Exception to Limitations on Admission of Families |
U.S. Department of Housing and Urban Development Office of Housing Federal Housing Commissioner |
OMB Approval No. 2502-0204 (exp.03/31/2009) |
Exhibit 3-1: Request for Exception to Limitations on Admission of Families with Incomes Above 50% of the Area Median Income
TO: HUD Field Office
FROM: __________________
SUBJECT: Request for Exception to Limitations on Admission of Families Whose Income Exceeds Very Low-Income Limit
Project Name __________________________________________
Contract No. ______ FHA Project No. ____________
This request is for permission to lease (number) unit(s) in the subject project to families with incomes between 51% and 80% of the area median income. We believe this project meets the applicable conditions under situation ____________ Chapter 3 of Handbook * 4350.3 REV-1.*
The following justifies the request for exception:
(Provide the supporting documentation required by the following four pages of this Exhibit).
For further information, you may call _______________ at ____________. I certify that the statements and supporting documentation in this request are true and complete. I also certify that:
a. I have admitted all available very low-income, qualified applicants; and
b. I will lease assisted units to families with incomes above 50% of median income only when no very low-income, qualified applicants are available.
NOTE: Include this certification only if you are requesting an exception for Situation 6D.
Signed by:
Owner or owner's
representative
____________________________ ___________________________
Name Signature
_____________________________ ___________________________
Title Date
Warning: Under 18 U.S.C. 1001, whoever willingly makes or uses a document or writing he/she knows has any false or fraudulent statement or entry, in any matter under the jurisdiction of any department or agency of the United States, may be fined up to $10,000 or imprisoned for up to five years, or both.
IMPORTANT: At a minimum, requests for exceptions must include the supporting justification listed below. Situations (1) through (6) are described in paragraph 3-7 D of this handbook.
Contract Units Designed For This Occupant Group |
||||
Unit Type |
Total Number |
Number Vacant |
Number of Families on Waiting List for These Units |
|
|
|
|
Very |
Low-Income But Not Very Low-Income |
Unit Type |
Total Units in the Project |
Contract Units |
Number of Families on Waiting List |
|||
Total Number |
Number Vacant |
Total Number |
Number Vacant |
Very |
Low-Income But Not Very Low-Income |
List all market studies and surveys of which you are aware.
Include studies you, State agencies, the Rural Housing Service, or anyone else has done. Briefly summarize those studies' conclusions as to the income levels of potential applicants in your project's market area and any nearby market area.
Financial and Vacancy Data Required for Exceptions Under Situation 6D
Provide the following data for each of the last six months. |
|
Income Expenses |
Month-End Accounts |
1. Monthly apartment rent potential for whole project |
1. Number of units vacant a. Section 8 units b. Other units |
2. Apartment rents collected from HUD and tenants |
2. Number of units not in rentable condition. |
3. Percent of potential collected (Line 2 / Line 1) |
3. Accounts receivable a. From tenants b. HUD c. Others |
4. Other income earned (specify source) |
4. Accounts payable a. From routine operations b. Mortgage delinquency c. Other |
5. Total income earned (Line 2 + Line 4) 6. Mortgage payment (PrincipaI + Interest) actually required (use workout amount, if applicable) |
5. Cash on hand |
7. Operating expenses incurred |
|
8. Net income/loss from operations |
|
======================================================================
Public reporting burden for this collection is estimated to average 12 minutes 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. This information is required to obtain benefits and is voluntary. HUD may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. The request and required supporting documentation are sent to HUD or the Contract Administrator (CA) for approval. Upon approval of the waiver, the owner/management agent will designate the household’s eligibility by electronically transmitting to TRACS one of the eligibility Exception Codes. This form is used when requesting an income waiver.
This information is authorized by 24 CFR 236.715, 880.504, 884.223, 886.129, 886.329, 891.575, 891.20 cover the requirements for requesting a waiver to admit ineligible persons for the Section 8, Section 202 and Section 811 programs. 24 CFR 5.661 covers the approval for a police officer or other security personnel to live in a Section 8 project. Section 658 of Title VI of Subtitle D of the Housing and Community Development Act of 1992 covers the restriction of occupancy to elderly families. This information is considered non-sensitive and does no require any special protection.
12/2007
File Type | application/msword |
File Title | Exhibit 3-1: Sample Request for Exception to Limitations on Admission of Families with Incomes Above 50% of the Area Median Inc |
Author | H05232 |
Last Modified By | h18889 |
File Modified | 2008-10-20 |
File Created | 2007-12-19 |