Veterans Home Rehabilitation Program

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U.S. Department of Housing
and Urban Development

Acknowledgment of
Application Receipt

OMB Approval No. 2577­0259
Exp. 06/30/2017

OMB Approval No. 2577-0259 Exp. 0430/201 ❑

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
the Federal
Federal
Name
Program to
which the
the
Program
to which
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,
information will
released by HUD
HUD regarding
regarding the relative
relative standing
standing of any
any applicant
applicant until
until
no information
will be released
funding
contacted by
HUD after initial
initial
funding announcements
announcementsare
are made.
made. However,
However,you
you may
may be
be contacted
by HUD
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

(❑®md)
(12/2011)

form HUD-2993