Fort Walton Beach Council agenda — 10-13-2009 regular — reading text

data. The information will be used for HUD to ascertain compliance with requirements of Section 6( D) of the U. S. Housing Act, which provides for PHA exemptions from real and personal property taxes, and inclusion in the formula data used to determine public housing operating subsidies. Response to this request for information is required in order to receive the benefits to be derived. valid OMB control number. This agency may not collect this information, and you are not required to complete this form unless it displays a currently Name of Local y: Location: Contract Number: Agt Fort Walton Beach Hsguthority Fort Walton Beach, FL A -2336 T Pro Project Number: Part I - Computation of Shelter Rent Charged. 1. Tenant Rental Revenue ( FDS Line 703) $ 434, 654. 12 2. Tenant Revenue Other ( FDS Line 704) 4, 455. 13 3. Total Rental Charged ( Lines 1 & 2) $ 439, 109. 25 4. Utilities Expense ( FDS Line 931 - 939) 147,005. 63 5. Shelter Rent Charged ( Line 3 minus Line 4) 292, 103. 62 Part II - Computation of Shelter Rent Collected. To be completed only if Cooperation Agreement provides for payment of PILOT on basis of Shelter Rent Collected.) 1. Shelter Rent Charged ( Line 5 of Part I, above) $ 292, 103. 62 2. Add: Accounts Receivable - Tenants ( FDS Lines 126, 126. 1, & 126. 2) at beginning of fiscal year 11, 143. 52 3. Less: Tenant Bad Debt Expense ( FDS Line 964) 42, 373. 57 4. Less: Accounts Receivable - Tenants ( FDS Lines 126, 126. 1, & 126. 2) at end of fiscal year 7, 658. 68 5. Shelter Rent Collected ( Line 1 plus Line 2 minus Lines 3 & 4) 253, 214. 89 Part III - Computation of Approximate Full Real Property Taxes. 1) Taxing Districts 2) Assessable Value 3) Tax Rate 4) Approximate Full Real Property Taxes Total 0. 00 Part IV - Limitation Based on Annual Contribution. ( To be completed if Cooperation Agreement limits PILOT to an amount by which real property taxes exceed 20% of annual contribution.) 1. Approximate full real property taxes $ 0. 00 2. Accruing annual contribution for all projects under the contract $ 3. Prorata share of accruing annual contribution* :.; O,! n -•- J 4. 20% of accruing annual contribution ( 20% of Line 3) 0. 00 5. Approximate full real property taxes less 20% of accruing annual _ ••- contribution ( Line 1 minus Line 4, if Line 4 exceeds Line 1, enteri0v' $ Part V - Payments in Lieu of Taxes. 1. 10% of shelter rent ( i0% of Line 6 of Part I or 10% of Line 5 of Par* II,/ whichever is applicable) ** ``' 25,321. 49 t t $ 2. Payments in Lieu of Taxes ( If Part IV is not applicable, enter the tfrTOU'nt 24, 021. 49 SS l 3 O d $ shown on Line 1, above, or the total in Part Ill, whichever is the lower. If Part IV is applicable, enter the amount shown on Line 1, above, or the amount shown on Line 5 of Part IV, whichever is lower.) Same as Line 2 if the statement includes all projects under the Annual Contributions Contract. If this statement does not include all projects under the Annual Contributions Contract, enter prorata share based upon the development cost of each project, If the percentage specified in the Cooperation Agreement or the Annual Contributions Contract with HUD is lower, such lower percentage shall be used. Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and /or civil penalties ( 18 U. S. C. 1001, 1010, 1012: 31 U. S. C. 3729, 3802). Prepared By: Approved By: Name: Roxanne E. Thomas Name: Gail Sansbury Title: Finance Director Date: 08111/ 08 Title: Executive Director Date: 08/ 11/ 08 Previous Editions are Obsolete Page 1 of 1 form HUD -52267 ( 8/ 2005) Print . Reset t 83-  VANG VALPARAISO',"FL - 325 136" TY wpop QUALHOUSING AMOU NT LL Cr MAN 4093440934 AUTHORITYAUTHORITY O0/O0/ 3D/3D/ 2OOS2OOS DESCRIPTIONDESCRIPTION INVOICEINVOICE # # 063009063009 100.100. 4520.4520. 0101 AUDITEDAUDITED PILOTPILOT FYEFYE 6/6/ 30/30/ 0808 TOTALTOTAL FORFOR CHECK:CHECK: rr\ \ Y7Y7 ll )) 11 coco xm`xm` mm° ° m"m" mm mm oouoou ommomm smnmnsmnmn CityCity elfelf RI-RI- ItIt walln-walln-ftft BeachBeach Oper:Oper: FTWBKMHFTWBKMH Type.-Type.- CCCC Drawer:Drawer: 11 Da"Da" e:e: 9/9/ 04/04/ 0909 0101 ReceiptReceipt no;no; 9863698636 DescriptionDescription AmountAmount ZIZI MlMl HH SS GA0HORITY GA0HORITY PIL0PIL0 TenderTender detaildetail