8. FORGONE TAXES & FEES Description * $ Forgone Taxes $ Waived Fees $ Waived Charges TOTAL FORGONE TAXES AND FEES $ *Provide the documentation AGENCY NAME: ACTIVITY #: 9. DONATED LAND Description* $ Publicly owned land $ Private Owned $ Foreclosed Property $ TOTAL DONATED LAND * Provide the necessary documentation 10. INFRASTRUCTURE Description* $ $ TOTAL INFRASTRUCTURE * Provide the necessary documentation 11. ACTIVITY LOCATION Street Address City Zipcode COUNTY in which activity is located: : 12. HOUSEHOLD CHARACTERISTICS Monthly Rent* Household Data (including Tenant Paid Utilities) Income Data* Monthly % of Race of Head of Unit No. of Tenant Subsidy Total Gross Area Size of Type of Rental Household No Bedrooms Occupant Contribution Amount Rent Income Median Household Household Assistance 0-efficiency 1-Tenant 1-0-30% Hispanic 11-White 1-1 Person 1-Section 8 1-1Bdrm 2-Owner 2-31-50% 12-Black/African American 2-2 Persons 2-HOME TBRA 2-2 Bdrms 9-Vacant 3-51-60% 13-Asian 3-3 Persons 2-Elderly 3-Other 3-3 Bdrms 4-61-80% 14-American Indian / Alaskan 4-4 Persons 3-Related/1 parent 4-None 4-4 Bdrms 9-Vacant Native 5-5 Persons 4-Related/2 parent 9-Vacant Unit 5-5 or 15-Native Hawaiian / Other 6-6 Persons 5-Other more Pacific Islander 7-7 Persons 9-Vacant Unit - Bdrms 16-American Indian / Alaskan 8-or more Check Native & White Persons 17-Asian & White 9-Vacant 18-Black/African American & White if 19-American Indian/Alaskan "yes" native & black/African American 20-Balance/Other 09-Vacant unit $ $ $ $ *Round to the nearest dollar.
8. FORGONE TAXES & FEES Description * Forgone Taxes $ Waived Fees $ Waived Charges $ TOTAL FORGONE TAXES AND FEES $ *Provide the documentation AGENCY NAME: ACTIVITY #: 9. DONATED LAND Description* Publicly owned land $ Private Owned $ Foreclosed Property $ TOTAL DONATED LAND $ * Provide the necessary documentation 10. INFRASTRUCTURE Description* $ TOTAL INFRASTRUCTURE $ * Provide the necessary documentation 11. ACTIVITY LOCATION Street Address City Zipcode COUNTY in which activity is located: : 12. HOUSEHOLD CHARACTERISTICS Unit No No. of Bedrooms Occupant Monthly Rent* (including Tenant Paid Utilities) Income Data* Household Data Tenant Contribution Subsidy Amount Total Rent Monthly Gross Income % of Area Median Race of Head of Household Size of Household Type of Household Rental Assistance 0-efficiency 1-1Bdrm 2-2 Bdrms 3-3 Bdrms 4-4 Bdrms 5-5 or more Bdrms 1-Tenant 2-Owner 9-Vacant 1-0-30% 2-31-50% 3-51-60% 4-61-80% 9-Vacant Hispanic - Check if "yes" 11-White 12-Black/African American 13-Asian 14-American Indian / Alaskan Native 15-Native Hawaiian / Other Pacific Islander 16-American Indian / Alaskan Native & White 17-Asian & White 18-Black/African American & White 19-American Indian/Alaskan native & black/African American 20-Balance/Other 09-Vacant unit 1-1 Person 2-2 Persons 3-3 Persons 4-4 Persons 5-5 Persons 6-6 Persons 7-7 Persons 8-or more Persons 9-Vacant 2-Elderly 3-Related/1 parent 4-Related/2 parent 5-Other 9-Vacant Unit 1-Section 8 2-HOME TBRA 3-Other 4-None 9-Vacant Unit $ $ $ $ *Round to the nearest dollar.
hhr-ch5-%20financial%20management.docx