CY 2018 Housing Choice Voucher Program - $75 Million Set-Aside Attachment C Project-Based Commitment Data - Calendar Year 2017 HA Number HA Name PROJECT-BASED COMMITMENTS If the PHA had project-based (PB) commitments during CY 2017 for which vouchers were withheld from leasing, the PHA must report for each month the number of vouchers withheld from leasing. The PHA must complete a separate Attachment C for each PB commitment. NUMBER OF VOUCHERS WITHHELD FOR THIS PROJECT-BASED COMMITMENT ONLY Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Project Identification 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 PHA Certification: I hereby certify that all information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate. Warning: HUD will prosecute false claims and statements. Convictions may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012, U.S.C. 3729, 3802) ______________________________________________________ _____________________________________ Executive Director Signature Date PHA Contact
CY 2018 Housing Choice Voucher Program - $75 Million Set-Aside Attachment C Project-Based Commitment Data - Calendar Year 2017 HA Number HA Name PROJECT-BASED COMMITMENTS If the PHA had project-based (PB) commitments during CY 2017 for which vouchers were withheld from leasing, the PHA must report for each month the number of vouchers withheld from leasing. The PHA must complete a separate Attachment C for each PB commitment. NUMBER OF VOUCHERS WITHHELD FOR THIS PROJECT-BASED COMMITMENT ONLY Project Identification Jan 2017 Feb 2017 Mar 2017 Apr 2017 May 2017 June 2017 July 2017 Aug 2017 Sept 2017 Oct 2017 Nov 2017 Dec 2017 PHA Certification: I hereby certify that all information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate. Warning: HUD will prosecute false claims and statements. Convictions may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012, U.S.C. 3729, 3802) ______________________________________________________ _____________________________________ Executive Director Signature Date PHA Contact