HUD 52670-A part 4 Misc. Accounting Requests for Schedule of Tenant Assista

Misc. Accounting Requests for Schedule
of Tenant Assistance Payments Due

U.S. Department of Housing and Urban Development
Office of Housing
Federal Housing Commissioner

OMB Approval No. 0000-0000
(xx/xx/xxxx)

Before completing this form, read and follow the instructions in the Monthly Activity Transmission (MAT) User's Guilde. See the statements on the form HUD-52670 for information on public burden.
1. Asst. Pymts Due For (mm/yyyy):

6.
Misc. Request Type

2. Project Name:

3. FHA / EH / Non-Insured Proj. No:

4. Section 8 / PAC / PRAC Contract No:

7.
Comment

5. Type of Subsidy:

8a.
Amount
Requested

8b.
Approved
(HUD/CA
use only)

9. Totals for this page
Previous editions are obsolete
Submit an Original and two copies

Page __ of __

form HUD-52670-A part 4 (12/2007)
ref. Handbook 4350.3 Rev. 1