U.S. Department of Housing
OMB Approval No. 2502-0314
Project Analysis
(exp. 12/31/2008)
and Urban Development
Worksheet
Office of Housing
Federal Housing Commissioner
Public reporting burden for this collection of information is estimated to average 4.25 hours, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This information is required to obtain
benefits. HUD may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number.
Loan Servicing of all three Coinsurance Programs, Section 221(d), Section 223(f), and Section 232, need this information to review and evaluate the financial,
physical, and managerial adequacy of multifamily housing, retirement service centers, and nursing homes with multimillion dollar coinsured loans. Section 24
CFR Parts 251, 252, and 255 authorizes the Secretary of the Department of Housing and Urban Development to collection this information to minimize risks and
to protect these assets and the Government’s interest. While no assurances of confidentiality are pledged to respondents, HUD generally discloses this data
only in response to a Freedom of Information request.
Prepare when
HUD Field Office
LM Branch Chief declares project troubled
Project defaults
Financial relief is requested
Foreclosure/assignment election made
Date (mm/dd/yyyy)
A. General Project Information
1. Name and Address of Project
2. Project Number
4. Rehab?
6.
MIP
—
Yes
No
3. Section of Act
5.
Insured
In Receivership
Code
Write Out
HUD-Held
HUD-Owned
Coinsured
7. (a)Date of Initial Occupancy (mm/dd/yyyy) 8. Current Owner
(a) Name
(c) Date Present Owner Assumed Ownership
(mm/dd/yyyy)
(b)Date 95% Occupancy (mm/dd/yyyy)
(b) Key Principals and Title
(d) Ownership Type (Check Box)
NP
LD
Coop
(c) Date Construction 100% Complete
Other (Specify)
(mm/dd/yyyy)
9. Mortgage Data
10. Project Is Managed By (Check block and insert name)
(a) Mortgagee Name
Professional Agent
Since(Date)(mm/dd/yyyy)
(b) Original Mortgage Amount
Site Manager Hired By Owner
Since(Date)(mm/dd/yyyy)
$
at
%
(c) Start of Amortization (Date) (mm/dd/yyyy)
Other (Specify)
(d) Final Endorsement (Date) (mm/dd/yyyy)
Is there any identity of interest between agent and owner?
Yes
No
11. (a) Total Number of Units in Project
(b) Number of Each Type
_____ Eff.
_____ 1 Bdrm.
_____ 2 Bdrm.
_____ 3 Bdrm.
_____4 or more Bdrm.
12. Secondary Subsidy
Rent Supp
RAP
Sec. 8*
Sec. 8 FK
Sec. 23
Flex Sub
Total
(a) Number of Units Approved
(b) Annual Contract Amount
$
$
$
$
$
(c) Number of Units Used Last Month
(d) Estimated Usage this Year
$
$
$
$
$
*Except Finders-keepers
13. Dates of Last On-Site Visit of Each Type (mm/dd/yyyy)
HUD Physical Inspection
Mortgagee's Inspection
Occupancy Review
Drive By
Management Review
Comprehensive
Limited
Page 1 of 7
form HUD-9815 (11/2002)
ref Handbook 4350.1