Form Hud-40107-A Home Match Report - U.s. Department Of Housing And Urban Development Page 2

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Name of the Participating Jurisdiction
Federal Fiscal Year (yyyy)
7. Site Preparation,
1. Project No.
2. Date of
3. Cash
4. Foregone Taxes,
5. Appraised
6. Required
Construction Materials,
8. Bond
9. Total
or Other ID
Contribution
(non-Federal sources)
Fees, Charges
Land / Real Property
Infrastructure
Donated labor
Financing
Match
(mm/dd/yyyy)
page 2 of 4 pages
form HUD-40107-A (12/94)

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