HUD Form 53234 Choice Neighborhoods Application Data Form: Existing Uni
Emergency Choice Neighborhoods
HUD 53234 CN Implementation Application Data Forms.xls
Choice Neighborhoods
OMB: 2577-0269
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2577-0269 can be found here:
Document [xlsx]
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Att 3
Overview
Att 2Att 3
Sheet 1: Att 2
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OMB#: 2577-0269 Exp: |
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| Existing Housing Units at the Targeted Public and/or Assisted Site(s) at the Time of Grant Application | |||||||
| Building Type | Size | Number Occupied | Number Vacant | Total Units | Converted to Non-Dwelling | Demo Planned | |
| Row | 0 BR | 0 | |||||
| 1 BR | 0 | ||||||
| 2 BR | 0 | ||||||
| 3 BR | 0 | ||||||
| 4 BR | 0 | ||||||
| 5 BR | 0 | ||||||
| 6 BR | 0 | ||||||
| Total | 0 | 0 | 0 | 0 | 0 | ||
| Detached/ | 0 BR | 0 | |||||
| Semi-Detached | 1 BR | 0 | |||||
| 2 BR | 0 | ||||||
| 3 BR | 0 | ||||||
| 4 BR | 0 | ||||||
| 5 BR | 0 | ||||||
| 6 BR | 0 | ||||||
| Total | 0 | 0 | 0 | 0 | 0 | ||
| Walkup | 0 BR | 0 | |||||
| 1 BR | 0 | ||||||
| 2 BR | 0 | ||||||
| 3 BR | 0 | ||||||
| 4 BR | 0 | ||||||
| 5 BR | 0 | ||||||
| 6 BR | 0 | ||||||
| Total | 0 | 0 | 0 | 0 | 0 | ||
| Elevator | 0 BR | 0 | |||||
| 1 BR | 0 | ||||||
| 2 BR | 0 | ||||||
| 3 BR | 0 | ||||||
| 4 BR | 0 | ||||||
| 5 BR | 0 | ||||||
| 6 BR | 0 | ||||||
| Total | 0 | 0 | 0 | 0 | 0 | ||
| Grand Total | 0 | 0 | 0 | 0 | 0 | ||
| HUD Form 53234 (3/2011) | |||||||
Sheet 2: Att 3
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| Replacement Housing | |||||||||||||||||
| Rental Units: Replacement Housing - Public Housing-Related | |||||||||||||||||
| PH Only | PH/LIHTC | PH/Other | Other: [enter type name] | Total | |||||||||||||
| On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | |||
| Rental Units: Replacement Housing - Multifamily Assisted Housing-Related | |||||||||||||||||
| Section 202 | Section 811 | Project-based Section 8 | Other: [enter type name] | Total | |||||||||||||
| On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | |||
| Tenant-based Vouchers: Replacement Housing (subject to HUD approval) | |||||||||||||||||
| Non-Replacement Housing | |||||||||||||||||
| Rental Units: Non-Replacement Housing - With Choice Neighborhoods Grant Funding Assistance | |||||||||||||||||
| Type: [enter type name] | Type: [enter type name] | Type: [enter type name] | Total | ||||||||||||||
| On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | ||||||
| Rental Units: Non-Replacement Housing - Without Choice Neighborhoods Grant Funding Assistance | |||||||||||||||||
| LIHTC | CDBG, HOME, or other subsidy | No Income Restrictions | Other: [enter type name] | Total | |||||||||||||
| On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | |||
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Total | ||||||||||||
| On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) |
| Other Units (operating subsidy only, etc) | |||||||||||||||||
| Type: [enter type name] | Type: [enter type name] | Type: [enter type name] | Type: [enter type name] | Total | |||||||||||||
| On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood) | Off-Site (outside neighborhood) | |||
| Grand Total (Replacement vs. Non-replacement) | Grand Total (Affordable vs. Market Rate) | ||||||||||||||||
| On-Site | Off-Site (inside neighborhood | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood | Off-Site (outside neighborhood) | ||||||||||||
| 0 | 0 | 0 | 0 | 0 | |||||||||||||
| Grand Total - All Units | Grand Total - All Units | ||||||||||||||||
| Grand Total (Rental vs. Homeownership) | Grand Total (On-Site vs. Off-Site) | ||||||||||||||||
| On-Site | Off-Site (inside neighborhood | Off-Site (outside neighborhood) | On-Site | Off-Site (inside neighborhood | Off-Site (outside neighborhood) | ||||||||||||
| 0 | 0 | 0 | 0 | ||||||||||||||
| Grand Total - All Units | 0 | Grand Total - All Units | 0 | ||||||||||||||
| form HUD- 53234 (3/2011) | |||||||||||||||||
| File Type | application/vnd.ms-excel |
| Author | lalderson |
| Last Modified By | Arlette Annette Mussington |
| File Modified | 2011-04-21 |
| File Created | 2000-01-04 |
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