Form Hud-52484 - Development Cost Budget/cost Statement Page 3

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Copy Number:

PR/Project Number:

Subpart IV - New Construction – Prototype Cost Comparison Percentage

Subpart V - Acquisition–Development Cost Comparison Percentage

A. Dwelling Construction and Equipment (DC&E) Cost from Subpart I

A. Proposed TDC from Subpart I

$ ____________________

1. Total for Account 1460

$ ____________________

B. Hypothetical TDC

$ ____________________

2. Total for Account 1465

____________________

(Attach calculation from PP, Part I,

3. Subtotal (1 + 2)

$ ____________________

Subpart B, Item 5a or, if applicable,

4. Contingency (_____% x line 3)

____________________

other estimate and rationale.)

5. Total DC&E (3 + 4)

$ ____________________

B. PPCL Total

____________________

C. Comparison Percentage

= ___________________%

(Attach calculation from PP, Part I, Subpart B, Item 3)

(Line A ÷ Line B)

C. Comparison Percentage

= ___________________%

(Line A5 ÷ Line B)

Subpart VI - Detail of Donations

Subpart VII - Previously Approved Budgets

Line

Item

Amount

List chronologically the dates and TDC on all previously approved budgets,

No.

(Please List)

(Value)

beginning with the PHA Proposal (P) Budget, and state the purpose (i.e., one of

the budgets listed in the “Status” block on page 1 and any amendments thereto).

Date

TDC

Purpose

Total

I hereby certify that all the information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate.

Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)

Submitted By:

Name & Title of Official Authorized to Sign for PHA:

Signature of PHA's Authorized Official & Date:

For HUD Use Only

Recommended

Name & Title of Authorized Official:

for Approval By:

Signature of Authorized Official & Date:

Approved By:

Name & Title of Authorized Official:

Signature of Authorized Official & Date:

form HUD-52484 (8/96)