Form RD 3560-7A On-Farm Labor Housing Project Budget

FORM RD 3560-7A
(02-05)

FORM APPROVED
OMB NO. 0575-0189

UNITED STATES DEPARTMENT OF AGRICULTURE
RURAL HOUSING SERVICE

ON-FARM LABOR HOUSING PROJECT BUDGET
1. BORROWER NAME:

2. CASE NO.

3. PROJECT NO.

4. LABOR HOUSING PROPERTY LOCATION:
6. OCCUPANCY:

SEASONAL

5. NO. UNITS:

YEAR AROUND

8. REFUNDABLE SECURITY DEPOSIT:

YES

NO

7. AGREEMENT FOR OCCUPANCY OR LEASE

YES

NO

9. AMOUNT OF SECURITY DEPOSIT: $

INCOME/TENANT CHARGES:

PROPOSED
(__/__/__)

ACTUAL
(__/__/__)

10.

Tenant Rent ($________ x ________unit x 12 months)

$__________

$__________

11.

Other Tenant Shelter Cost _______________________ (Specify)

$__________

$__________

12.

ACTUAL CHARGES (Paid by Tenants)

$__________

$__________

ANNUAL OPERATING AND MAINTENANCE EXPENSES:
13.

Maintenance & Repairs

$__________

$__________

14.

Painting

$__________

$__________

15.

Electricity

$__________

$__________

16.

Water

$__________

$__________

17.

Sewer

$__________

$__________

18.

Fuel (Oil/Gas/Wood)

$__________

$__________

19.

Garbage & Trash Removal

$__________

$__________

20.

Real Estate Taxes

$__________

$__________

21.

Property & Liability Insurance

$__________

$__________

22.

Rural Housing Service Loan Payment

$__________

$__________

23.

Other _______________________ (Specify)

$__________

$__________

24.

TOTALEXPENSES

$__________

$__________

25.

UNAUTHORIZED RENT REBATE/CREDIT
(TOTAL UNAUTHORIZED RENT CHARGES: $ _____________)

$__________

$__________

26. BORROWER:

27. DATE:
(Signature)

28. AGENCYAPPROVAL:

29. DATE:
(Signature of Servicing Official)

30. TITLE:
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid
OMB control number. The valid OMB control number for this information collection is 0575-0189. The time required to complete this information collection is estimated to average 1 hour
per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information.

General Instructions for Completing Form RD 3560-7A, On-Farm Labor Housing Project Budget
Use Of This Form:
Applicant/Borrowers use this form to plan and report the financial activity of their on-fam labor housing project as
required by Agency regulations found at 7 CFR 3560.630.
All specific operation and maintenance (O&M) expense line items may not need to be completed, provided that
applicable O&M expenses are reflected.
Use of this form is to request Agency approval to charge rent or to describe special servicing budgets (credit/rebates of
rents, etc.).
The two budget columns are used as follows:
INITIAL BUDGETS

- Use PROPOSED BUDGET column only

ANNUAL REPORTS OF ACTUALS

- Use both columns:

ACTUAL COLUMN = this period’s activity
PROPOSED BUDGET = next year’s planned activity

ANNUAL BUDGETS
PROPOSALS AND
RENT CHARGES

- Use both columns:

ACTUAL

- Year to date plus estimated actuals for the
periods actual and planned activity

PROPOSED - Next year’s planned activity

INSTRUCTIONS FOR PREPARATION
PROJECT AND BORROWER IDENTIFICATION: Enter the following general information:
1. Insert name of Borrower.
2. Insert case number: (Example 987654321 01-2)
3. Insert project number: (Example 987654321 01-2)
4. Insert property address.
5. Insert the number of units in the project (example, a duplex would be “2” units).

Instructions for Completing Form RD 3560-7A, On-Farm Loabor Housing Project Budget (Continued)
6 - 8. Check the most appropriate box.
9. Insert the amount of security deposit paid, if applicable.
INCOME/TENANT CHARGES - Enter the following:
10. Tenant Rent:

(1a) - Insert the monthly rental charge per unit.
(1b) - Insert the number of units.
(1c) - Insert the total annual income for all units.

11. Insert the total of any additional charges made by a landlord to a tenant household for the use and occupancy of the
housing including all utility charges such as electricity, heat, water, waste disposal, etc., or require that the tenant pay
directly to the utility provider.
12. ACTUAL CHARGES (Paid by Tenants): Insert the amount the tenant will actually pay for the housing.
NOTE: The actual charges to the tenant cannot exceed the total expenses on line 15.
If the borrower is requesting authorization to charge full rent, this amount would be the same as line 1 (Tenant Rent).
If the borrower is requesting authorization to charge the tenant only for the cost of utilities, this amount should be the
same as line 2 (Other Tenant Shelter Cost).
If the borrower is requesting approval to credit forward unauthorized charges to the tenant, this amount would be the
same as line 1 (Tenant Rent).
If the borrower is requesting both the authorization to charge rent and approval to credit forward former unauthorized
rent charges, this amount would be line 1 (Tenant Rent) less line 2 (Other Tenant Shelter Cost). NOTE: In this case,
this figure only reflects the amount of credit available to forward.
13. Insert the total cost of labor and materials for maintaining the project.
14. Insert the total cost of labor and supplies for painting the project.
15. Insert the total electric cost for the year/season. Cost could be for heating, cooling, security lighting, water well,
and septic system pumps, etc.

16. Insert the total cost for water usage or water well repairs during any one year/season.
17. Insert the total sewage cost or maintenance repairs to a septic system during any one year/season.
18. Insert the total cost of oil, propane/natural gas, or wood needed for heating or cooling during any one year/season.
19. Insert the total cost for garbage removal.
20. Insert the yearly cost of property taxes affiliated with labor house.
21. Insert the cost for maintaining yearly insurance policies.
22. Insert the amount of the Borrower’s yearly loan payment.
23. Insert the total cost of lawn services, management fees, etc.
24. Insert the total operational maintenance cost for the labor housing unit(s).
25. Enter the actual or proposed rebate/credit of former rent charges made to tenants. Insert the total amount of
current unauthorized rent charges to tenant(s).
26. Signature of Borrower.
27. Insert date Borrower signed form.
28. Signature of Servicing Official.
29. Insert date Servicing Official signed form.
30. Insert title of Servicing Official.