Ranking Factor. However, if such application is submitted during the Initial Application Period, is complete, and meets threshold criteria, then will earn a Ranking Factor regardless of whether such application is selected, or, once selected, is withdrawn or terminated.











6. acknowledges that if the subject project's application for RAD conversion is incomplete, fails to meet threshold criteria, or is submitted outside of the Initial Application Period, will not earn any Ranking Factor.












: By ()










































December 30, 1899












Signature:



Date:





























: By ()










































December 30, 1899












Signature:



Date:







Sheet 7: Validation

Formula RAD Rents (PBRA and PBV)












































































Funding Baseline (pre-RAD) Annual Per Unit PUPM 0 ACC units in PIC (after any corrections)











































13


























Operating Fund $0 $3,464 $288.67






15


























Capital Fund $0 $2,079 $173.25






17


























Tenant Payments $0 $3,588 $299.00









































































Total $0 $9,131 $760.92









































































Funding Utilized if PBRA Selected $0 $0 $0.00 0.0% of baseline funding is utilized
































Funding Utilized if PBV Selected $0 $0 $0.00 0.0% of baseline funding is utilized














































































































Baseline Funding By Unit Type 0-BR 1-BR 2-BR 3-BR 4-BR 5-BR 6-BR Monthly Annual




























Units 0 0 0 0 0 0 0 0 0




























FMR $550 $650 $775 $900 $1,000 $1,150 $1,300 $0 $0
will be pulled from PD&R


























Ratio FMR : 2BR FMR 0.710 0.839 1.000 1.161 1.290 1.484 1.677






























# Units of 2BR FMR Equivalents 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00


























Preliminary Contract Rents $0 $0 $0 $0 $0 $0 $0 $0 $0
$0 Monthly baseline




































































































Formula Rents if Project Based Rental Assistance is Proposed:













































































0-BR 1-BR 2-BR 3-BR 4-BR 5-BR 6-BR Monthly Annual




























Units 0 0 0 0 0 0 0 0 0




























Preliminary Contract Rents $0 $0 $0 $0 $0 $0 $0 $0 $0




























FMR $550 $650 $775 $900 $1,000 $1,150 $1,300 $0 $0




























Utility Allowance $40 $50 $60 $70 $80 $90 $100 $0 $0




























Rent Reasonable $400 $500 $600 $700 $800 $900 $1,000 $0 $0




























120% FMR, minus Utility Allowance $620 $730 $870 $1,010 $1,120 $1,290 $1,460 $0 $0




























150% FMR, minus Utility Allowance $785 $925 $1,103 $1,280 $1,420 $1,635 $1,850 $0 $0




























PBRA-Contract Rent *






$0 $0
1 1 = suppress if zero units 2 = show anyway

























* Lower of preliminary contract rent and [120% of FMR minus utility allowance]. Reasonable rent does not affect this calculation.



















































































































Formula Rents if Project Based Vouchers are Proposed:













































































0-BR 1-BR 2-BR 3-BR 4-BR 5-BR 6-BR Monthly Annual




























Units 0 0 0 0 0 0 0 0 0




























Preliminary Contract Rents $0 $0 $0 $0 $0 $0 $0 $0 $0




























Rent Reasonable $0 $0 $600 $700 $800 $900 $1,000 $0 $0




























FMR $550 $650 $0 $0 $0 $0 $0 $0 $0




























Utility Allowance $40 $50 $60 $70 $80 $90 $100 $0 $0




























110% FMR, minues Utility Allowance $565 $665 -$60 -$70 -$80 -$90 -$100 $0 $0




























PBV-Contract Rents **






$0 $0




























** Lowest of preliminary contract rent, reasonable rent, and [110% of FMR minus utility allowance]












































































Latest Board Approved Operating Expenses













































































2008 AFS 2009 AFS 2010 AFS 3 yr Average will be pulled from FASS







































































Provided? Yes Yes Yes






3

































































Vacancy Loss % 3.38% 3.38% 3.38% 3.38%








































































Total Operating Expenses: $410,000 $410,000 $410,000


































Administrative $30,000 $30,000 $30,000 $30,000

































Asset Management Fee $35,000 $35,000 $35,000 $35,000

































Tenant Services $40,000 $40,000 $40,000 $40,000

































Utility Expense $45,000 $45,000 $45,000 $45,000

































Ordinary Maint and Ops $50,000 $50,000 $50,000 $50,000

































Protective Services $55,000 $55,000 $55,000 $55,000

































Real Estate Taxes $45,000 $45,000 $45,000 $45,000

































Property Insurance $35,000 $35,000 $35,000 $35,000

































Liability Insurance $25,000 $25,000 $25,000 $25,000

































Other General Expenses $50,000 $50,000 $50,000 $50,000








































































Bad Debt Loss ($) $35,000 $35,000 $35,000 $35,000









































































2 Years Prior 1 Year Prior Most Recent 3 yr Average will be pulled from FASS
































Total FASS Operating Expenses: $350,000 $375,000 $400,000 $375,000









































































3 yr Average Corrected










































































Vacancy Loss % 3.38% 3.38%


0

































































Total Operating Expenses: $410,000 $410,000



































Administrative $30,000 $30,000


0


























Asset Management Fee $35,000 $35,000


0


























Tenant Services $40,000 $40,000


0


























Utility Expense $45,000 $45,000


0


























Ordinary Maint and Ops $50,000 $50,000


0


























Protective Services $55,000 $55,000


0


























Real Estate Taxes $45,000 $45,000


0


























Property Insurance $35,000 $35,000


0


























Liability Insurance $25,000 $25,000


0


























Other General Expenses $50,000 $50,000










































































Bad Debt Loss ($) $35,000 $30,000


1


























Other General exp (net of bad debt) $15,000 $20,000










































































Orange highlight indicates a change by the user











































































2010 Capital Needs Study Definition for 'Elderly' and 'Family' Projects












































































Number of 2+ Bedroom Units 0 PIC data (before any corrections)



































Average # Bedrooms 0.00 PIC data (before any corrections)










































































Family Definition 1 No At least 1.5 bedrooms per unit



































Family Definition 2 No Between 1.2 and 1.5 and at least 100 2+ bedroom units



































Elderly Yes All others










































































Occupancy Type for Preference Elderly Use this designation for purposes of the preference for high-rehab projects




































Sheet 8: Sample PIC Data

Data Elements Downloaded from PIC Appear in Rows 2-3
























AMP No 0-BR 1-BR 2-BR 3-BR 4-BR 5-BR 6-BR Units Average Bedroom Size FMR (bedroom adjusted) Utility Allowance (brm adj) Operating Fund per unit Operating Fund PUM Capital fund per unit Capital Fund PUM Tenant Payments Per unit Tenant payments PUM Current Funding to FMR % Executive Director Position Phone Email Mixed Finance Housing Authority DUNS number
CA2010001 0 0 28 25 0 0 0 53 2.47 $780 $84 $3,464 $289 $2,079 $173 $3,588 $299 109% Anthony Bond Executive Director 999-999-9999 abond@aha.org No Annandale Housing Authority 123456789456

0 0 56 75 0 0 0 131

















0 1 2 3 4 5 6

















Uses Can Enter Corrections in the Grey Highlighted Cells Below in Column C (be sure to make the same changes in PIC itself as well)


















































PIC Data Element PIC Value Corrected Value
Comment














































AMP No CA2010001 CA2010001
Cannot be modified




















0-BR 0 0
See RAD App Form Section 5 to modify




















1-BR 0 0
See RAD App Form Section 5 to modify




















2-BR 28 28
See RAD App Form Section 5 to modify




















3-BR 25 25
See RAD App Form Section 5 to modify




















4-BR 0 0
See RAD App Form Section 5 to modify




















5-BR 0 0
See RAD App Form Section 5 to modify




















6-BR 0 0
See RAD App Form Section 5 to modify




















Units 53 53
See RAD App Form Section 5 to modify




















Average Bedroom Size 2.47 2.47
See RAD App Form Section 5 to modify




















FMR (bedroom adjusted) $780 $780 0 Used on Board Approval form only




















Utility Allowance (brm adj) $84 $84 0 Used on Board Approval form only




















Operating Fund per unit $3,464 $3,464 0 Used on Validation sheet




















Operating Fund PUM $289 $289 0 Not currently used




















Capital fund per unit $2,079 $2,079 0 Used on Validation sheet




















Capital Fund PUM $173 $173 0 Not currently used




















Tenant Payments Per unit $3,588 $3,588 0 Used on Validation sheet




















Tenant payments PUM $299 $299 0 Not currently used




















Current Funding to FMR % 109% 109% 0 Not currently used




















Executive Director Anthony Bond Anthony Bond 0 Used on RAD App Form sheet




















Position Executive Director Executive Director 0 Used on RAD App Form sheet




















Phone 999-999-9999 999-999-9999 0 Used on RAD App Form sheet




















Email abond@aha.org abond@aha.org 0 Used on RAD App Form sheet




















Mixed Finance No No 0 Not currently used




















Housing Authority Annandale Housing Authority Annandale Housing Authority 0 Used on RAD App Form sheet




















DUNS number 123456789456 123456789456 0 Used on RAD App Form sheet
















































Total Corrections 0











































































































































































































CA2010001
























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