final outcome codes - huduser.gov · notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 month...

16
OMB No. 2528-0276 Approval Expires 10/31/2014 This survey covers all units in the rental property associated with the above address. A property may include more than one building, postal address, or parcel of land. The debt financing can help define the property for the purposes of this survey. If there is a mortgage or similar debt on the property, then the property is defined as the units or buildings that are covered by a first mortgage. If there is more than one first mortgage, then the property is defined by the mortgage that covers the above address. If there is no debt financing, the property is defined as the units and buildings owned in common with the street address above. 2012 RENTAL HOUSING FINANCE SURVEY A. Property B. Are you currently the owner or manager of this property? Yes Skip to question 1a on page 2. No C. Please provide the name, address, and telephone number of the current owner, manager, or corporate office of this property. After obtaining the information below, interview is concluded. Name: Title: Organization: Address: City: ZIP Code: State: Telephone number (including area code): Form RHFS-01 (11-08-2011) Draft 9 01 02

Upload: others

Post on 28-Mar-2020

2 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

16

/

Mark (✗) in only ONE code box below to indicatethe final outcome of the case. If code 547 ismarked, explain the reason in the space provided.

Final Outcome Codes

Interview Noninterview

501

Reason (code 547):

503

516517518

513514

I have reviewed the questionnaire for completeness.

FR’s name Date of interviewFR’s code

520

515

519

/

01

02

03

04

05

06

07

01

02

08

52109

52210

52411

Notes:

52912

53313

54014

54115

54316

54617

54718

YEARMONTH DAY

4b. Please provide the name, address, and telephone number of a person who can assist withthe unanswered questions:Name: Title:

Organization: Address:

City: ZIP Code:State:

Telephone number (including area code):

– –

OMB No. 2528-0276 Approval Expires 10/31/2014

This survey covers all units in the rental property associated with the above address. A property may include more than one building, postal address, or parcel of land.

The debt financing can help define the property for the purposes of this survey. If there is amortgage or similar debt on the property, then the property is defined as the units orbuildings that are covered by a first mortgage. If there is more than one first mortgage, thenthe property is defined by the mortgage that covers the above address. If there is no debtfinancing, the property is defined as the units and buildings owned in common with the streetaddress above.

2012 RENTAL HOUSING FINANCE SURVEY

A. Property

B. Are you currently the owner or manager of this property?

Yes Skip to question 1a on page 2.

No

C. Please provide the name, address, and telephone number of the current owner, manager, orcorporate office of this property.

After obtaining the information below, interview is concluded.

Name: Title:

Organization: Address:

City: ZIP Code:State:

Telephone number (including area code):

– –

Form RHFS-01 (11-08-2011) Draft 9

01

02

Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Kim
Typewritten Text
Page 2: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

1a. Is this property—Mark (X) in only ONE box.

Operated by a public housing authority? If yes, end interview.

A manufactured housing community(prefabricated housing/mobile homes)? If yes, end interview.

None of the above

1b. Is this property—Mark (X) in only ONE box.

Some other type of property? If yes, end interview

A residential property with 5 or more units, of which approximately 80%or more are RENTAL UNITS and commonly owned/financed?

A residential property with 2 to 4 units, all of which are RENTAL UNITS?

2a. How many residential units (separate living quarters) are in each building on thisproperty?

Building 1

Number ofresidential units

Building 2

Building 3

Building 4

Building 5

Building 6

Building 7

Building 8

Building 9

Building 10

How many floors are in each building on this property? Please count basements, finishedattics, and all other floors, regardless of their use.

2b.

2

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . .

01

02

03

01

02

03

Building 11

Number ofresidential units

Building 12

Building 13

Building 14

Building 15

Building 16

Building 17

Building 18

Building 19

Building 20 and higher

. . . . . . . . . . . .

. .

Building 1

Number offloors

Building 2

Building 3

Building 4

Building 5

Building 6

Building 7

Building 8

Building 9

Building 10

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . .

Building 11

Number offloors

Building 12

Building 13

Building 14

Building 15

Building 16

Building 17

Building 18

Building 19

Building 20

More than 20 buildings on property01

15

ADMINISTRATIVE USE ONLY

Property manager

Other agent of owner

1a. Who answered the questions on this form?Mark (X) for all that apply.

Property owner

Yes End survey.

No

1b. Please enter the name, address, and telephone number of the person who answered thequestions on this form.

By personal interview

2. How were the questions on this form completed?Mark (X) for all that apply.

By self-response

No

3. Were administrative records used to locate the property owner, property manager, or theproperty itself?

Yes

4a. Have all applicable questions on this form been answered?

Name: Title:

Organization: Address:

City: ZIP Code:State:

Telephone number (including area code):

– –

01

02

03

01

02

01

02

01

02

By telephone interview03

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

Kim
Typewritten Text
PROPOUT
Kim
Typewritten Text
PROPTYPE
Kim
Typewritten Text
UNITSB1
Kim
Typewritten Text
Kim
Typewritten Text
UNITSB2
Kim
Typewritten Text
UNITSB3
Kim
Typewritten Text
UNITSB4
Kim
Typewritten Text
UNITSB5
Kim
Typewritten Text
UNITSB6
Kim
Typewritten Text
UNITSB7
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
UNITSB8
Kim
Typewritten Text
UNITSB9
Kim
Typewritten Text
UNITSB10
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
UNITSB11
Kim
Typewritten Text
UNITSB12
Kim
Typewritten Text
UNITSB13
Kim
Typewritten Text
UNITSB14
Kim
Typewritten Text
Kim
Typewritten Text
UNITSB15
Kim
Typewritten Text
UNITSB16
Kim
Typewritten Text
UNITSB17
Kim
Typewritten Text
UNITSB18
Kim
Typewritten Text
UNITSB19
Kim
Typewritten Text
UNITSB20PL
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
NOTE: PUF variables NUMCAT_R and NUMBLD_R should total the number of units and buildings respectively.
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Not on PUF
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
FOVER20BLD
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Not on PUF
geagh001
Typewritten Text
Page 3: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

14

37. In what year was themortgage placed/assumed?

If the answer to question 24c is MORE than one, proceed toquestion 37. Otherwise, end interview.

$ .0038. What was the originalamount of the loan?

$ .0039. What is the regularlyrequired payment?

40. How often do youmake this payment? Mark (X) in only ONE boxfor each mortgage.

Biweekly

Monthly

Quarterly

41. What does this regularpayment include? Mark (X) for ALL that apply for each mortgage.

Principal

Interest

Other — Specifybelow

42 Is this loan insured orguaranteed by the—Mark (X) in only ONE boxfor each mortgage.

Federal HousingAdministration(FHA)?

Department ofVeteransAffairs (VA)?

Rural HousingService/RuralDevelopment(formerly FmHA)?

None of theabove

Second Mortgage

$ .00

$ .00

Third Mortgage

$ .00

$ .00

Fourth Mortgage

. . . . . . . . . . . . .

. . . .

. . . . .

Other — Specifybelow ↵

01

02

03

04

01

02

03

01

02

03

04

Federal HousingAdministration(FHA)?

Department ofVeteransAffairs (VA)?

Rural HousingService/RuralDevelopment(formerly FmHA)?

None of theabove

01

02

03

04

Federal HousingAdministration(FHA)?

Department ofVeteransAffairs (VA)?

Rural HousingService/RuralDevelopment (formerly FmHA)?

None of theabove

01

02

03

04

THANK YOU VERY MUCH FOR YOUR COOPERATIONEND SURVEY

Biweekly

Monthly

Quarterly

Principal

Interest

Other — Specifybelow ↵

Other — Specifybelow ↵

01

02

03

04

01

02

03

Biweekly

Monthly

Quarterly

Principal

Interest

Other — Specifybelow ↵

Other — Specifybelow ↵

01

02

03

04

01

02

03

YEAR YEAR YEAR

3a. In what year was the oldest building on this property constructed?

Only one building on property

3b. In what year was the most recent building on this property constructed?YEAR

YEAR

OR

4a. In what year was this property acquired (if original owner, report year constructionwas completed)?

YEAR

4c. What do you believe is the current market value of this property?

$ .00

4d. Which of the following best reflects how you determined your estimate of the currentmarket value in question 4c? FC-1Mark (X) in only ONE box.

Local tax assessment of this property

Recent real estate appraisal

Insurance replacement cost

Original purchase price plus inflation

Original purchase price plus improvements and inflation

Selling or asking price of similar properties in area

Capitalization of current rental revenues

Other — Specify

4b. What was the purchase price of this property?

$ .00

3

01

02

03

01

04

05

06

07

08

5. Of the total residential units identified in question 2a, how many belong to each of thefollowing categories? FC-2Enter unit count for each box, where appropriate.

Renter-occupied

Rented—not yet occupied

Vacant—for rent

Owner-occupied

Occupied by property personnel

Vacant—intended forproperty personnel

0 bedrooms/efficiency 2 bedrooms1 bedroom 3 bedrooms 4 bedrooms 5 bedrooms

or more

. . . . . . . . . . . . . . . . .

. . . . . . . . .

. . . . . . . . . . . . . . . . .

. . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

Other vacant . . . . . . . . . . . . . . . . . . . .

Sold—not yet occupied . . . . . . . . . . .

Vacant—for sale . . . . . . . . . . . . . . . . .

Kim
Typewritten Text
YROLDBLG_R
Kim
Typewritten Text
YRNEWBLG_R
Kim
Typewritten Text
ONEBLG
Kim
Typewritten Text
YRPROPACQ_R
Kim
Typewritten Text
PURPRICE_R
Kim
Typewritten Text
Kim
Typewritten Text
MRKTVAL_R
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
HOWMVAL
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
BED0_R
Kim
Typewritten Text
Kim
Typewritten Text
BED2_R
Kim
Typewritten Text
BED3_R
Kim
Text Box
BED4_R
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
geagh001
Sticky Note
Accepted set by geagh001
geagh001
Sticky Note
Accepted set by geagh001
geagh001
Sticky Note
Accepted set by geagh001
geagh001
Sticky Note
Accepted set by geagh001
geagh001
Sticky Note
Accepted set by geagh001
Kim
Typewritten Text
BED1_R
geagh001
Typewritten Text
NOTE: Recoded variables BED0_R through BED3_R are the sum of the tenure categories by column. BED4_R includes '5 bedrooms or more.'
geagh001
Typewritten Text
geagh001
Typewritten Text
levy0310
Typewritten Text
TRENNO_R
levy0310
Typewritten Text
TRENOC_R
levy0310
Typewritten Text
TRENVA_R
levy0310
Typewritten Text
TOWNOC_R
levy0310
Typewritten Text
TEMPOC_R
levy0310
Typewritten Text
TEMPVA_R
levy0310
Typewritten Text
NOTE: Recoded variables TRENOC_R through TOTHVA_R are the sum of the tenure categories by row.
levy0310
Typewritten Text
TOWNVA_R
levy0310
Typewritten Text
TOWNNO_R
levy0310
Typewritten Text
TOTHVA_R
Page 4: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

6. How many residential units identified in question 5 as RENTER-OCCUPIED, RENTED—NOTYET OCCUPIED, OR VACANT—FOR RENT are offered at each level of rent per month? FC-3Enter unit count for each box, where appropriate.

No rent

Less than $200

$200 – $224

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

4

$225 – $249

$250 – $274

$275 – $299

$300 – $349

$350 – $399

$400 – $449

$450 – $499

$500 – $549

$550 – $599

$600 – $649

$650 – $699

$700 – $749

$750 – $799

$800 – $899

$900 – $999

$1,000 – $1,099

$1,100 – $1,249

$1,250 – $1,499

$1,500 – $1,999

$2,000 – $2,499

$2,500 or more

0 bedrooms/efficiency 2 bedrooms1 bedroom 3 bedrooms 4 bedrooms 5 bedrooms

or more

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

7a. Rent concessions are rent discounts offered by landlords to encourage tenants to sign orrenew a lease. If a tenant rented one of the units identified in question 5 today, what is theequivalent value of the rent concessions that you would be willing to offer? Mark (X) in only ONE box.

No rent concessions

Less than 1 month’s rent

1 month’s rent

Between 1 and 2 months’ rent

2 months’ rent

Between 2 and 3 months’ rent

3 or more months’ rent

01

02

03

04

05

06

07

7b. How many current tenants received rent concessions as part of their current lease?

Tenants

13

35c. How often are these payments required to be made?Mark (X) in only ONE box.

Biweekly (every 2 weeks)

35a. Are there regularly required payments on this property’s CURRENT FIRST mortgage?

$ .00

Quarterly

Monthly

Other — Specify

35d. What does this regular payment include? Mark (X) for ALL that apply.

Principal

Property insurance

Interest

Other — Specify

Private mortgage insurance (PMI)

Property taxes

36. Is the CURRENT FIRST mortgage on this property insured or guaranteed by— FC-8Mark (X) in only ONE box.

The Federal Housing Administration (FHA)?

The Rural Housing Service/Rural Development (formerly FmHA)?

The Department of Veterans Affairs (VA)?

Other — Specify

A private mortgage insurance company?

A state or municipal government?

A state or local housing finance agency?

Mortgage is not insured or guaranteed

Don’t know

↵↵

01

02

03

04

1

01

02

03

04

05

06

01

02

03

04

05

06

07

08

09

Yes

No Skip to question 36.

01

02

35b. What was the amount of the most recent regularly required payment, including taxand insurance, if required?

Kim
Typewritten Text
RENTNO_R
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
RENTLT200_R
Kim
Typewritten Text
RENT224_R
Kim
Typewritten Text
RENT249_R
Kim
Typewritten Text
RENT274_R
Kim
Typewritten Text
RENT299_R
Kim
Typewritten Text
RENT349_R
Kim
Typewritten Text
RENT399_R
Kim
Typewritten Text
RENT449_R
Kim
Typewritten Text
RENT499_R
Kim
Typewritten Text
RENT549_R
Kim
Typewritten Text
RENT599_R
Kim
Typewritten Text
RENT649_R
Kim
Typewritten Text
RENT699_R
Kim
Typewritten Text
RENT749_R
Kim
Typewritten Text
RENT799_R
Kim
Typewritten Text
RENT899_R
Kim
Typewritten Text
RENT999_R
Kim
Typewritten Text
RENT1099_R
Kim
Typewritten Text
RENT1249_R
Kim
Typewritten Text
RENT1499_R
Kim
Typewritten Text
RENT1999_R
Kim
Typewritten Text
RENT2499_R
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
CONCSS
Kim
Typewritten Text
CONCSSNUM
geagh001
Typewritten Text
Kim
Typewritten Text
RENT2500_R
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
NOTE: Recoded variables RENTNO_R through RENT2500_R are the sum of the values collected for 0 bedrooms through 5 bedrooms or more.
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
geagh001
Typewritten Text
Page 5: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

12

32. What is the current annual interest rate on the CURRENT FIRST mortgage?

34a. How frequently can the interest rate of the ARM change? Once every— Mark (X) in only ONE box.

Month

6 months

3 months

Year

. %

33. Is the CURRENT FIRST mortgage on this property—

A fixed-rate, level payment Skip to question 35a.

An adjustable rate mortgage (ARM)

5 years

3 years

Other — Specify

34c. What is the market index?For Treasury security rate or LIBOR rate, specify the term of the rate, such as 3-year or 3-month rate.

Treasury rate

Prime rate

LIBOR

11th District cost-of-fund index

OTS contract mortgage rates

National average cost of funds

Other — Specify

34d. What is the margin over index?

. %

Adjustment not based on index

Years

↵↵

01

02

03

04

05

06

07

01

02

01

02

03

04

05

06

07

08

34b. Is the interest rate tied to an index?

Yes

No Skip to question 35a.

01

02

Months

8. Are any residential units identified in question 5 offered only as seniors housing fortenants aged 55 or older?

9. Rent control or rent stabilization refers to laws or ordinances, not related to subsidyprograms, that set maximum rental charges for residential housing. How many unitsidentified in question 5 are subject to rent control or stabilization?

10. How many off-street parking spaces are associated with this property?

12b. During calendar year 2011, what would have been the total amount collected fromresidential rent if this property were fully occupied and all tenants paid rent on time(accounting for vacant units and uncollected and unpaid rent)?

$ .00

11. Are the following items included in the rent (answer “No” if services or facilities areprovided for an additional fee)?

A

B

C

D

E

F

G

H

12a. What was the total amount collected from rent for all residential housing units on thisproperty during calendar year 2011?

$ .00

5

Yes

No

Units

Spaces

I

Electricity

Gas or oil

Water

Trash collection

Parking

Fitness center

Laundry

Swimming pool

Other free personal services for tenants

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13. Is there any space specified for commercial uses in this property — i.e., nonresidentialunits such as a convenience store, doctor’s office, or any other business establishment(do not include rental/management office)?

Yes

No Skip to question 15a.

Yes NoNot

Present

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

01

02

01

02

0201 03

0201 03

0201 03

0201 03

0201 03

0201 03

0201 03

0201 03

0201 03

Kim
Typewritten Text
SENIOR
Kim
Typewritten Text
RCONTROL
Kim
Typewritten Text
OFFSTPARK
Kim
Typewritten Text
IELEC
Kim
Typewritten Text
IGAS
Kim
Typewritten Text
IWATER
Kim
Typewritten Text
ITRASH
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
IPARKING
Kim
Typewritten Text
IFITNESS
Kim
Typewritten Text
Kim
Typewritten Text
IPOOL
Kim
Typewritten Text
IOTHFREE
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
TOTCOLL
Kim
Typewritten Text
Kim
Typewritten Text
POTENTIAL
Kim
Typewritten Text
Kim
Typewritten Text
COMMSPACE
Kim
Typewritten Text
ILAUNDRY
geagh001
Typewritten Text
geagh001
Typewritten Text
Page 6: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

14b. During calendar year 2011, what were the total actual receipts from commercial rent forall such units in this property?

$ .00

16. In calendar year 2011, how much did you spend on each of the following operatingexpenses for this property (do not include capital expenses)?

A

B

C

D

E

F

G

J

14a. About what percent of the total floor space in this property is used for commercial(nonresidential) purposes?

6

Hours

Payroll costs for employees hired directly by owner

Real estate property taxes

Insurance

Utilities paid by the owner

Maintenance and repairs

Management company

Other professional services (legal, accounting)

Other operating expenses — Specify below

None

. . . . . . . . . . . . . . . . . . . . . . . . .

15a. Who has the responsibility for the day-to-day management of this property? Mark (X) in only ONE box.

Property owner or unpaid agent of owner (such as a family member)

Management agent directly employed by owner

%

Management company

Other — Specify below and Skip to question 16.

15b. On a monthly basis, how many hours does the owner (or owner agent) spend in themanagement of this property?

$ .00

$ .00

$ .00

$ .00

$ .00

$ .00

$ .00

$ .00

Yearly Cost OR

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . .

. . .

$ .00

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

01

02

03

04

00

00

00

00

00

00

00

00

Skip to question 16.↵

Skip to question 16.

H Security$ .00

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00

I Grounds/landscaping$ .00

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00

11

29. Where did you get the CURRENT FIRST mortgage on this property? FC-6Mark (X) in only one box.

Commercial bank or trust company

Savings and loan association, federal savings bank, mutual savings bank

Life insurance company

Mortgage bank or mortgage company

Real Estate Investment Trust (REIT)

Pension fund or retirement fund

Credit union

Other — Specify

Finance company (including consumer discount company, industrial bank, cooperative bank)

State or municipal government

State or local housing finance agency

Individual or individual’s estate

Don’t know

30. Who do you make your CURRENT FIRST mortgage payments to? FC-7Mark (X) in only ONE box.

Commercial bank or trust company

Savings and loan association, federal savings bank, mutual savings bank

Life insurance company

Mortgage bank or mortgage company

Private mortgage pool

Loan servicing company

Credit union

Other — Specify

Finance company (including consumer discount company, industrial bank, cooperative bank)

State or municipal government

State or local housing finance agency

Individual or individual’s estate

Don’t know

↵↵

01

02

03

04

05

06

07

08

09

10

11

12

13

01

02

03

04

05

06

07

08

09

10

11

12

13

31a. What is the term of the loan on this property’s CURRENT FIRST mortgage?

Years

31b. Is there a large payment due at the end of the loan term (a “balloon payment”), or is theloan paid in full after a period of time (“fully amortized”)?

Balloon payment

Fully amortized

01

02

Kim
Typewritten Text
PERCCOMM
Kim
Typewritten Text
COMMRENT
Kim
Typewritten Text
MNGMNT
Kim
Typewritten Text
Kim
Typewritten Text
HRSMNGMNT
Kim
Typewritten Text
Kim
Typewritten Text
Kim
Typewritten Text
OPPAY
Kim
Typewritten Text
Kim
Typewritten Text
OPTAX_R
Kim
Typewritten Text
OPINSUR
Kim
Typewritten Text
OPUTIL
Kim
Typewritten Text
OPREP
Kim
Typewritten Text
OPMNG
Kim
Typewritten Text
OPLAND
Kim
Typewritten Text
OPOTHEX
Kim
Typewritten Text
Kim
Typewritten Text
OPSECUR
Kim
Typewritten Text
OPPROTH
Page 7: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

10

27b. What was the original mortgage amount on the CURRENT FIRST mortgage?

$ .00

25. Is the debt on this property—

A

B

C

D

27a. When did the CURRENT FIRST mortgage loan on this property originate?

A mortgage, deed of trust, or trust deed?

A contract to purchase, land contract, or purchase agreement?

A line of credit secured by this property or a property equity loan?

Some other loan secured by this property(not personal loans or consumer finance loans)? — Specify . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

28. Is the CURRENT FIRST mortgage on this property— FC-5Mark (X) in only ONE box.

A new mortgage that was placed when this property was acquired?

26. Regarding the debt on this property—

A

B

C

Was a personal guarantee required?

Was there cross-collateralization?

Were any other properties included in this first mortgage?

Don’tKnow

. . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MONTH YEAR

27c. What was the appraised value of this property at the time of the CURRENT FIRSTmortgage’s origination?

$ .00

Don’t know

OR

A mortgage placed on a property previously owned free and clear of debt?

A refinancing of a previous loan?

A construction loan converted to permanent financing?

The same mortgage that was assumed from the previous owner when thisproperty was acquired? Skip to question 30.

01

02

03

04

05

0201 03

0201 03

0201 03

Yes No

0201

Yes No

0201

0201

0201

01

17. During calendar years 2010 and 2011, were any of the following capital improvements orupgrades/replacements made at this property? If so, what were their associated costs?Mark (X) for ALL that apply.

7

Heating or air conditioning system

Roof

Windows

Doors

Flooring/carpeting

Exterior

Plumbing system

$ .00

$ .00

$ .00

$ .00

$ .00

$ .00

$ .00

$ .00

Associated Cost

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ .00

Electrical system$ .00

Kitchen facilities$ .00

Bathroom facilities$ .00

Security system$ .00

Swimming pool$ .00

Playground or play area$ .00

Handicapped/universal access$ .00

Other capital improvements or upgrades — Specify

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18. How would you best describe the current ownership entity? F -4Mark (X) in only ONE box.

Individual investor, including joint ownership by two or more individuals, such as husband and wife

Trustee for estate

Limited liability partnership

Limited liability company

Tenant in common

General partnership

Real Estate Investment Trust (REIT)

Other kind of institution — Specify

Life insurance company

Financial institution other than life insurance company

Pension fund or retirement fund

Real estate corporation

Corporation other than real estate corporation

Housing cooperative organization or stock cooperative

Nonprofit organization (including religious institution, labor union, or fraternal organization)

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

01

02

03

04

05

06

07

09

10

11

12

13

14

15

08

C

Kim
Typewritten Text
CPHEAT
Kim
Typewritten Text
CPROOF
Kim
Typewritten Text
CPWINDOW
Kim
Typewritten Text
CPDOOR
Kim
Typewritten Text
CPFLOOR
Kim
Typewritten Text
CPEXTER
Kim
Typewritten Text
CPPLUMB
Kim
Typewritten Text
CPELECSYS
Kim
Typewritten Text
CPKITCH
Kim
Typewritten Text
CPBATH
Kim
Typewritten Text
CPSECSYS
Kim
Typewritten Text
CPSWIM
Kim
Typewritten Text
CPPLAYGR
Kim
Typewritten Text
CPACCESS
Kim
Typewritten Text
CPHEATAMT
Kim
Typewritten Text
CPRFAMT
Kim
Typewritten Text
CPWINAMT
Kim
Typewritten Text
CPDOORAMT
Kim
Typewritten Text
CPFLRAMT
Kim
Typewritten Text
CPEXTAMT
Kim
Typewritten Text
CPPLBAMT
Kim
Typewritten Text
CPELEAMT
Kim
Typewritten Text
CPKITAMT
Kim
Typewritten Text
CPBATAMT
Kim
Typewritten Text
CPSECAMT
Kim
Typewritten Text
CPSWIMAMT
Kim
Typewritten Text
CPPLGAMT
Kim
Typewritten Text
CPACCAMT
Kim
Typewritten Text
CPOTHUSC
Kim
Typewritten Text
CPOTHAMT
Kim
Typewritten Text
OWNENT
Kim
Typewritten Text
levy0310
Typewritten Text
Note: CAPEX_R is the sum of all capital improvement costs.
Page 8: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

8

Tenants

19a. A Housing Choice (or Section 8) Voucher is a HUD program that pays all or part of therent and allows the tenant to take the voucher to a different unit. Do any tenants holdHousing Choice (or Section 8) Vouchers?

19b. How many tenants hold Housing Choice (or Section 8) Vouchers?

Yes

No

Don’t know Skip to question 20a.

Units

20a. A Section 8 Housing Assistance Payment (HAP) contract covers all or most of the units ina (usually larger) property and is an agreement in which HUD pays some or all of the rent.Does this property have a Section 8 HAP contract?

20b. How many Section 8 HAP units are on this property?

Yes

No

Don’t know Skip to question 21a.

Vouchers

21a. A project-based voucher is an agreement with a public housing agency to keep a Section 8Voucher attached to a unit to pay some or all of the rent, even when the low-incometenants move out and are replaced by other qualified tenants. Are any units subsidizedwith project-based Section 8 Vouchers?

21b. How many project-based vouchers are associated with this property?

Yes

No

Don’t know Skip to question 22.

01

02

03

01

02

03

01

02

03

9

22. Does this property benefit from any of the following? Mark (X) for ALL that apply.

A government-sponsored, below-market interest rate loan

Housing for the elderly direct loan program (Section 202)

A federal government rental subsidy OTHER than Section 8 paymentsto project or tenants — Specify

Other — Specify

Low-Income Housing Tax Credit Program (Section 42)

A government grant (HOME, CDBG, HOPE VI)

Federal income tax credit for old or historic properties (Section 38)

No, not subsidized

Don’t know

Accelerated federal income tax depreciation for low- and moderate-income properties

Subsidy from a private entity

23. For calendar year 2011, have any real estate tax reductions, abatements, or refundsbeen received on this property for any of the following reasons?

A

B

C

For historic preservation

Because this property houses low-income tenants

Because this property is in a low-income area

Don’tKnow

. . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D

E

F

Because this property is in a targeted economic development area

Because of real estate tax appeal or assessment

For some other reason — Specify below

. . . . . . . . . . . . . . . . . . . . .

. . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . .

01

02

03

04

05

06

07

08

09

10

11

Yes No0201 03

0201 03

0201 03

0201 03

0201 03

0201

Mortgages or similar debts

24a. Is there a mortgage or similar debt on this property?

24c. How many mortgages or similar debts are on this property?

Yes Skip to 24c

No

01

02

24b. Why is there no mortgage or similar debt on this property?

I prefer not to carry any debt on this property or do not want a mortgage - End interview

I have tried to get a mortgage, but was denied - End interview

01

02

Other — Specify below then End interview03

Kim
Typewritten Text
VOUCHER
Kim
Typewritten Text
VOUCHNUM
Kim
Typewritten Text
SECT8
Kim
Typewritten Text
SECT8NUM
Kim
Typewritten Text
PBS8V
Kim
Typewritten Text
PBS8VNUM
Page 9: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

8

Tenants

19a. A Housing Choice (or Section 8) Voucher is a HUD program that pays all or part of therent and allows the tenant to take the voucher to a different unit. Do any tenants holdHousing Choice (or Section 8) Vouchers?

19b. How many tenants hold Housing Choice (or Section 8) Vouchers?

Yes

No

Don’t know Skip to question 20a.

Units

20a. A Section 8 Housing Assistance Payment (HAP) contract covers all or most of the units ina (usually larger) property and is an agreement in which HUD pays some or all of the rent.Does this property have a Section 8 HAP contract?

20b. How many Section 8 HAP units are on this property?

Yes

No

Don’t know Skip to question 21a.

Vouchers

21a. A project-based voucher is an agreement with a public housing agency to keep a Section 8Voucher attached to a unit to pay some or all of the rent, even when the low-incometenants move out and are replaced by other qualified tenants. Are any units subsidizedwith project-based Section 8 Vouchers?

21b. How many project-based vouchers are associated with this property?

Yes

No

Don’t know Skip to question 22.

01

02

03

01

02

03

01

02

03

9

22. Does this property benefit from any of the following? Mark (X) for ALL that apply.

A government-sponsored, below-market interest rate loan

Housing for the elderly direct loan program (Section 202)

A federal government rental subsidy OTHER than Section 8 paymentsto project or tenants — Specify

Other — Specify

Low-Income Housing Tax Credit Program (Section 42)

A government grant (HOME, CDBG, HOPE VI)

Federal income tax credit for old or historic properties (Section 38)

No, not subsidized

Don’t know

Accelerated federal income tax depreciation for low- and moderate-income properties

Subsidy from a private entity

23. For calendar year 2011, have any real estate tax reductions, abatements, or refundsbeen received on this property for any of the following reasons?

A

B

C

For historic preservation

Because this property houses low-income tenants

Because this property is in a low-income area

Don’tKnow

. . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D

E

F

Because this property is in a targeted economic development area

Because of real estate tax appeal or assessment

For some other reason — Specify below

. . . . . . . . . . . . . . . . . . . . .

. . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . .

01

02

03

04

05

06

07

08

09

10

11

Yes No0201 03

0201 03

0201 03

0201 03

0201 03

0201

Mortgages or similar debts

24a. Is there a mortgage or similar debt on this property?

24c. How many mortgages or similar debts are on this property?

Yes Skip to 24c

No

01

02

24b. Why is there no mortgage or similar debt on this property?

I prefer not to carry any debt on this property or do not want a mortgage - End interview

I have tried to get a mortgage, but was denied - End interview

01

02

Other — Specify below then End interview03

Kim
Typewritten Text
GOVBELOW
Kim
Typewritten Text
RSUBSIDY
Kim
Typewritten Text
ELDERLY
Kim
Typewritten Text
LOWINCTC
Kim
Typewritten Text
GOVGRANT
Kim
Typewritten Text
TXCREDIT
Kim
Typewritten Text
TAXDEPREC
Kim
Typewritten Text
PRIVATE
Kim
Typewritten Text
BENEOTH
Kim
Typewritten Text
NOTSUBSDZ
Kim
Typewritten Text
DKSUBSDZ
Kim
Typewritten Text
Kim
Typewritten Text
HISTORIC
Kim
Typewritten Text
LOWINCTEN
Kim
Typewritten Text
LOWINAREA
Kim
Typewritten Text
ECONDEVLP
Kim
Typewritten Text
APPEAL
Kim
Typewritten Text
OTHRCV
Kim
Typewritten Text
DEBT
Kim
Typewritten Text
DEBTNUM
Kim
Typewritten Text
WHYNOMRT
Page 10: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

10

27b. What was the original mortgage amount on the CURRENT FIRST mortgage?

$ .00

25. Is the debt on this property—

A

B

C

D

27a. When did the CURRENT FIRST mortgage loan on this property originate?

A mortgage, deed of trust, or trust deed?

A contract to purchase, land contract, or purchase agreement?

A line of credit secured by this property or a property equity loan?

Some other loan secured by this property(not personal loans or consumer finance loans)? — Specify . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

28. Is the CURRENT FIRST mortgage on this property— FC-5Mark (X) in only ONE box.

A new mortgage that was placed when this property was acquired?

26. Regarding the debt on this property—

A

B

C

Was a personal guarantee required?

Was there cross-collateralization?

Were any other properties included in this first mortgage?

Don’tKnow

. . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MONTH YEAR

27c. What was the appraised value of this property at the time of the CURRENT FIRSTmortgage’s origination?

$ .00

Don’t know

OR

A mortgage placed on a property previously owned free and clear of debt?

A refinancing of a previous loan?

A construction loan converted to permanent financing?

The same mortgage that was assumed from the previous owner when thisproperty was acquired? Skip to question 30.

01

02

03

04

05

0201 03

0201 03

0201 03

Yes No

0201

Yes No

0201

0201

0201

01

17. During calendar years 2010 and 2011, were any of the following capital improvements orupgrades/replacements made at this property? If so, what were their associated costs?Mark (X) for ALL that apply.

7

Heating or air conditioning system

Roof

Windows

Doors

Flooring/carpeting

Exterior

Plumbing system

$ .00

$ .00

$ .00

$ .00

$ .00

$ .00

$ .00

$ .00

Associated Cost

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ .00

Electrical system$ .00

Kitchen facilities$ .00

Bathroom facilities$ .00

Security system$ .00

Swimming pool$ .00

Playground or play area$ .00

Handicapped/universal access$ .00

Other capital improvements or upgrades — Specify

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18. How would you best describe the current ownership entity? F-4Mark (X) in only ONE box.

Individual investor, including joint ownership by two or more individuals, such as husband and wife

Trustee for estate

Limited liability partnership

Limited liability company

Tenant in common

General partnership

Real Estate Investment Trust (REIT)

Other kind of institution — Specify

Life insurance company

Financial institution other than life insurance company

Pension fund or retirement fund

Real estate corporation

Corporation other than real estate corporation

Housing cooperative organization or stock cooperative

Nonprofit organization (including religious institution, labor union, or fraternal organization)

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

01

02

03

04

05

06

07

09

10

11

12

13

14

15

08

Kim
Typewritten Text
MORTGAGE
Kim
Typewritten Text
CONTRACT
Kim
Typewritten Text
LINECRDT
Kim
Typewritten Text
OTHLOAN
Kim
Typewritten Text
GUARANTEE
Kim
Typewritten Text
CROSSCOLL
Kim
Typewritten Text
MOREPROPS
Kim
Typewritten Text
MTHMORT
Kim
Typewritten Text
YRMORT1_R
Kim
Typewritten Text
MORTAMT
Kim
Typewritten Text
APPVAL
Kim
Typewritten Text
APPVALDK
Kim
Typewritten Text
MORTKIND
Page 11: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

14b. During calendar year 2011, what were the total actual receipts from commercial rent forall such units in this property?

$ .00

16. In calendar year 2011, how much did you spend on each of the following operatingexpenses for this property (do not include capital expenses)?

A

B

C

D

E

F

G

J

14a. About what percent of the total floor space in this property is used for commercial(nonresidential) purposes?

6

Hours

Payroll costs for employees hired directly by owner

Real estate property taxes

Insurance

Utilities paid by the owner

Maintenance and repairs

Management company

Other professional services (legal, accounting)

Other operating expenses — Specify below

None

. . . . . . . . . . . . . . . . . . . . . . . . .

15a. Who has the responsibility for the day-to-day management of this property? Mark (X) in only ONE box.

Property owner or unpaid agent of owner (such as a family member)

Management agent directly employed by owner

%

Management company

Other — Specify below and Skip to question 16.

15b. On a monthly basis, how many hours does the owner (or owner agent) spend in themanagement of this property?

$ .00

$ .00

$ .00

$ .00

$ .00

$ .00

$ .00

$ .00

Yearly Cost OR

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . .

. . .

$ .00

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

01

02

03

04

00

00

00

00

00

00

00

00

Skip to question 16.

Skip to question 16.

H Security$ .00

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00

I Grounds/landscaping$ .00

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00

11

29. Where did you get the CURRENT FIRST mortgage on this property? FC-6Mark (X) in only one box.

Commercial bank or trust company

Savings and loan association, federal savings bank, mutual savings bank

Life insurance company

Mortgage bank or mortgage company

Real Estate Investment Trust (REIT)

Pension fund or retirement fund

Credit union

Other — Specify

Finance company (including consumer discount company, industrial bank, cooperative bank)

State or municipal government

State or local housing finance agency

Individual or individual’s estate

Don’t know

30. Who do you make your CURRENT FIRST mortgage payments to? FC-7Mark (X) in only ONE box.

Commercial bank or trust company

Savings and loan association, federal savings bank, mutual savings bank

Life insurance company

Mortgage bank or mortgage company

Private mortgage pool

Loan servicing company

Credit union

Other — Specify

Finance company (including consumer discount company, industrial bank, cooperative bank)

State or municipal government

State or local housing finance agency

Individual or individual’s estate

Don’t know

↵↵

01

02

03

04

05

06

07

08

09

10

11

12

13

01

02

03

04

05

06

07

08

09

10

11

12

13

31a. What is the term of the loan on this property’s CURRENT FIRST mortgage?

Years

31b. Is there a large payment due at the end of the loan term (a “balloon payment”), or is theloan paid in full after a period of time (“fully amortized”)?

Balloon payment

Fully amortized

01

02

Kim
Typewritten Text
MORTGET
Kim
Typewritten Text
MORTPAY
Kim
Typewritten Text
TERM
Kim
Typewritten Text
DIFFLOAN
Page 12: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

12

32. What is the current annual interest rate on the CURRENT FIRST mortgage?

34a. How frequently can the interest rate of the ARM change? Once every— Mark (X) in only ONE box.

Month

6 months

3 months

Year

. %

33. Is the CURRENT FIRST mortgage on this property—

A fixed-rate, level payment Skip to question 35a.

An adjustable rate mortgage (ARM)

5 years

3 years

Other — Specify

34c. What is the market index?For Treasury security rate or LIBOR rate, specify the term of the rate, such as 3-year or 3-month rate.

Treasury rate

Prime rate

LIBOR

11th District cost-of-fund index

OTS contract mortgage rates

National average cost of funds

Other — Specify

34d. What is the margin over index?

. %

Adjustment not based on index

Years

↵↵

01

02

03

04

05

06

07

01

02

01

02

03

04

05

06

07

08

34b. Is the interest rate tied to an index?

Yes

No Skip to question 35a.

01

02

Months

8. Are any residential units identified in question 5 offered only as seniors housing fortenants aged 55 or older?

9. Rent control or rent stabilization refers to laws or ordinances, not related to subsidyprograms, that set maximum rental charges for residential housing. How many unitsidentified in question 5 are subject to rent control or stabilization?

10. How many off-street parking spaces are associated with this property?

12b. During calendar year 2011, what would have been the total amount collected fromresidential rent if this property were fully occupied and all tenants paid rent on time(accounting for vacant units and uncollected and unpaid rent)?

$ .00

11. Are the following items included in the rent (answer “No” if services or facilities areprovided for an additional fee)?

A

B

C

D

E

F

G

H

12a. What was the total amount collected from rent for all residential housing units on thisproperty during calendar year 2011?

$ .00

5

Yes

No

Units

Spaces

I

Electricity

Gas or oil

Water

Trash collection

Parking

Fitness center

Laundry

Swimming pool

Other free personal services for tenants

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13. Is there any space specified for commercial uses in this property — i.e., nonresidentialunits such as a convenience store, doctor’s office, or any other business establishment(do not include rental/management office)?

Yes

No Skip to question 15a.

Yes NoNot

Present

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

01

02

01

02

0201 03

0201 03

0201 03

0201 03

0201 03

0201 03

0201 03

0201 03

0201 03

Kim
Typewritten Text
CURRATE_R
Kim
Typewritten Text
FIXADJ
Kim
Typewritten Text
ARM
Kim
Typewritten Text
TIED2INX
Kim
Typewritten Text
MRKTINX
Kim
Typewritten Text
YRTRSRY
Kim
Typewritten Text
MTHTRSRY
Kim
Typewritten Text
MARGINDEX_R
Page 13: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

6. How many residential units identified in question 5 as RENTER-OCCUPIED, RENTED—NOTYET OCCUPIED, OR VACANT—FOR RENT are offered at each level of rent per month? FC-3Enter unit count for each box, where appropriate.

No rent

Less than $200

$200 – $224

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

4

$225 – $249

$250 – $274

$275 – $299

$300 – $349

$350 – $399

$400 – $449

$450 – $499

$500 – $549

$550 – $599

$600 – $649

$650 – $699

$700 – $749

$750 – $799

$800 – $899

$900 – $999

$1,000 – $1,099

$1,100 – $1,249

$1,250 – $1,499

$1,500 – $1,999

$2,000 – $2,499

$2,500 or more

0 bedrooms/efficiency 2 bedrooms1 bedroom 3 bedrooms 4 bedrooms 5 bedrooms

or more

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

7a. Rent concessions are rent discounts offered by landlords to encourage tenants to sign orrenew a lease. If a tenant rented one of the units identified in question 5 today, what is theequivalent value of the rent concessions that you would be willing to offer? Mark (X) in only ONE box.

No rent concessions

Less than 1 month’s rent

1 month’s rent

Between 1 and 2 months’ rent

2 months’ rent

Between 2 and 3 months’ rent

3 or more months’ rent

01

02

03

04

05

06

07

7b. How many current tenants received rent concessions as part of their current lease?

Tenants

13

35c. How often are these payments required to be made?Mark (X) in only ONE box.

Biweekly (every 2 weeks)

35a. Are there regularly required payments on this property’s CURRENT FIRST mortgage?

$ .00

Quarterly

Monthly

Other — Specify

35d. What does this regular payment include? Mark (X) for ALL that apply.

Principal

Property insurance

Interest

Other — Specify

Private mortgage insurance (PMI)

Property taxes

36. Is the CURRENT FIRST mortgage on this property insured or guaranteed by— FC-8Mark (X) in only ONE box.

The Federal Housing Administration (FHA)?

The Rural Housing Service/Rural Development (formerly FmHA)?

The Department of Veterans Affairs (VA)?

Other — Specify

A private mortgage insurance company?

A state or municipal government?

A state or local housing finance agency?

Mortgage is not insured or guaranteed

Don’t know

↵↵

↵01

02

03

04

1

01

02

03

04

05

06

01

02

03

04

05

06

07

08

09

Yes

No Skip to question 36.

01

02

35b. What was the amount of the most recent regularly required payment, including taxand insurance, if required?

Kim
Typewritten Text
REGPAY
Kim
Typewritten Text
PMTAMT
Kim
Typewritten Text
PMTFREQ
Kim
Typewritten Text
RPIPRIN
Kim
Typewritten Text
RPIINT
Kim
Typewritten Text
RPIPRPINS
Kim
Typewritten Text
RPIPMI
Kim
Typewritten Text
RPIOTH
Kim
Typewritten Text
RPIPRPTAX
Kim
Typewritten Text
INSURED_R
Page 14: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

14

37. In what year was themortgage placed/assumed?

If the answer to question 24c is MORE than one, proceed toquestion 37. Otherwise, end interview.

$ .0038. What was the originalamount of the loan?

$ .0039. What is the regularlyrequired payment?

40. How often do youmake this payment? Mark (X) in only ONE boxfor each mortgage.

Biweekly

Monthly

Quarterly

41. What does this regularpayment include? Mark (X) for ALL that apply for each mortgage.

Principal

Interest

Other — Specifybelow

42 Is this loan insured orguaranteed by the—Mark (X) in only ONE boxfor each mortgage.

Federal HousingAdministration(FHA)?

Department ofVeteransAffairs (VA)?

Rural HousingService/RuralDevelopment(formerly FmHA)?

None of theabove

Second Mortgage

$ .00

$ .00

Third Mortgage

$ .00

$ .00

Fourth Mortgage

. . . . . . . . . . . . .

. . . .

. . . . .

↵Other — Specifybelow ↵

01

02

03

04

01

02

03

01

02

03

04

Federal HousingAdministration(FHA)?

Department ofVeteransAffairs (VA)?

Rural HousingService/RuralDevelopment(formerly FmHA)?

None of theabove

01

02

03

04

Federal HousingAdministration(FHA)?

Department ofVeteransAffairs (VA)?

Rural HousingService/RuralDevelopment (formerly FmHA)?

None of theabove

01

02

03

04

THANK YOU VERY MUCH FOR YOUR COOPERATIONEND SURVEY

Biweekly

Monthly

Quarterly

Principal

Interest

Other — Specifybelow ↵

Other — Specifybelow ↵

01

02

03

04

01

02

03

Biweekly

Monthly

Quarterly

Principal

Interest

Other — Specifybelow ↵

Other — Specifybelow ↵

01

02

03

04

01

02

03

YEAR YEAR YEAR

3a. In what year was the oldest building on this property constructed?

Only one building on property

3b. In what year was the most recent building on this property constructed?YEAR

YEAR

OR

4a. In what year was this property acquired (if original owner, report year constructionwas completed)?

YEAR

4c. What do you believe is the current market value of this property?

$ .00

4d. Which of the following best reflects how you determined your estimate of the currentmarket value in question 4c? FC-1Mark (X) in only ONE box.

Local tax assessment of this property

Recent real estate appraisal

Insurance replacement cost

Original purchase price plus inflation

Original purchase price plus improvements and inflation

Selling or asking price of similar properties in area

Capitalization of current rental revenues

Other — Specify

4b. What was the purchase price of this property?

$ .00

3

01

02

03

01

04

05

06

07

08

5. Of the total residential units identified in question 2a, how many belong to each of thefollowing categories? FC-2Enter unit count for each box, where appropriate.

Renter-occupied

Rented—not yet occupied

Vacant—for rent

Owner-occupied

Occupied by property personnel

Vacant—intended forproperty personnel

0 bedrooms/efficiency 2 bedrooms1 bedroom 3 bedrooms 4 bedrooms 5 bedrooms

or more

. . . . . . . . . . . . . . . . .

. . . . . . . . .

. . . . . . . . . . . . . . . . .

. . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

Other vacant . . . . . . . . . . . . . . . . . . . .

Sold—not yet occupied . . . . . . . . . . .

Vacant—for sale . . . . . . . . . . . . . . . . .

Kim
Typewritten Text
YRMORT2_R
Kim
Typewritten Text
YRMORT3_R
Kim
Typewritten Text
YRMORT4_R
Kim
Typewritten Text
MORTAMT2
Kim
Typewritten Text
MORTAMT3
Kim
Typewritten Text
MORTAMT4
Kim
Typewritten Text
PMTAMT2
Kim
Typewritten Text
PMTAMT3
Kim
Typewritten Text
PMTAMT4
Kim
Typewritten Text
PMTFREQ2
Kim
Typewritten Text
PMTFREQ3
Kim
Typewritten Text
PMTFREQ4
Kim
Typewritten Text
INSURED2
Kim
Typewritten Text
INSURED3
Kim
Typewritten Text
INSURED4
geagh001
Typewritten Text
RPIPRIN2
geagh001
Typewritten Text
geagh001
Typewritten Text
RPIPRIN3
geagh001
Typewritten Text
RPIPRIN4
geagh001
Typewritten Text
geagh001
Typewritten Text
RPIINT2
geagh001
Typewritten Text
RPIINT3
geagh001
Typewritten Text
RPIINT4
geagh001
Typewritten Text
geagh001
Typewritten Text
RPIOTH2
geagh001
Typewritten Text
RPIOTH3
geagh001
Typewritten Text
RPIOTH4
Page 15: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

1a. Is this property—Mark (X) in only ONE box.

Operated by a public housing authority? If yes, end interview.

A manufactured housing community(prefabricated housing/mobile homes)? If yes, end interview.

None of the above

1b. Is this property—Mark (X) in only ONE box.

Some other type of property? If yes, end interview

A residential property with 5 or more units, of which approximately 80%or more are RENTAL UNITS and commonly owned/financed?

A residential property with 2 to 4 units, all of which are RENTAL UNITS?

2a. How many residential units (separate living quarters) are in each building on thisproperty?

Building 1

Number ofresidential units

Building 2

Building 3

Building 4

Building 5

Building 6

Building 7

Building 8

Building 9

Building 10

How many floors are in each building on this property? Please count basements, finishedattics, and all other floors, regardless of their use.

2b.

2

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . .

01

02

03

01

02

03

Building 11

Number ofresidential units

Building 12

Building 13

Building 14

Building 15

Building 16

Building 17

Building 18

Building 19

Building 20 and higher

. . . . . . . . . . . .

. .

Building 1

Number offloors

Building 2

Building 3

Building 4

Building 5

Building 6

Building 7

Building 8

Building 9

Building 10

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . .

Building 11

Number offloors

Building 12

Building 13

Building 14

Building 15

Building 16

Building 17

Building 18

Building 19

Building 20

More than 20 buildings on property01

15

ADMINISTRATIVE USE ONLY

Property manager

Other agent of owner

1a. Who answered the questions on this form?Mark (X) for all that apply.

Property owner

Yes End survey.

No

1b. Please enter the name, address, and telephone number of the person who answered thequestions on this form.

By personal interview

2. How were the questions on this form completed?Mark (X) for all that apply.

By self-response

No

3. Were administrative records used to locate the property owner, property manager, or theproperty itself?

Yes

4a. Have all applicable questions on this form been answered?

Name: Title:

Organization: Address:

City: ZIP Code:State:

Telephone number (including area code):

– –

01

02

03

01

02

01

02

01

02

By telephone interview03

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

Page 16: Final Outcome Codes - HUDUser.gov · Notes: 12 529 13 533 14 540 15 541 16 543 17 546 18 547 MONTH DAY YEAR 4b. ... 01 03 01 03 Monthly Quarterly. Principal Interest Other — Specify

16

/

Mark (✗) in only ONE code box below to indicatethe final outcome of the case. If code 547 ismarked, explain the reason in the space provided.

Final Outcome Codes

Interview Noninterview

501

Reason (code 547):

503

516517518

513514

I have reviewed the questionnaire for completeness.

FR’s name Date of interviewFR’s code

520

515

519

/

01

02

03

04

05

06

07

01

02

08

52109

52210

52411

Notes:

52912

53313

54014

54115

54316

54617

54718

YEARMONTH DAY

4b. Please provide the name, address, and telephone number of a person who can assist withthe unanswered questions:Name: Title:

Organization: Address:

City: ZIP Code:State:

Telephone number (including area code):

– –

OMB No. 2528-0276 Approval Expires 10/31/2014

This survey covers all units in the rental property associated with the above address. A property may include more than one building, postal address, or parcel of land.

The debt financing can help define the property for the purposes of this survey. If there is amortgage or similar debt on the property, then the property is defined as the units orbuildings that are covered by a first mortgage. If there is more than one first mortgage, thenthe property is defined by the mortgage that covers the above address. If there is no debtfinancing, the property is defined as the units and buildings owned in common with the streetaddress above.

2012 RENTAL HOUSING FINANCE SURVEY

A. Property

B. Are you currently the owner or manager of this property?

Yes Skip to question 1a on page 2.

No

C. Please provide the name, address, and telephone number of the current owner, manager, orcorporate office of this property.

After obtaining the information below, interview is concluded.

Name: Title:

Organization: Address:

City: ZIP Code:State:

Telephone number (including area code):

– –

Form RHFS-01 (11-08-2011) Draft 9

01

02

levy0310
Typewritten Text
OUTCOME