HomeMy WebLinkAboutCompliance Monitoring Status ReportREPORT DATE REPORTING PERIOD:
PROJECT NAME ADDRESS
# AFFORDABLE UNITS REQUIRED:
CURRENT PROJECT OWNER MANAGEMENT AGENT
Address:Address:
Phone:Phone:
UNIT # OF SQ FOOT MOVE-IN LEASE TERM GROSS HSE HLD INCOME SPECIAL RECERT HSE HLD CURRENT HH GR %GROSS UTILITY TENANT RENT MOVE-OUT SSI AMOUNT SSI RECIPIENT
#BD PER UNIT DATE (MO/YR - MO/YR)AT MOVE-IN NEEDS RQD DATE SIZE ANN INCOME OF AMI RENT ALLOW PMT SUBSIDY DATE (PER MONTH) AGE
(1)(2)(3)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)
Revised 051908
Signature:Date:E-mail Address:
FOR SSI ASSISTED LIVING
UNITS ONLY
(4)
I certify that all information stated herein, as well as the information provided in any accompaniment herewith, is true and accurate.
Name (Please Print):Title:Phone Number
COMPLIANCE MONITORING STATUS REPORT
TOTAL # OF UNITS IN ALL BUILDINGS:DATE WHEN PROPERTY
FIRST BECAME AVAILABLE
FOR LEASE
TENANT
NAME
TOTAL NUMBER OF RESTRICTED UNITS OCCUPIED:
TOTAL NUMBER OF VACANCIES RESERVED AS AFFORDABLE:
TOTAL NUMBER OF ALL UNITS OCCUPIED: