HUD-50075.2 Capital Fund Program- Five-Year Action Plan

Capital Fund Program—Five-Year Action Plan

U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
Expires:

Part I: Summary
A.

B.
C.
D.
E.
F.
G.
H.
I.
J.

Work Statement
for Year 1
FFY _______

Physical Improvements
Subtotal
Management Improvements
PHA-Wide Non-dwelling
Structures and Equipment
Administration
Other
Operations
Demolition
Development
Capital Fund Financing –
Debt Service
Total CFP Funds
Total Non-CFP Funds
Grand Total

Annual Statement

Work Statement for Year 2
FFY ________________

Work Statement for Year 3
FFY ________________

Original 5-Year Plan
Work Statement for Year 4
FFY ________________

Revision No:
Work Statement for Year 5
FFY _______________

D

R

K.
L.
M.

Locality (City/County & State)

Development Number and
Name

AF
T

PHA Name/Number

____________________________________________________________________________________________________________________________________________________________________
Final HUD-50075.2. dated 5-2011.doc
Page 1 of 6
form HUD-50075.2 (5/2011)

Capital Fund Program—Five-Year Action Plan

U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
Expires:

Part I: Summary (Continuation)
PHA Name/Number
Development Number
A.
and Name

Work
Statement for
Year 1
FFY _______

Locality (City/county & State)
Work Statement for Year 2
Work Statement for Year 3
FFY ________________
FFY ________________

Original 5-Year Plan
Revision No:
Work Statement for Year 4
Work Statement for Year 5
FFY ________________
FFY _______________

D

R

AF
T

Annual
Statement

____________________________________________________________________________________________________________________________________________________________________
Final HUD-50075.2. dated 5-2011.doc
Page 2 of 6
form HUD-50075.2 (5/2011)

Capital Fund Program—Five-Year Action Plan

U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
Expires:

Part II: Supporting Pages – Physical Needs Work Statement(s)
Work
Statement for
Year 1 FFY
______

Work Statement for Year _____________
FFY ________________
Development
Quantity
Estimated Cost
Number/Name
General Description of
Major Work Categories

Work Statement for Year: ____________
FFY ______________
Development
Quantity
Estimated Cost
Number/Name
General Description of
Major Work Categories

D

R

AF
T

See
Annual
Statement

Subtotal of Estimated Cost

$

Subtotal of Estimated Cost

$

____________________________________________________________________________________________________________________________________________________________________
Final HUD-50075.2. dated 5-2011.doc
Page 3 of 6
form HUD-50075.2 (5/2011)

Capital Fund Program—Five-Year Action Plan

U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
Expires:

Part II: Supporting Pages – Physical Needs Work Statement(s)
Work
Statement for
Year 1 FFY
______

Work Statement for Year _____________
FFY ________________
Development
Quantity
Estimated Cost
Number/Name
General Description of
Major Work Categories

Work Statement for Year: ____________
FFY ______________
Development
Quantity
Estimated Cost
Number/Name
General Description of
Major Work Categories

D

R

AF
T

See
Annual
Statement

Subtotal of Estimated Cost

$

Subtotal of Estimated Cost

$

____________________________________________________________________________________________________________________________________________________________________
Final HUD-50075.2. dated 5-2011.doc
Page 4 of 6
form HUD-50075.2 (5/2011)

Capital Fund Program—Five-Year Action Plan

U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
Expires:

Part III: Supporting Pages – Management Needs Work Statement(s)
Work Statement for Year ______________
FFY ____________
Development Number/Name
Estimated Cost
General Description of Major Work Categories

Work Statement for Year: ____________
FFY _____________
Development Number/Name
Estimated Cost
General Description of Major Work Categories

D

R

AF
T

Work
Statement for
Year 1 FFY
______
See
Annual
Statement

Subtotal of Estimated Cost

$

Subtotal of Estimated Cost

$

____________________________________________________________________________________________________________________________________________________________________
Final HUD-50075.2. dated 5-2011.doc
Page 5 of 6
form HUD-50075.2 (5/2011)

Capital Fund Program—Five-Year Action Plan

U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
Expires:

Part III: Supporting Pages – Management Needs Work Statement(s)
Work Statement for Year ______________
FFY ____________
Development Number/Name
Estimated Cost
General Description of Major Work Categories

Work Statement for Year: ____________
FFY _____________
Development Number/Name
Estimated Cost
General Description of Major Work Categories

D

R

AF
T

Work
Statement for
Year 1 FFY
______
See
Annual
Statement

Subtotal of Estimated Cost

$

Subtotal of Estimated Cost

$

____________________________________________________________________________________________________________________________________________________________________
Final HUD-50075.2. dated 5-2011.doc
Page 6 of 6
form HUD-50075.2 (5/2011)