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pdfU.S. Department of Housing
and Urban Development
Office of Administration
Assistance Award/Amendment
1. Assistance Instrument
Cooperative Agreement
3. Instrument Number
OMB Approval No.: 2502-0447
Expiration Date: 11/30/2018
2. Type of Action
Grant
Award
4. Amendment Number
7. Name and Address of Recipient
Amendment
5. Effective Date of this Action
8. HUD Administering Office
8a. Name of Administrator
10. Recipient Project Manager
11. Assistance Arrangement
Cost Reimbursement
Cost Sharing
Fixed Price
6. Control Number
8b. Telephone Number
9. HUD Government Technical Representative
12. Payment Method
13. HUD Payment Office
Treasury Check Reimbursement
Advance Check
Automated Clearinghouse
14. Assistance Amount
15. HUD Accounting and Appropriation Data
Previous HUD Amount
$
15a. Appropriation Number
15b. Reservation Number
HUD Amount this action
Total HUD Amount
Recipient Amount
Total Instrument Amount
$
$
$
$
Amount Previously Obligated
Obligation by this action
Total Obligation
$
$
$
16. Description
17.
Recipient is required to sign and return three (3) copies
of this document to the HUD Administering Office
19. Recipient (By Name)
Signature & Title
Previous editions are obsolete.
18.
Recipient is not required to sign this document.
20. HUD (By Name)
Date (mm/dd/yyyy)
Signature & Title
Date (mm/dd/yyyy)
form HUD-1044 (8/90)
ref. Handbook 2210.17
File Type | application/pdf |
File Modified | 2019-05-01 |
File Created | 2011-02-06 |