Form Hud-40022 - State Designation Of Local Recipients

ADVERTISEMENT

U.S. Department of Housing
OMB Approval No. 2506-0080
State Designation of Local Recipients
(Exp. 01/31/2004)
and Urban Development
Rental Rehabilitation Program
Office of Community Planning
Cash and Management Information (C/MI) System
and Development
See Public Reporting Burden Statement on back
To be completed by the Chief Executive Officer or the Designated Representative. Return one copy of this form to the Local HUD Community Planning and
Development Office and one copy to: Rental Rehab Program, P.O. Box 23997, L'Enfant Plaza Station, Washington, D.C. 20026.
Name and Address of State Grantee
Check Appropriate Box
State Grant No.
Original Submission
Duplicate
Revision
Local Recipient Information
Recipient Grant No. (Assigned by State)
Amount of Funds Allocated to Recipient
Recipient Grant No. (Assigned by State)
Amount of Funds Allocated to Recipient
Previous
$
Previous
$
(+)
(+)
Change
$
Change
$
Functions Delegated to Recipient
Functions Delegated to Recipient
(-)
(Check appropriate boxes)
(-)
(Check appropriate boxes)
(0) None
(1) Project Setup
New Total
$
(0) None
(1) Project Setup
New Total
$
(2) Disbursement
(2) Disbursement
Name and Address of Recipient
Name and Address of Recipient
Recipient Grant No. (Assigned by State)
Amount of Funds Allocated to Recipient
Recipient Grant No. (Assigned by State)
Amount of Funds Allocated to Recipient
Previous
$
Previous
$
(+)
(+)
Change
$
Change
$
Functions Delegated to Recipient
Functions Delegated to Recipient
(-)
(-)
(Check appropriate boxes)
(Check appropriate boxes)
(0) None
(1) Project Setup
New Total
$
(0) None
(1) Project Setup
New Total
$
(2) Disbursement
(2) Disbursement
Name and Address of Recipient
Name and Address of Recipient
Recipient Grant No. (Assigned by State)
Amount of Funds Allocated to Recipient
Recipient Grant No. (Assigned by State)
Amount of Funds Allocated to Recipient
Previous
$
Previous
$
(+)
(+)
Change
$
Change
$
Functions Delegated to Recipient
Functions Delegated to Recipient
(-)
(-)
(Check appropriate boxes)
(Check appropriate boxes)
(0) None
(1) Project Setup
New Total
$
(0) None
(1) Project Setup
New Total
$
(2) Disbursement
(2) Disbursement
Name and Address of Recipient
Name and Address of Recipient
Recipient Grant No. (Assigned by State)
Amount of Funds Allocated to Recipient
Recipient Grant No. (Assigned by State)
Amount of Funds Allocated to Recipient
Previous
$
Previous
$
(+)
(+)
Change
$
Change
$
Functions Delegated to Recipient
Functions Delegated to Recipient
(-)
(-)
(Check appropriate boxes)
(Check appropriate boxes)
(0) None
(1) Project Setup
New Total
$
(0) None
(1) Project Setup
New Total
$
(2) Disbursement
(2) Disbursement
Name and Address of Recipient
Name and Address of Recipient
Notary: (Signature, date and seal)
Approved by: (Name, title and phone including area code)
Signature and date
If more space is needed, use the back of this form
form HUD-40022 (3/88)
Previous edition may be used until supply is exhausted
24 CFR 511
Page ___ of ____

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form 320 - Credit For Employment Of Tanf Recipients Form 320 - Credit For Employment Of Tanf Recipients Legal
Form Hud-40100-c - State Designation Of Other Entities - U.s. Department Of Housing And Urban Developmen Form Hud-40100-c - State Designation Of Other Entities - U.s. Department Of Housing And Urban Developmen Legal
Form Hud-40100-c - Instructions For Completing The State Designation Of Other Entities Form Hud-40100-c - Instructions For Completing The State Designation Of Other Entities Legal
Form St-101 - New York State And Local Annual Sales And Use Tax Return Form - New York State Department Of Taxation And Finance Form St-101 - New York State And Local Annual Sales And Use Tax Return Form - New York State Department Of Taxation And Finance Financial
Form Eb-0214-0809 - Designation Of Beneficiary Form - State Of New Jersey Form Eb-0214-0809 - Designation Of Beneficiary Form - State Of New Jersey Legal
Form 320 - Credit For Employment Of Tanf Recipients - 2000 Form 320 - Credit For Employment Of Tanf Recipients - 2000 Financial
Form Hud-93104 - Monthly Report Of Excess Income Form - U.s. Department Of Housing And Urban Development Form Hud-93104 - Monthly Report Of Excess Income Form - U.s. Department Of Housing And Urban Development Legal
Form Hud-52190-a Declaration Of Trust Form Hud-52190-a Declaration Of Trust Legal
Form Eb-0791-0812 - Designation Of Beneficiary - 2012 Form Eb-0791-0812 - Designation Of Beneficiary - 2012 Legal
Form 15 - Report To Department Of Local Government Finance By County Assessor - 2001 Form 15 - Report To Department Of Local Government Finance By County Assessor - 2001 Legal

Related Categories

Parent category: Financial
Download
Go
Page of 2