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`~ ~%P1 ' CFMENT HOUSING PAY~~ ; TE~~A~aN <br />~ ~ <br /> Project: <br /> Agency: <br /> Parcal ~': <br />Name: ~~ ~: <br />Addtess: Date df pc~up~cy; <br />QWn~ ~u~t' _ 180 Days or More <br />Tenant Occupant: _ 40 Da s or More <br />Y - Less Than 1 Rq Days <br /> _ Less Than 90 Days <br />Hausic~ Additise Determination <br />Compuxble Numbcr: !(*Rer 296 adjuatment to askin~ price) <br />11~uket VAlae of Subject PropercY (After esrve-outs) S <br />Re~lncemant Housiag Additive ~ ~-...,...,~ <br />S <br />A ~~nbk No. 1 Rent t • + ,..,..:Utilitioo :::.:^. ~ _ <br />~ Mauhly 6oaamic Rem s ~, S <br />Owuer OCCUpuN Utilities S - i <br />C Montlily Contnct ReM S t Utilitie~ S <br />'['eoanl Occupiad Z " s ~ <br />5 Z- Z <br />A aro.. MontAly Income s <br />~ a 30% = s <br />From Liee A~ubtrnct the leuer of E,C, or b Ra,ulw = <br />S <br />Reat Supplemeat : Liee E x 42 = -~ _ ~ ~ <br />An eli bls di la~ced ~w~ ~3'ment Bepef~t <br />8~ gP person who purchases a replacemeut dwellinE is entitled to a dowp psy~t q~sista,~-ce ia tb~e emquAt t~e person <br />would receive ss a ront eupplement if tha permon rontad s cvmp~rxh~o ~p~A~~t dwelling. However, the payment to a displacad <br />homeowner of less than 180 days shai! not oxer~d the lesser of 55,250 or tha amount of the replacement housing additive the owncr <br />would reeeive if they mec the 180 dsy occups~,cy roquiroment. <br />Beaed on the above inforitration, th;s reloratee ~s et~ible to recr~~e: <br />Replacemait Hausing Additive: <br />Rent Heaefit Paymeat/Reat Supptement: ~ <br />Dowa 1'ytya~qt: ~ <br />~ <br />T'he Above paymant is my determination of relocation benefit paYments- ~ understand that these may be u~ in ~pp~~UOQ ~~ a <br />fedet~l'n+d project. I have no direct or indirect present or contemplated pecsp~a~ t~cerest in th~$ ~~nsaction, nor will 1 derive any <br />banafit from any supple~-tal payment_ <br />Date <br />Relocation Agent <br />~~ Reviewin~ Agent <br />~?~aII Hawio~ psyaxnt <br />t{~~ McOd~woey ~od Aaocira G~f) 297 95di <br />APP~~1 ~ N4o~i~tio0 ~ Rdo~~i+w~ ~ Sd+diat <br />