Looking for a Hud Forms And Templates? Download it for free!

Form Hud-93104 - Monthly Report Of Excess Income Form - U.s. Department Of Housing And Urban Development

Monthly Report of Excess Income

U.S. Department of Housing

OMB Approval No. 2502-0086

and Urban Development

(exp. 09/30/2003)

Office of Housing

Section 236 Projects

Federal Housing Commissioner

Follow the instructions on the back to prepare this form.

Important:

Submit this form by the 10th of the month following the month covered by this report.

FHA Project Number

Project Name & Address

Reporting Period (mm/yyyy)

Complete this block only if there is a

Mail this report to (This form is designed to fit a window envelope.)

payment due HUD

Check Number:

Amount:

Excess Rental Income

P.O. Box 360333M

Pittsburgh, PA 15250

fold line

Project Owner's Name & Address

Management Agent's Name & Address

Phone Number

Employer ID Number

Phone Number

Employer ID Number

1. Total gross rental collections in excess of approved basic rental per unit for all units in the project

2. Less amount retained for HUD-approved purposes

)

3. Total Net Excess Income due HUD this month

Certification: I certify that the information on this form is true and complete.

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)

Type the Name & Phone No. of the person preparing this report (include area code)

Name of Reviewing Mortgagor Official & Phone Number

Title

Signature

Date (mm/dd/yyyy)

Signature

Date (mm/dd/yyyy)

Previous editions are obsolete.

form HUD-93104 (2/98)

Form Hud-93104 - Monthly Report Of Excess Income Form - U.s. Department Of Housing And Urban Development

Related Articles

Related forms

Related Categories