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~... <br />~ <br />~F~,ACEMFNT HQLISING PA`YMENT DE'I`ERt1~tATION <br />Project: <br />Agency: <br />Psucol A~: <br />,~ HMA +~: <br />Name: ~'''` ~~~~~~/~c~ ~~ Date of Occupancy; ~ q,~- <br />Address: ~ ~ ~ ~~z~ V~ ~ <br />Owner Qccupant: _ 180 Days or More _ L,ess Than 180 Days <br />Tenant 4ccupant: ~L <br />/~ 40 Days or More _ L.ess Than 90 L~ays <br />Housu~ Additi~e Determination <br />Co~ble Numbcr: I(*fter 296 adjuat~seat ta askin~ prica) <br />Muicet VAtue of Subject Property (xfter carve-outs) <br />Replxcement Hoosing Additive <br />~ <br />L.ess ~„~ <br />S <br />; ....:........ ...... ... . . . . . <br /> <br />si.: d~a~c: <br />~,; . : ::...: ::. :... . :... . .. . .. . . .: . : ~:~~ <br />..... .. <br />A Coaipanbk No. I Rent S 9~ + Uulitiea $ _ ~~ ~b S <br />~ Moatltly Fwonomic RerN <br />Owner Qccupant S + Ut;litios S - S <br />C Momhly Coatnct Rcnt <br />'Ceoant Occupiad S~/~ <br />:.~ t Utilities S/ o <br />p - S n~~ <br />v~ <br />A clrou Maxhly Income S sp ~ 30% = S <br />~ Fmrn Li~te A wbtr~ct the lesur aF B,C, or 6 Ruultu = S <br />Reat Supplemont : Line E x 42 = ~ <br />Down P~yment Benefit <br />An oligiblB displa~ced person who purchases a replacement dwotlinP is entitled tq e dowp paymeat assistance ia tb~e aaaount tbe person <br />would reeeive as a rant supplement if tha par~on rented a cvmparAblo raplxcement dwelling. However, the payment to a displacad <br />homeowner of fess than 180 days shatl not oxc~d the lesser of 55,250 br tha amount of the replacement housing additive tha owncr <br />would receivs if they met the 180 day occupancy requirement. , <br />Ba4ed on the abOVe infOrrttAtiOn, thiS rflOCat~e i5 eli~ibl~ to reCeive: <br />Replacemeut Housing Additive: <br />R~nt Beaefit Payment/Rent Supplemeat: <br />Dowu P~ya~ent: <br />The Above paymeat is my determinatio~ <br />federal-sid project. I have no direct or <br />benefit from any supplementa! payment_ <br />Date <br />I7ate <br />Relocation Age[~t <br />~ <br />ese may be used in conneccioa with a <br />chis trunsaeiion, nor will t derive a,ny <br />~eneat Houaiot P~ymau ii~. MeOdvwoey ~od Aaociwes (50.3) 27J-9588 <br />Appraisal ~ Nqo4Wtia~ ~ Retoca~iw~ ~ Sd+db+ <br />