indicate whether the leveraged contribution was a housing subsidy assistance or another form of support. Note: Be sure to report on the number of households supported with these leveraged funds in Part 3, Chart 1, Column d. A. Source of Leveraging Chart [2] Amount of [4] Housing Subsidy Leveraged [3] Type of Assistance or Other [1] Source of Leveraging Funds Contribution Support Public Funding Housing Subsidy Assistance Ryan White-Housing Assistance Other Support Housing Subsidy Assistance Ryan White-Other Other Support Housing Subsidy Assistance Housing Choice Voucher Program Other Support Housing Subsidy Assistance Low Income Housing Tax Credit Other Support Housing Subsidy Assistance HOME Other Support Housing Subsidy Assistance Continuum of Care Other Support Housing Subsidy Assistance Emergency Solutions Grant Other Support Housing Subsidy Assistance Other Public: Other Support Housing Subsidy Assistance Other Public: Other Support Housing Subsidy Assistance Other Support Other Public: Housing Subsidy Assistance Other Public: Other Support Housing Subsidy Assistance Other Support Other Public: Private Funding Housing Subsidy Assistance Other Support Grants Housing Subsidy Assistance In-kind Resources Other Support Housing Subsidy Assistance Other Private: Other Support Housing Subsidy Assistance Other Support Other Private: Other Funding Housing Subsidy Assistance Grantee/Project Sponsor (Agency) Cash Other Support Resident Rent Payments by Client to Private Landlord TOTAL (Sum of all Rows) Program Income and Resident Rent Payments In Section 2, Chart A, report the total amount of program income and resident rent payments directly generated from the use of HOPWA funds, including repayments. Include resident rent payments collected or paid directly to the HOPWA program. Do NOT include payments made directly from a client household to a private landlord. Note: Please see report directions section for definition of program income. (Additional information on program income is available in the HOPWA Grantee Oversight Resource Guide). A. Total Amount Program Income and Resident Rent Payment Collected During the Operating Year
indicate whether the leveraged contribution was a housing subsidy assistance or another form of support. Note: Be sure to report on the number of households supported with these leveraged funds in Part 3, Chart 1, Column d. A. Source of Leveraging Chart [1] Source of Leveraging [2] Amount of Leveraged Funds [3] Type of Contribution [4] Housing Subsidy Assistance or Other Support Public Funding Ryan White-Housing Assistance Housing Subsidy Assistance Other Support Ryan White-Other Housing Subsidy Assistance Other Support Housing Choice Voucher Program Housing Subsidy Assistance Other Support Low Income Housing Tax Credit Housing Subsidy Assistance Other Support HOME Housing Subsidy Assistance Other Support Continuum of Care Housing Subsidy Assistance Other Support Emergency Solutions Grant Housing Subsidy Assistance Other Support Other Public: Housing Subsidy Assistance Other Support Other Public: Housing Subsidy Assistance Other Support Other Public: Housing Subsidy Assistance Other Support Other Public: Housing Subsidy Assistance Other Support Other Public: Housing Subsidy Assistance Other Support Private Funding Grants Housing Subsidy Assistance Other Support In-kind Resources Housing Subsidy Assistance Other Support Other Private: Housing Subsidy Assistance Other Support Other Private: Housing Subsidy Assistance Other Support Other Funding Grantee/Project Sponsor (Agency) Cash Housing Subsidy Assistance Other Support Resident Rent Payments by Client to Private Landlord TOTAL (Sum of all Rows) Program Income and Resident Rent Payments In Section 2, Chart A, report the total amount of program income and resident rent payments directly generated from the use of HOPWA funds, including repayments. Include resident rent payments collected or paid directly to the HOPWA program. Do NOT include payments made directly from a client household to a private landlord. Note: Please see report directions section for definition of program income. (Additional information on program income is available in the HOPWA Grantee Oversight Resource Guide). A. Total Amount Program Income and Resident Rent Payment Collected During the Operating Year
hopwa-caper-form-hud-40110-d.docx