Annual Project Activity Report Template Page 2
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1
2Annual Building Activity Report For Year
20___
Project Name:
TC#
BIN#
Building Profile
Unit Mix at Time of Allocation vs Actual as of 12/31
Unit Size Total, Low-Income, and Market as of 12/31
Elected
Actual
Total
Market
Employee
Low-Income
Total Low-Income Units:
Efficiency Units
Building Address:
Building Placed In Service Date:
Total Market-Rate Units:
1 Bedroom Units
Total Office/Employee Units:
2 Bedroom Units
Total Units In Building:
3 Bedroom Units
Minimum Set-Aside (this building per 8609) (check one)
Additional Building Set-Aside (this building) (indicate below)
4 Bedroom Units
20/50
40/60
15/40
________
Units at
___________%
of County Median Income
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
Number
Unit
Event
Event
Move
Name of Head of Household
HOH
HOH
HOH
Head of
Unit
Number
Gross
Maximum
Displaced
Student
HOH Marital
Assistance
Total Housing
Unit
of
Square
Date
Type
In
First
Date of
Ethnicity
Race
Status
Type
of
Annual
Income
Tenant
Type
Utility
Mandatory Expense
Housing
DHHS
by Katrina
Status
Household
Assistance
Number
Bedrooms
Feet
mm/dd/yy (See Instr.)
Date
Last Name
Initial
Birth
(See Instr.) (See Instr.)
Gender
(S,M,D)
Occupants
Income
Limit
Rent
Amount
(See Instr.) Allowance
Fees
(Q+T+U=) Expense (See Instr.) (See Instr.) (See Instr.)
(LI, MKT, EMP)
Prepared By:
Telephone Number:
Date:
Page_________ of ___________
Revised: 12/14/05
Complete a separate form for each building. See instructions if any questions about the data requested.
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Parent category: Business