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'~~r <br />~ <br />~.ACEMFNT HOLJSING PAYN~EEN'T DETERMINATION <br />Proj ect: <br />Agency: <br />Ptucol N: <br />HMA A`: <br />Name: ~~ r n ~~~ r~ n ma ~ Dace of Occupancy; ~/~~ <br />Address: ~' ~3 C.o u ~- ~ ~ ~ Z <br />Owner Occupant: _ 180 Days or More _ Less Than 18Q Days <br />Tenant 4ccupant: Y 90 Days or More _ Less Than 90 Days <br />-7` <br />Hauqin~ Additi~e Determination <br />Co~ble Numbar: 1(iftar 296 adjuatment to asking price) <br />h(.rket VRlue of Subject Property (Af~Cf CBNC~OtUS~ <br />Repixcemant Houaing Additive <br />3 <br />I.ess ~.,,,~ <br />S <br /> <br /> <br />:.:. .. . ... <br />............ .......... . .. . . .... .. . <br />. . . . . . . <br />. . .. . R+ne ~-ptaate.b- <br />... . .... . .. . .. . . . . . :.....:..v:.. . . . ..... <br />. . <br />. <br />:. <br />: <br />A ... . <br />. . <br />. <br />. <br />Coa~panbk No. t Renc S + Utilitiea S = j <br />S Mocuhiy Footwmic R«~t <br />Owner flccup~nt S + Utilitioc S - S <br />C Moothly Concnci Rent <br />'Ceo~nt Occupied S~ 7~.~ <br />.l + utilicie. S~~ - 3~ <br />p clroa. Ma~hly Iacome S a 30% = S <br />~ Fram Liee A wbtrnct the lesser of B,C, or D Resulu+ = S <br />Rent Supplemeot : Line E x 42 = •`f <br />Down Payment Benef~t <br />An eligible displaced person who purchasea a raptacemant dwelling is entitled to a down payment assistaACe in tb~e aaaowot tbe peison <br />would t~eceive as a ront supplement if tha pereon rented a comparAble roplxcemant dwelling. However, the payment to a displaced <br />homeowaer of less than 180 days shall not exee~d the lesser of 55,250 or Wa amount of the replacement housing a~dditive tha owncr <br />would receivo if they mat the 180 day occupancy roquiroment. <br />Beaed on the above info~maaon, this rclocatee is eli~ible to reCeive: <br />Replscement Houeing Additive: <br />Rent Beaefit Pwymeat/Rent Supplemeat: <br />no~ ~-ya~t: <br />T6e nbove payment is my determination of relocation benefit payments. I understand that these may be used in conne~UOn ~'~~ ° <br />fodecal-sid project. I have no direct or indirect present or contemplated personal inceres[ in chis trunsaction, nor will ( darive amy <br />banefit from any supp~emea~tal payment_ '~ <br />Date <br />Date <br />Relocation Agetlt <br />Reviewing Agent <br />Repl~oeoeat Howin~ P;yn~ent -- -Fi~, MeOdowon' ~od AaociMU G~? ~A56i <br />Appni~a! ~ Nqo4~tion ~ Rato~~ ~ <br />