HUD 52616 RAD Certification of Firm Commitment(s) Application

U . S. Department of Housing and Urban Development

Rental Assistance Demonstration (RAD) Program

CERTIFICATION OF FIRM COMMITMENT(S) APPLICATION

Project Name: ________________________

Applicant Name: ________________________

Warning: HUD will prosecute false claims and statements. Convictions may result in criminal or civil penalties. 18 USC Sections 1001, 1010; 31 USC Sections 3729, 3802.

I certify that, [NAME OF APPLICANT] have applied for all of the Firm Commitments required in our RAD Conversion Financing Plan. Specifically we have submitted applications to:

[Provide a list of all Firm Commitment Applications submitted, including a contact name, contact phone number and dollar amounts for each source of funding being applied for.]

To the best of my knowledge, no other Firm Commitment applications are necessary for us to close our RAD Conversion, which will be further detailed in our RAD Financing Plan. I agree to notify HUD if any new or conflicting information comes to my attention after this date.

_____________________________________ __________________

Applicant Primary Point of Contact Date

Printed Name: _________________________

HUD Form 52616