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Okaloosa County BOCC — November 16, 2013 — 2010 Through 2013 SHIP Annual Report and Regulatory Certifications — reading text

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Program Income (Payments) $10,921.00 Recaptured Funds Disaster Funds Other Funds Carryover funds from previous year $.00 Total: $83,605.00 * Carry Forward to Next Year: $.00 NOTE: This carry forward amount will only be accurate when all revenue amounts and all expended, encumbered and unencumbered amounts have been added to Form 1 Form 2 Page 2 Form SHIP ARl2009 67-37.008(3)(fj, FAG. Effective Date: 11/2009 Rental Unit Information Recap of Funding Sources for Units Produced ("Leveraging") Public Moneys Expended Private Funds Expended Contribution Value of All Units SHIP Program Compliance Summary - Home Ownership/Construction/Rehab Program Compliance - Income Set-Asides $49,985.00 $25,300.00 Moderate Totals: $.00 $25,300.00 $49,985.00 o Totals: $.00 o $.00 o $.00 o Form 3 Page 3 Form SHIP AR/2009 67-37.008(3)(1), FAG. Effective Date: 11/2009 Number of Households/Units Produced Totals: o Characteristics/Age (Head of Household) Totals: o Family Size Totals: o Race (Head of Household) Totals: o Special Needs (Any Member of Household) Totals: o Special Target Groups for Funds Expended (Le. teachers, nurses, law enforcement, fire fighters, etc.) Set Aside Form 4 Page 4 Form SHIP ARI2009 67-37.008(3)(D. FAG. Effective Date: 1112009 Expended Funds Okaloosa County/Fort Walton Bch 2012 Interim-2 Page 5

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