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asslstanca regarding this matter, please contact Susan Richardson, Project Manager, at (904) 20M100. Sincerely, 0&-^- ,C Donna J. Crane Acting Director of Project Management Jacksonville Multifamily Housing Division Enclosure Packet Pg. 153 14. i .a Computation of Payments U.S. Department of Housing and Urban Development Office of Public and Iin lan Housing in Lieu of Taxes For Fiscal Year Ended 2010 Is estimated to average . 4 hours. This includes the time for Colleting missing, and reporting Me data. The with requirements of Section 6( D) of Me U S. Housing Add, which Provides W PHA exemptions from real and used to determine public housing planning subsidies. Response to this mquert for Information Is required In i may not collet this Information, and you are not required to complete this form unless It displays a Nrmainy Nameofto ®I/ yenry: Location: Contract Number: proi Number: Fort Welton Beach Housing Aulh. Fort Walton Beach, FL A -2336 FL0690001 0 - 02 Part S - Com AgdNn of indoor Rm0 Clsiryad. 1. Tenant Rental Revenue ( FDS Line 703) is 299,578.36 2. Tenant Revenue Other ( FDS Line 204) 5, 633.67 3. Tam Rental Chasid (Lines 162) s 305212.03 4. Utilities Expense ( FDS Une 931- 939) 132,916. 28 5. Shelter Rent Char," ( Line 3 minus Line 4) 172295.75 Part 11- cautioned.. of Snaltir, Rant Collided. To be Mm01MM Only If Cooperation Agreement provides far payment of PILOT on basis of Shelter Rent Collected.) S. Shelter Rent Charged ( Line 5 of Part 1, abpvq s----- L72 2UJ5 2. bed: Accounts Receivable - Tenants ( FDS Unes 126, 226. 1, 0126. 2) at beginning of fiscal year 5, 603.04 3. Les: Tenant Bed Debt Expense ( FDS Line 964) 12. 384. 74 4. Les: Accounts Receivable - Tenants ( FDS Lines 125, 126. 1, 61263) M end of f1ssl year 11, 488.35 5. Shelter Rent Collected ( Line 1 plus Line 2 minus Lines 3 64) 1- 5402570 Pert 10 - Computaeon of ApproMmater Full Mal Property Taxes. 1) Taxing Districts 1) Asessble Value 3) Tex MM 4) Approximate Full Mal Property Texas Total 0. 00 Part IV - LImMLIon B surd on Annual Contribution. ( To be completed If Cooperation ASmment limits PILOT to an amount by which real property toss exceed! 20% of annual contribution.) 1. Approximate Nil Mel propeM taxes S 0. 00 2. Aaming anreal conttlbunon or all Projects under the contract $ 3. Promo share of a¢ ming annual pin r butipm 4. 20% of aarving annual contribution ( 20% of Line 3) 0. 00 S. Approximate full real property taxes less 2D% of Seeming amwal contribution ( Line 1 minus Llne 4, If Line 4 exceeds Line 1, enter ttm) S Part V - Paymems In Ueu of Taxes. 1. 10 % ofe, sties erappin rend(( 1010%%^ f Line of Raft l^ r 10% of Lines Of Part it, / 1 my 14) 63anCp 4or l< I' a 15402. 56 JirJH'{ I Q / 115 Cyaoo•do) J 2. Payments In Lieu m Taxes Of Pan IV is not applicable. enter Me amount gig Shown on Line 1, above, or Me total In Part 111, whichever Is the lower If J Part IV Is applicable, enter he amount stawn on Une 1, above, or Me amount Shown on Line 5 of Part IV, whichever Is IpwerJ Same as Line 2If the staRment Includes all pmleM under the Annual Contributions common. if bad seatemMt does not Include all Projects under the Annual Contributions Contract, enter Pmmta share based upon Me developmem WH of each project, If the pergtom, speUhed In the Cooperation Agreement or We Annual Contributions Contract with HUD Is lower, well lower percentage Grail be used Warning: HUD will prosecutt false claims and 4 teme U. Conviction may result In contains and/ or civil penalt es ( 10 U. S. C. 1001, 1010, 1012: 31 U. S. C. 3729, 3002). Prepared BV:[ Q,yJ Approved By: Name: Marian J. Hunt Name: Gail Sansbury Title: Finance Director oati: 0 82 312 01 0 THIN Executive Director Daem 081232010 Page 1 of t form HUD -52267 ( 812005) Print Reset Packet Pg. 154 s & Je aemm m3e)IV f ( D&, IL 2 LLJ LO k© o @y t!\ / - im I e a k\°`- L J) U ( 0 j - CU o E; j / § }( ( \ c ) ( r Qjozo ° \} i= k; \ ){ / Sk cn e ED k/ \ e 0, « Goo o= } E\» oLL: } 0LL 0 / E LL / a 143. c City of Fort Walton Beach FWB Housing Authority -Payments in Lieu of Taxes ( PILOT) 1995 -2010 Year Amount Received Waived FY 2010 14, 102. 56 8/ 24/ 2011 Pending FY 2009 16, 106. 46 10/ 1/ 2010 16, 106. 46 FY 2008 24,021. 49 9/ 4/ 2009 24, 021. 49 FY 2007 28, 726. 07 10/ 31/ 2007 28, 726. 07 FY 2006 20, 841. 97 1/ 1512007 20, 841. 97 FY 2005 15, 829.43 5/ 1/ 2006 15,829.43 FY 2004 13, 333.00 4/ 11/ 05 6, 667.00 FY 2003 11, 845. 00 7/ 7/ 03 11, 845. 00 FY 2002 6, 309. 00 6/ 26/02 6, 309. 00 FY 2001 5, 647. 00 6/ 26/ 02 no FY 2000 6, 708. 60 8/ 21/ 01 no FY 1999 7, 853. 01 3/ 17/ 00 no FY 1998 4, 968. 93 4/ 21/ 99 & 56/99 no FY 1997 5, 118. 00 12/ 22/ 97 no FY 1996 2, 865.66 5/ 5/ 97 no FY 1995 2, 425. 17 3/ 15/ 96 no Total 184, 276. 18 130, 346. 42 C Wserakjonee.FWBiMN WdahVlo tempMinutebagVoftallonb eachcdy0@hw

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