Form Hud-9834 - Management Review For Multifamily Housing Projects Page 35

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Project Name:
FHA/Project#
Section 8/PAC/PRAC#
ADDENDUM B
PART A
OCCUPANCY/ACCESSIBLE UNITS/PROGRAM ACCESSIBILITY
Authority:
Section 504 of the Rehabilitation Act of 1973 (24CFR Part 8)
Fair Housing Act/Title VIII Regulations (24 CFR Part 100.200)
Uniform Federal Accessibility Standards (UFAS) (24 CFR Part 40)
Regulatory Agreement
For this Section, the reviewer must forward the form along with the instructions for completion to the owner/agent prior to the on-site review. For
subsidized projects, the owner/agent must complete the project information above and the information in Sections I, II, and III below. (See
attached instructions.) For unsubsidized projects, the owner/agent must complete the project information above and Sections I and II only.
Section III consists of Section 504 compliance, which does not apply to projects that do not receive federal financial assistance. The reviewer
will obtain the completed form from the owner/agent during the on-site review.
SECTION I – OCCUPANCY
1. This property was designed primarily for:
2. Indicate the number of units currently occupied by client groups
below
Exclusively Elderly
Exclusively Elderly -
Exclusively Disabled
Exclusively Disabled -
Elderly/Disabled -
Elderly and Disabled
Near-Elderly Disabled -
Family
Family -
___
3. Is there a use agreement or any other document that indicates that this project must serve only elderly tenants?
Yes
No
Unknown
If yes, specify type of document:
Effective Date:
(Please attach a copy of the document(s) indicated above.)
4. If this project is a “covered Section 8 housing project” (see instructions), is there an occupancy preference for the elderly in accordance
with Section 651 of Title VI, Subtitle D of the Housing and Community Development Act of 1992? (Refer to HUD Handbook 4350.3,
REV-1)
Yes
No
If No, proceed to question 5.
If yes, please indicate:
a. the date of the elderly preference:
b. the number of units that must be reserved for occupancy by non-elderly persons with disabilities
, and,
c. the date used to determine the number of units reserved for non-elderly persons with disabilities
5. Is there an occupancy restriction for the elderly in accordance with Section 658 of Title VI, Subtitle D of the Housing and Community
Development Act of 1992? (Refer to HUD Handbook 4350.3, REV-1)
Yes
No
6. Total Number of Units Exclusively for
7. Total Number of Units Exclusively for
8. Total Number of Units that must be
the Elderly
Persons with Disabilities
occupied only by Non-Elderly Persons with
Disabilities
I certify that this information is true and accurate.
Warning: HUD will prosecute false claims and statements. Convictions may result in criminal and/or civil penalties. (18 U.S.C. 1001,
1010, 1012; 31 U.S.C. 3729, 3802)
Signature of Owner
Date:
form HUD-9834 (6/2009)
Ref. HUD Handbook 4350.1, REV-1
and HUD Handbook 4566.2
Page 3 of 13

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