MiPlace
RENTAL REHABILITATION PROGRAMANNUAL AFFORDABILITY REPORTINSTRUCTIONSComplete one section for each unit. Submit to Program Specialist by December 31 of each year for 5 years.Date ______________________Year # _____________________Address of Rental Rehab Units: _____________________________________________________________________________Unit/Apt # Unit/Apt # # of Bedrooms # of Bedrooms Tenant NameTenant NameCurrent Tenant is FORMCHECKBOX the Initial LMI Tenant OR FORMCHECKBOX a NEW TenantCurrent Tenant is FORMCHECKBOX the Initial LMI Tenant OR FORMCHECKBOX a NEW TenantInitial Lease Begin Date ORNEW Tenant Lease Begin DateInitial Lease Begin Date ORNEW Tenant Lease Begin DateAffordability End Date for Unit(always 5 years from initial LMI tenant)Affordability End Date for Unit(always 5 years from initial LMI tenant)Monthly Rent Amount $Monthly Rent Amount $Rent is FORMCHECKBOX LMI or FORMCHECKBOX Fair Market RentRent is FORMCHECKBOX LMI or FORMCHECKBOX Fair Market RentUtilities are FORMCHECKBOX included FORMCHECKBOX NOT included in rentUtilities are FORMCHECKBOX included FORMCHECKBOX NOT included in rentREQUIRED FOR NEW TENANTSTenant Lease provided to UGLG? FORMCHECKBOX YesFederal Income Tax return for all household membersage 18 and over have been provided to UGLG? FORMCHECKBOX YesREQUIRED FOR NEW TENANTSTenant Lease provided to UGLG? FORMCHECKBOX YesFederal Income Tax return for all household membersage 18 and over have been provided to UGLG? FORMCHECKBOX YesUnit/Apt # Unit/Apt # # of Bedrooms # of Bedrooms Tenant NameTenant NameCurrent Tenant is FORMCHECKBOX the Initial LMI Tenant OR FORMCHECKBOX a NEW TenantCurrent Tenant is FORMCHECKBOX the Initial LMI Tenant OR FORMCHECKBOX a NEW TenantInitial Lease Begin Date ORNEW Tenant Lease Begin DateInitial Lease Begin Date ORNEW Tenant Lease Begin DateAffordability End Date for Unit(always 5 years from initial LMI tenant)Affordability End Date for Unit(always 5 years from initial LMI tenant)Monthly Rent Amount $Monthly Rent Amount $Rent is FORMCHECKBOX LMI or FORMCHECKBOX Fair Market RentRent is FORMCHECKBOX LMI or FORMCHECKBOX Fair Market RentUtilities are FORMCHECKBOX included FORMCHECKBOX NOT included in rentUtilities are FORMCHECKBOX included FORMCHECKBOX NOT included in rentREQUIRED FOR NEW TENANTSTenant Lease provided to UGLG? FORMCHECKBOX YesFederal Income Tax return for all household membersage 18 and over have been provided to UGLG? FORMCHECKBOX YesREQUIRED FOR NEW TENANTSTenant Lease provided to UGLG? FORMCHECKBOX YesFederal Income Tax return for all household membersage 18 and over have been provided to UGLG? FORMCHECKBOX YesUnit/Apt # Unit/Apt # # of Bedrooms # of Bedrooms Tenant NameTenant NameCurrent Tenant is FORMCHECKBOX the Initial LMI Tenant OR FORMCHECKBOX a NEW TenantCurrent Tenant is FORMCHECKBOX the Initial LMI Tenant OR FORMCHECKBOX a NEW TenantInitial Lease Begin Date ORNEW Tenant Lease Begin DateInitial Lease Begin Date ORNEW Tenant Lease Begin DateAffordability End Date for Unit(always 5 years from initial LMI tenant)Affordability End Date for Unit(always 5 years from initial LMI tenant)Monthly Rent Amount $Monthly Rent Amount $Rent is FORMCHECKBOX LMI or FORMCHECKBOX Fair Market RentRent is FORMCHECKBOX LMI or FORMCHECKBOX Fair Market RentUtilities are FORMCHECKBOX included FORMCHECKBOX NOT included in rentUtilities are FORMCHECKBOX included FORMCHECKBOX NOT included in rentREQUIRED FOR NEW TENANTSTenant Lease provided to UGLG? FORMCHECKBOX YesFederal Income Tax return for all household membersage 18 and over have been provided to UGLG? FORMCHECKBOX YesREQUIRED FOR NEW TENANTSTenant Lease provided to UGLG? FORMCHECKBOX YesFederal Income Tax return for all household membersage 18 and over have been provided to UGLG? FORMCHECKBOX YesUnit/Apt # Unit/Apt # # of Bedrooms # of Bedrooms Tenant NameTenant NameCurrent Tenant is FORMCHECKBOX the Initial LMI Tenant OR FORMCHECKBOX a NEW TenantCurrent Tenant is FORMCHECKBOX the Initial LMI Tenant OR FORMCHECKBOX a NEW TenantInitial Lease Begin Date ORNEW Tenant Lease Begin DateInitial Lease Begin Date ORNEW Tenant Lease Begin DateAffordability End Date for Unit(always 5 years from initial LMI tenant)Affordability End Date for Unit(always 5 years from initial LMI tenant)Monthly Rent Amount $Monthly Rent Amount $Rent is FORMCHECKBOX LMI or FORMCHECKBOX Fair Market RentRent is FORMCHECKBOX LMI or FORMCHECKBOX Fair Market RentUtilities are FORMCHECKBOX included FORMCHECKBOX NOT included in rentUtilities are FORMCHECKBOX included FORMCHECKBOX NOT included in rentREQUIRED FOR NEW TENANTSTenant Lease provided to UGLG? FORMCHECKBOX YesFederal Income Tax return for all household membersage 18 and over have been provided to UGLG? FORMCHECKBOX YesREQUIRED FOR NEW TENANTSTenant Lease provided to UGLG? FORMCHECKBOX YesFederal Income Tax return for all household membersage 18 and over have been provided to UGLG? FORMCHECKBOX YesNumber of ALL Units_____________Number of LMI Units _____________Number of Market Rate_____________% of LMI Units_____________ (must be 51% or greater)I, the property owner, certify the information in this Annual Affordability Report is true to the best of my knowledge.Signed:_____________________________________________________________________________________________Print Owner Name:DateRemit to:UGLG Name and Title ................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.