Letters To Owners/agents - Hud (Page 2 of 2) in pdf

Letters To Owners/agents - Hud Page 2

I (We) hereby certify that the debt service amount of <<0.00>> and the non-section 8 rent

potential amount of $___________ is true, accurate and complete to the best of my (our) knowledge and

belief.

Project Name:

__________________________________________________________

Owner Name:

__________________________________________________________

Owner Signature:

________________________________________Date:______________

Should you have any questions, please contact our office. It is very important that you send your

response to the attention of _______________ .

<<Signature Line>>

<<Title>>

OMB Control #2502-0587

Exp. (04/30/2017)

“Public reporting burden for this collection of information is estimated to average .50 hours. This includes the time for

collecting, reviewing, and reporting the data. The information is being collected for purposes of determining rent

adjustments and will be used for estimating new rents. Response to this request for information is required in order

to receive the benefits to be derived. This agency may not collect this information, and you are not required to

complete this form unless it displays a currently valid OMB control number. No confidentiality is assured.”

Privacy Act Notice: The United States Department of Housing and Urban Development, Federal Housing

Administration, is authorized to solicit the information requested in the form by virtue of Title 12, United States

Code, Section 1701 et seq., and regulations promulgated thereunder at Title 12, Code of Federal Regulations. While

no assurance of confidentiality is pledged to respondents, HUD generally discloses this data only in response to a

Freedom of Information Act request.

Form HUD-9626

Letters To Owners/agents - Hud Page 2