HUD 52845 Term Sheet

Capital Fund Financing Program U.S. Department of Housing and Urban
Development

Capital Fund Financing Program

U.S. Department of
Housing and

Term Sheet

Urban Development

OMB
Approval
No. 25770157
(exp. 3/31/2020)

Public Reporting Burden for this collection of information is estimated to average 8 hours per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and reviewing the collection of information. Response to this collection of
information is mandatory to obtain a benefit. The information requested does not lend itself to confidentiality.
HUD may not conduct or sponsor, and an applicant is not required to respond to a collection of information
unless it displays a currently valid OMB control number.

Instructions: Please fill out all relevant numbered items.
PUBLIC HOUSING AGENCY (PHA) INFORMATION
1. PHA Name:
2. PHA Code:
3. PHA Fiscal Year (FY) End Date:
4. Most recent PHAS Score and FY:
5. Number of Housing Choice Voucher Units:
6. Current Number of Public Housing (PH) Units:
7. Current Number of Family PH Units:
8. Current Number of Elderly PH Units:
9. Stabilized number of PH Units:
10. Number of Development Units Pre-construction and Post-construction:
11. Has the PHA received approval from HUD for a waiver of any mandatory insurance
requirements or an approval to establish a self insurance fund in lieu of purchasing insurance
per Attachment VII of the Consolidated ACC HUD-53012B (If so, please attach details)?
12. Consolidated ACC date and number (If PHA has a pre 1995 version of Consolidated ACC it
will need to execute the new version prior to CFFP approval.):

POOLED TRANSACTIONS (please complete a term sheet for each PHA in the Pool):
1. Name of Lead Agency:
2. Number of PHAs in Pool:
3. Name of Pool:
4. Total Pool Transaction Amount (proceeds may not be cross collateralized):

form HUD-52845 (1/2014)

U.S. Department of Housing and Urban Development
OFFICE OF CAPITAL IMPROVEMENTS

BOND/DIRECT LOAN INFORMATION
General:
1. Type of Transaction (Bond or Conventional Loan):
2. Proposed Activity to be funded with bond/loan proceeds (Modernization, PH Development, MixedFinance):
3. Most recent Formula Grant:
Federal Fiscal Year of Grant:
4. Adjusted Formula Grant1 (if applicable):
5. Financial Resources contributing to Proposed Activity (amount & source):
Terms:
1. Name of Bond Issuer/Lender:
2. Principal Amount of Issuance/ Loan:
3. Bonds only: Premium/(Discount) Amount:
4. Interest Rate:
5. Fixed/Variable:
6. Tax Exempt/Taxable:
7. Term of Financing (must be fully amortizing):
8. Cost of Issuance/Financing:
9. Describe Credit Enhancements (if applicable):
10. Security Interest(s) Pledged (source and extent of pledge – distinguish between formula (capital) grant
funds and replacement housing factor funds.):
Bonds Only:
11. Type of bond (Government Bonds/Private Activity Bonds):
12. Mode of issuance (Competitive Sale/Negotiated Sale/Private Placement):
Debt Service and Payments:
1. Maximum Annual Debt Service2:
2. Maximum Annual Debt Service Payment as % of Adjusted CFP Grant:
3. Debt Service Reserve and Methodology for determining the reserve level:
4. Frequency of Payment:
5. Direct Payment of Debt Service from HUD (yes, no):
6. Debt service payments for open grants budgeted in LOCCS in BLI 9000 (yes, no):
7. Date of First Debt Service Payment from CFP Funds:
1

Most recent CFP Grant reduced to reflect any approved, planned or anticipated activates, or limiting actions that would reduce
the amount or availability of the CFP grant (e.g. disposition, conversion, merger of units, casualty, condemnation, Voluntary
Compliance agreements, administrative or judicial actions, Regulatory and Operating Agreements).
2
Maximum Annual debt service is the debt service amount in the year with the highest debt service payment including any
related/ongoing costs.

Page 2

form HUD-52845 (1/2014)

U.S. Department of Housing and Urban Development
OFFICE OF CAPITAL IMPROVEMENTS

8. FY of CFP Funds Paying First Debt Service Payment:
9. Amount of Capitalized Interest Account and Methodology for determining Capitalized
Interest Account size:
10.
Construction Period Interest:
Other Commitments of CFP funds:
1. Is PHA using CFP funds for any other payment of debt3? (Yes, No):

PHA Projects to be modernized or developed with financing proceeds:
Project Number

DOFA
Date

# of units
benefiting
from proceeds

Qualified Census
Track (QCT) or
Non-QCT

Total Units benefiting
From Proceeds
Percent of Portfolio Benefiting from the Proceeds: ______
Note: This the total from the above schedule divided by the total number of public housing units owned by
the PHA.

This in no way constitutes HUD approval of listed transaction(s). If yes, please provide a schedule of debt repayment
with CFP funds, including the amount of outstanding debt, annual debt service, term remaining, security provided
and the amount of CFP to be used for annual payment.
3

Page 3

form HUD-52845 (1/2014)