Form Hud-40014-B - Project Completion Report
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1
2Project Completion Report
U.S. Department of Housing
OMB Approval No. 2506-0080
(Exp. 1/31/2004)
and Urban Development
Rental Rehabilitation Program
Office of Community Planning
Cash and Management Information (C/MI) System
and Development
See Instructions and Public reporting burden statement for this form on form HUD-40014-A.
Submitt this form when the project is 75 percent occupied, but no later than 90
Mark the Appropriate Box
Date
Change
Original
Revision
Ownership
days after the final drawdown request, to: Rental Rehab Program,
Owner's
Submission
Transfer
Address
P.O. Box 23997, L'Enfant Plaza Station, Washington, DC 20026
Part A: Project Identification
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
1. Project Number (Assigned by HUD)
2. Grantee/Local Recipient Number
3. Is Property: (mark applicable boxes)
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
(1) Mixed Use?
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
(2) Single Room Occupancy?
1 2 3 4 5 6 7 8
Mr.
Ms.
4a. Last Name of Owner
4b. First Name of Owner
(3) Cooperative?
Mrs.
(4) None of the Above
4c. Street
4d. City
4e. State
4f. Zip Code
4g. Phone Number (with area code)
4h. Name of Firm (If applicable)
5. Project Address 5a. Street
5b. City
5c. State
5d. Zip Code
6. Person completing this form 6a. Full Name
6b. Phone Number (with area code)
6c. Street
6d. City
6e. State
6f. Zip Code
Part B:
1. Did Project Involve (mark one)
Financial
(1) Rehabilitation Only
(2) Acquisition and Rehabilitation
(3) Refinancing and Rehabilitation
Structure of
2. Total Rehabilitation Costs
the Project
$
3. Rental Rehabilitation Grant Funds (check and complete appropriate items (1) - (4) below)
(1) Direct Loan (Describe any
Interest Rate Amortization Period $
Special Conditions)
Yrs
(2) Grant
$
(3) Deferred Payment Loan (DPL) (Describe Conditions of the DPL)
$
(4) Other (Describe)
$
Total Rental Rehabilitation Grant Funds
Total items (1) thru (4)
$
4. CDBG Funds (check and complete appropriate items (1) - (4) below)
(1) Direct Loan (Describe any
Interest Rate Amortization Period $
Special Conditions)
Yrs
(2) Grant
$
(3) Deferred Payment Loan (DPL) (Describe Conditions of the DPL)
$
(4) Other (Describe)
$
Total CDBG Funds
Total items (1) thru (4)
$
5. Tax Exempt Funds
Interest Rate Amortization Period
$
Yrs
6. Other Public Funds (Describe sources, eg. UDAG, DOE, Historic Preservation, terms, conditions, etc.)
$
6a. Rental Rehabilitation Program Income
$
7. Private Loan Funds (Describe special conditions)
Interest Rate Amortization Period
$
Yrs
8. Other Private Funds (Describe sources, i.e. cash contributions from owner, excluding accumulated equity in property) $
9. Total Financing Costs (Rehabilitation and Acquisition/Refinancing)
Total items (3) thru (8)
$
Previous editions are obsolete
form HUD-40014-B (8/89)
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