HUD Form 40152 Attachment C

U.S. Department of Housing and Urban Development
Community Planning and Development
OMB Approval No. 2506-0193 (exp 1/31/2015)

Attachment: C
Closeout Agreement Between the State of __________________________ and HUD
State CDBG Program Grant Number: ______________________

THIS AGREEMENT entered into by and between the (insert State) (hereinafter referred to as the
“Grantee”) and the Secretary of Housing and Urban Development (hereinafter referred to as
“HUD”).
WITNESSETH:
WHEREAS, the Grantee was awarded a grant in the amount of (insert amount) under Title
I of the Housing and Community Development Act of 1974, as amended (hereinafter called
“Grant”).
WHEREAS, the Grant has been completed and the parties hereto desire to effectuate a final
settlement.
WHEREAS, the Grantee has incurred Grant costs subsequent to its most recent audit, if
applicable.
WHEREAS, the Grantee desires to close out the Grant prior to the submission of a final
audit, if applicable.
NOW THEREFORE, in consideration of the mutual covenants, promises and
representations contained herein, the parties hereto agree as follows:
Grantee represents that all Grants have been disbursed.
The Grantee agrees as follows:
To secure an audit in accordance with OMB Circular A-133;
To remit to HUD the amount of any cost disallowed by a subsequent audit and or HUD
monitoring sustained by HUD;
To use program income received subsequent to the closeout in accordance with CDBG
requirements and the Method of Distribution that covers the program income received after
closeout; and
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HUD Form 40152 (1/2012)

U.S. Department of Housing and Urban Development
Community Planning and Development
OMB Approval No. 2506-0193 (exp 1/31/2015)

To submit to HUD a Federal Financial Report using either Standard Form 425 or in
acceptable format for any change to Grant costs as a result of the completion and resolution of the
final audit.

THIS AGREEMENT is hereby executed and delivered by the parties hereto on the dates set forth
below their respective signatures.
_______________________________________________
(Signature of CPD Field Office Director)

Date: _____________________

_______________________________________________
Name of Field Office
_______________________________________________
(Signature of State CDBG Program Director)

Date: _____________________

_______________________________________________
Name of State

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HUD Form 40152 (1/2012)