Form Hud-40096-M - Multiple-Unit Homeownership Assistance Project Completion Report Form - U.s. Department Of Housing And Urban Development Page 2

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Part C - Unit Costs and Owner/Tenant characteristics
Project number (enter project Number on every Part C sheet)
Part C number (enter “1” on the first Part C sheet, “2” on the 2nd, etc.)
a. Street address/number of unit
Initial purchase price
b.
$
Appraised value of unit
c.
$
After rehabilitation value
d.
$
Single family mortgage limit
e.
$
*
**
Type of Funds
Method of Assistance
Annual Interest Rate
Amortization Period
For loans.
f.
%
yrs.
$
also include
Type of Funds
Method of Assistance
the annual
Annual Interest Rate
Amortization Period
interest rate
g.
%
yrs.
$
and the
Type of Funds
Method of Assistance
Annual Interest Rate
Amortization Period
amortization
h.
%
yrs.
$
period.
Type of Funds
Method of Assistance
Annual Interest Rate
Amortization Period
i.
%
yrs.
$
Type of Funds
Method of Assistance
Annual Interest Rate
Amortization Period
j.
%
yrs.
$
Type of Funds
Method of Assistance
Annual Interest Rate
Amortization Period
k.
%
yrs.
$
Type of Funds
Method of Assistance
Annual Interest Rate
Amortization Period
l.
%
yrs.
$
Type of Funds
Method of Assistance
Annual Interest Rate
Amortization Period
m.
%
yrs.
$
Type of Funds
Method of Assistance
Annual Interest Rate
Amortization Period
n.
%
yrs.
$
o. Total Cost of unit (including downpayment assistance)
$
*
**
Type of Funds: enter
Method of Assistance: enter
5 for State or local appropriated,
1 for HOME for project costs,
1 for direct loan
6 for State or local tax exempt bond proceeds,
2 for HOME for downpayment assis-
2 for grant
7 for private loan funds,
tance,
3 for deferred payment loan (DPL)
8 for owner contribution, and
3 for HOME program income,
4 for CHDO Loan, and
9 for private grants.
4 for other Federal,
5 for other.
Owner (or tenant) Characteristics
Monthly Rent (Include tenant-paid utilities)
Income data
Unit
No. of Occupancy Tenant
Tenant
Subsidy
Total
Monthly
% of Race/Ethnicity Size of
Head of
Rental
No.
Bed-
Before contribution
Amount
Rent
Gross
Area
of Head of
Household Household Assistance
Rooms
Income
Median Household
Fill out an additional Part C for each owner occupied unit.
Number each Part C sequentially (1, 2, 3, etc.,) in the designated space
above.
Page 2 of 4
form HUD-40096-M (6/93)

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