Form Hud-52427 - Actual Development Cost Certificate

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U.S. Department of Housing
Actual Development Cost
OMB Approval No. 2577-0157
(exp. 12/31/2011)
and Urban Development
Certificate
Office of Public and Indian Housing
Public Reporting Burden for this collection of information is estimated to average 30 minutes 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 or to retain a benefit. The information requested does not lend itself to confidentiality. HUD
may not conduct or sponsor, and person is not required to respond to a collection of information unless it displays a currently valid OMB control number.
Name of Public Housing Agency (PHA)
Annual Contributions Contract Number
Project Number
The PHA hereby certifies to the Department of Housing and Urban Development as follows:
1. That the total amount of the Development Cost (herein called the “Actual Development Cost”) of the Project is
$
, which amount is shown in detail on the attached Statement of Actual Development Cost;
__________________________________
2. That all development work in connection with the Project has been completed;
3. That the entire Development Cost or liabilities therefor incurred by the PHA have been fully paid;
4. That there are no undischarged mechanics’, laborers’, contractors’, or material-men’s liens against such Project on
file in any public office where the same should be filed in order to be valid against such Project; and
5. That the time in which such liens could be filed has expired.
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 of Official Authorized to Sign for PHA
Title
Signature
Date (mm/dd/yyyy)
For HUD Use Only
Recommended
Name of Authorized Official
for Approval By
Title
Signature
Date (mm/dd/yyyy)
Approved By
Name of Authorized Official
Title
Signature
Date (mm/dd/yyyy)
form HUD-52427 (2/93)
Previous editions are obsolete
ref. Handbook 7417.1

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