Instructions For Form Hud-40096 Homeownership Assistance Project Completion Report (Page 3 of 3) in pdf

Project Address & Project Number. Enter the address (or if no

adjusted income exceeds 60 percent and does not exceed 80

unique street address, the unit number) of the HOME-assisted

percent of the median family income for the area, as deter-

property. Also enter the 10-digit project number assigned by the

mined by HUD with adjustments for smaller and larger fami-

HUD VRS at the completion of the project set-up call. This number

lies.

should be the same as that entered in Part A, Block #1.

Household Data

Unit Number. Enter the unit number of each unit assisted with HOME

Race/Ethnicity-Head of Household: For each occupied residen-

funds.

tial unit, enter one code only based on the following definitions:

1. White, Not Hispanic Origin. A person having origins in any of

Number of Bedrooms. Enter “0” for a single room occupancy (SRO)

the original peoples of Europe, North Africa or the Middle East,

unit or for an efficiency unit, 1 for 1 bedroom, 2 for 2 bedrooms, 3

but not of Hispanic origin.

for 3 bedrooms, 4 for 4 bedrooms, and 5 for 5 or more bedrooms.

2. Black, Not Hispanic Origin. A person having origins in any of

Occupancy. Enter 1 if the unit is occupied by a tenant, 2 if it is occupied

the black racial groups of Africa, but not of Hispanic origin.

by a homeowner, and 9 if it is vacant.

3. Native American. A person having origins in any of the

Owner/Tenant in Project prior to the HOME assistance. Enter 1, if

original peoples of the North American Continent and who

the tenant was residing in the project prior to the HOME assistance.

maintains cultural identification through tribal affiliations or

Enter 2, if the tenant was not residing in the project prior to the

community recognition.

HOME assistance.

4. Asian or Pacific Islander. A person having origins in any of

Monthly Rent (Including Utilities).

the original peoples of the Far East, Southeast Asia, the Indian

subcontinent, or the Pacific Islands. For example: China, India,

Tenant Contribution. For homeowners, enter O. For tenants, enter

Japan, Korea, the Philippine Islands and Samoa.

the actual rent to the nearest dollar, including utilities, paid by the

5. Hispanic. A person of Mexican, Puerto Rican, Cuban, Central

tenant at the time of project completion. If the rent includes utilities,

or South American or other Spanish culture or origin, regard-

or if the rent includes partial utilities, e.g., heat, but not electricity,

less of race.

these utility costs must be added to the rent. Compute utility costs

9. Vacant Unit. Self-explanatory.

for the area , and in the case of partial utilities, compute costs for

utilities excluded from the rent), by using the utility allowance

Size of Household. Enter the appropriate number of persons in the

household: 1, 2, 3, 4, 5, 6, 7, or 8 or more persons (for households

schedule provided by the local Public Housing Authority (PHA) in

accordance with form HUD-52667, Allowance for Tenant Fur-

of more than 8, enter 8). Enter 9 for a vacant unit.

nished Utilities and Other Services.

Type of Household: For each residential unit, enter one code only

Subsidy Amount. For homeowner, enter O. For tenant, enter the

based on the following definitions:

amount that the tenant receives as a rent subsidy payment (includ-

1. Single/Non-Elderly. One person household in which the

ing any utility allowances paid directly to the tenant) to the nearest

person is not elderly.

dollar. If the tenant does not receive a tenant subsidy payment,

2. Elderly. One or two person household with a person at least

enter “O”.

62 years of age.

3. Related/Single Parent. A single parent household with a

Total Rent. Enter the total monthly rent (tenant contribution plus

dependent child or children (18 years old or younger).

subsidy amount).

4. Related/Two Parent. A two parent household with a depen-

Income Data.

dent child or children (18 years old or younger).

Monthly Gross Income. Enter the monthly gross household

5. Other. Any household not included in the above 4 definitions,

income.

including two or more unrelated individuals.

Percent of Area Median. For each occupied residential unit, enter

9. Vacant Unit. Self-explanatory.

one code only based on the following definitions:

Rental Assistance: Enter one code only to indicate the type of

1. 0-30 Percent of Area Median means a household whose

assistance, if any, being provided to the tenant.

adjusted income is at or below 30 percent of the median family

1. Section 8. Tenants receiving Section 8 assistance through the

income for the area, as determined by HUD with adjustments

Section 8 Certificate Program under 24 CFR part 882 or the

for smaller and larger families.

Section 8 Housing Voucher Program under 24 CFR part 887.

2. 30-50 Percent of Area Median means a household whose

2. HOME Tenant Based Rental Assistance. Tenants receiving

adjusted income exceeds 30 percent and does not exceed 50

HOME tenant-based assistance.

percent of the median family income for the area, as deter-

3. Other Assistance.

Tenants receiving rental assistance

mined by HUD with adjustments for smaller and larger fami-

through other Federal, State or local rental assistance pro-

lies.

grams.

3. 50-60 Percent of Area Median means a household whose

4. No Assistance. Self-explanatory.

adjusted income exceeds 50 percent and does not exceed 60

9. Vacant Unit. Self-explanatory.

percent of the median family income for the area, as deter-

mined by HUD with adjustments for smaller and larger fami-

lies.

4. 60-80 Percent of Area Median means a household whose

Instructions Page 3 of 3

form HUD-40096 (6/93)

Instructions For Form Hud-40096 Homeownership Assistance Project Completion Report Page 3

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