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Form SHIP AR/2009
67-37 .008(3)(f), F.A.C.
Effective Date: 11/2009
Title: SHIP Annual Report Report Status: Unsubmitted
Okaloosa County/Fort Walton Bch FY 2010/2011
Form 1
SHIP Distribution Summary
Homeownership
be ~Expended ints | ‘Encumbered - Te ‘ts |" Unencumbered oe
Code} | Strategy cee Amount » | Unite Amount — | Units | . Amount |] Units
3 Rehabilitation $11 “450.00 1 $1 9,674.62 1
Homeownership Totals: $11,450.00 1 $19,674.62 1
Rentals
2 Unencumbered 1 or an
“Amount | Units.
| Expended.. |.’ | Encumbered | ~ .
Amount . | Units] = Amount | U
Code | ee
Rental Totals:
Subtotals: $11,450.00 1 $19,674.62 1
Additional Use of Funds
os aisee | | Expended _Encumbered ‘Unencumbered _
Administrative $3,458.00
Homeownership Counseling
Admin From Program Income
Admin From Disaster Funds
$23nszez2— 1 00
‘Source of Funds
State Annual Distribution
Program Income (Interest) $4,582.62
Program Income (Payments) $30,000.00
Recaptured Funds
Disaster Funds
Other Funds
Carryover funds from previous year $.00
Total: $34,582.62
* 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
Page 1
Form SHIP AR/2009
67-37 .008(3)(f), F.A.C.
Effective Date: 11/2009
Rental Unit Information
Description | _—s eft. ~— | = 1Bed | 2Bed | 3Bed | 4Bed_
Recap of Funding Sources for Units Produced
“Source of Funds Produced’ | Amount of Funds Expended to - ee es
> through June 30th for Units - . Date — 1 ah of Total Value
SHIP Funds Expended $11, 450. 00 100.00%
Public Moneys Expended .00%
Private Funds Expended .00%
Owner Contribution 00%
Total Value of All Units $11,450.00 100.00%
SHIP Program Compliance Summary - Home Ownership/Construction/Rehap _
= “Compliance Category
aiat Funds : ™ of Trust Fund
Homeownership $11,450.00 $.00}#Error
Construction / Rehabilitation $19,674.62 $.00)#Error
Program Compliance - - Income Set-Asides
{ SHIP. Funds -
y SHIP Funds .
is. 3 Available
unde: %* +
Extremely Low $.00 00%
Very Low $19,674.62 $19,674.62 56.89%
Low $11,450.00 $11,450.00 33.11%
Moderate $.00 00%
Totals: $11,450.00 $19,674.62 $.00 $31,124.62 90.00%
Special Target Groups for Funds Expended (i.e. teachers, nurses, law enforcement,
fire fighters, etc.) Set Aside
~ |] expended Funds |
; + | Total Funai | SHIP. | Total
Extremely Low | 0
Very Low 0
Low $11,450.00 1 $11,450.00 1
Moderate $.00 0
Totals: $11,450.00 1 $.00 0 $11,450.00 1
Page 3
Form 3
Form SHIP AR/2009
67-37.008(3)(f), F.A.C.
Effective Date: 11/2009
Number of Households/Units Produced
ae | List t Unincorporated
and Each —
-- Description
wu
‘Low |
Total”
Rehabilitation
Totals:
Characteristics!Age (Head of Household)
List Unincorporated
_and Each ©
‘Municipality
Description
Rehabilitation
Totals:
Family Size
Ds List Unincorporate i
_ Description
Rehabilitation
Race (ead of Household)
Hisp- | :
| -anic
Amer- :
| | indian |.
Rehabilitation | 1
Totals: 1
Special Needs (Any Member of Household)
Municipality
“°° Descriptior
Rehabilitation
Totals:
Form 4
Page 4
Form SHIP AR/2009
67-37.008(3)(f), F.A.C.
Effective Date: 11/2009
Expended Funds
$11,450.00
Rehabilitation Ferari, Tina 1204 Jefferyscot Crestview 32536 $11,450.00 [|
Okaloosa County/Fort Walton Bch 2010 Interim-1
Page 5