HUD 52427 Actual Development Cost Certificate

Actual Development Cost
Certificate

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

OMB Approval No. 2577-0157
(exp. 11/30/2023)

Public Reporting Burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. The information requested does not lend itself to confidentiality. HUD may not
conduct or sponsor, and an applicant is not required to respond to a collection of information unless it displays a currently valid OMB control number. Comments regarding the
accuracy of this burden estimate and any suggestions for reducing this burden can be sent to the Reports Management Officer, Office of Policy Development and Research, REE,
Department of Housing and Urban Development, 451 7th St SW, Room 4176, Washington, DC 20410-5000. When providing comments, please refer to OMB Approval
No. 2577-0157. Response to this collection of information is mandatory to obtain a benefit or to retain a benefit. This collection of information requires that each Public Housing
Authority (PHA) submit information to enable HUD to very final development cost to comply with 24 CFR 905. The information requested does not lend itself to confidentiality. HUD
may not conduct or sponsor, and person is not required to respond to a collection of information unless it displays a currently valid OMB control number.
Name of Public Housing Agency (PHA)
Annual Contributions Contract Number

Project Number

The PHA hereby certifies to the Department of Housing and Urban Development as follows:
1. That the total amount of the Development Cost (herein called the “Actual Development Cost”) of the Project is
$
, which amount is shown in detail on the attached Statement of Actual Development Cost;
2. That all development work in connection with the Project has been completed;
3. That the entire Development Cost or liabilities therefor incurred by the PHA have been fully paid;
4. That there are no undischarged mechanics’, laborers’, contractors’, or material-men’s liens against such Project on file
in any public office where the same should be filed in order to be valid against such Project; and
5. That the time in which such liens could be filed has expired.
6. That the information provided on this form and in any accompanying documentation is true and accurate. I acknowle
dge that making, presenting, or submitting a false, fictitious, or fraudulent statement, representation, or certification may
result in criminal, civil, and/or administrative sanctions, including fines, penalties, and confinement for up to 5 years,
(18 U.S.C. §§ 287, 1001 and 31 U.S.C. §3729)".

Submitted By

Name of Official Authorized to Sign for PHA
Title
Signature

Date (mm/dd/yyyy)

For HUD Use Only
Recommended

Name of Authorized Official

for Approval By
Title
Signature

Approved By

Date (mm/dd/yyyy)

Name of Authorized Official
Title
Signature

Previous editions are obsolete

Date (mm/dd/yyyy)

form HUD-52427 (1/2014)