Hud 52849 Hud 52849

	U.S. Department of Housing and Urban Development
	Office of Capital Improvements
	Capital Fund Financing Program (CFFP)
	Pooled Transaction: List of Participating PHAs
	Name of Pool:______________________________________
		(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)	(i)	(j)
		Name of PHA	Amount of Issuance	Percentage of Pooled Transaction	Annual Debt Service	Current FY Capital Fund	Debt Service as a Percent of Capital Fund	Debt Service as Percent of Pooled Debt Service	Cost of Issuance as a Percent of Issuance	Number of Properities Modernized	Current PHAS Score
	1
	2
	3
	4
	5
	6
	7
	8
	9
	10
	11
	12
	13
	14
	15
	16
	17
		TOTAL
	Instructions:
	1. Fill in the requested information for each PHA participating in the CFFP Pool. Cross-collateralization is not permitted.
	2. Column (d) should include principal and interest payments, plus any other ongoing fees (e.g. trustee fees, rating agency fees, etc.).
	3. Column (I) use PHAS rating name: High, Standard or Troubled.
	4. If more that 17 PHAs are participating, use a second form for the remaining PHAS and provide a subtotal for the second form and grand total for the pool.