Hispanic-Serving Institutions Assisting Communities

U.S. Department of Housing
and Urban Development

Acknowledgment of
Application Receipt

OMB Approval No. 2577-0259 expire 2/29/2012

Type or clearly print the Applicant's name and full address in the space below.

(fold line)

Type or clearly print the following information:
Name of the Federal
Program to which the
applicant is applying:

_____________________________________________________________

To Be Completed by HUD
HUD received your application by the deadline and will consider it for funding. In accordance
with Section 103 of the Department of Housing and Urban Development Reform Act of 1989,
no information will be released by HUD regarding the relative standing of any applicant until
funding announcements are made. However, you may be contacted by HUD after initial
screening to permit you to correct certain application deficiencies.
HUD did not receive your application by the deadline; therefore, your application will not
receive further consideration. Your application is:
Enclosed
Being sent under separate cover

Processor's Name

___________________________________________________________________

Date of Receipt

_________________________

form HUD-2993 (2/99)