"Annual Compliance Report for Rental Properties With State-Assisted Home, Htf and/or Nsp Units" - Arizona

Annual Compliance Report for Rental Properties With State-Assisted Home, Htf and/or Nsp Units is a legal document that was released by the Arizona Department of Housing - a government authority operating within Arizona.

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HOME/HTF/NSP
ANNUAL REPORT GUIDE
YE 2019
1. HOME, HTF or NSP Annual Report for Long Term Compliance
The report is due annually, postmarked on or before August 1
, and has a reporting period from January
st
1
through December 31
of the previous year.
st
st
The report is not considered received in its entirety unless the following documents are submitted:
a. Annual Compliance Report for Rental Properties with State-Assisted Units
i.
Required for all Permanent or Transitional Rental Housing
ii.
If Form mailed in, it must be signed by the owner in Original Ink
iii.
Form can also be submitted via Annual Report Portal.
iv.
HOME Properties: Complete & Submit attached Affirmative Marketing Report
b. Rental Schedule for State-Assisted Units – Annual Compliance Report Attachment
i.
Required of all HOME/HTF/NSP Projects
ii.
Letter Size Document
iii.
Tracks all activity for state-assisted units in project for entire reporting period.
iv.
Illustrate “Vacancy” on a separate line for unit vacancies over 30 consecutive dates
and include date unit became vacant in the move-in column.
v.
Please provide additional written explanation for all units vacant over 6 consecutive
months.
vi.
Provide lease term and signature pages for households occupying units for less than
the required 12 months.
vii.
Information for the Rental Schedule should come directly from the Tenant Income
Certification (TIC) form completed for each household in 2019.
viii.
Project Name/Address: Enter the property name (i.e. Perfect Place Apartments) and
the address.
ix.
Unit #: Units must be listed on a per building basis in numerical order.
x.
# Bdrms: Number of bedrooms in the unit
xi.
Household Last Name: Head of Household’s last name and first initial. For vacant
units write “VACANT”.
xii.
Unit Set-Aside: Enter the set-aside percentage of the AMGI for the unit, as outlined
in the project’s CCRs.
xiii.
Race of HH: Use number code to identify race of household based on Household
Demographic information obtained at move-in or recertification.
xiv.
Hispanic: Input a “Y” for yes and an “N” for no, based on Household Demographic
information obtained at move-in or recertification.
xv.
Total # of people in the unit: List the total number of people residing in the unit.
xvi.
Move-In Date: The original date that the tenant moved into the unit. For vacant
units, list the day after the unit was last occupied.
xvii.
Annual Recert Date: Enter the date of recertification during the reportable year
(2016). Only input if the tenant moved in during a previous reporting year. Fill in
N/A for current reportable year move-ins and vacant lines.
HOME/HTF/NSP Compliance Annual Report
Effective 01/2020
HOME/HTF/NSP
ANNUAL REPORT GUIDE
YE 2019
1. HOME, HTF or NSP Annual Report for Long Term Compliance
The report is due annually, postmarked on or before August 1
, and has a reporting period from January
st
1
through December 31
of the previous year.
st
st
The report is not considered received in its entirety unless the following documents are submitted:
a. Annual Compliance Report for Rental Properties with State-Assisted Units
i.
Required for all Permanent or Transitional Rental Housing
ii.
If Form mailed in, it must be signed by the owner in Original Ink
iii.
Form can also be submitted via Annual Report Portal.
iv.
HOME Properties: Complete & Submit attached Affirmative Marketing Report
b. Rental Schedule for State-Assisted Units – Annual Compliance Report Attachment
i.
Required of all HOME/HTF/NSP Projects
ii.
Letter Size Document
iii.
Tracks all activity for state-assisted units in project for entire reporting period.
iv.
Illustrate “Vacancy” on a separate line for unit vacancies over 30 consecutive dates
and include date unit became vacant in the move-in column.
v.
Please provide additional written explanation for all units vacant over 6 consecutive
months.
vi.
Provide lease term and signature pages for households occupying units for less than
the required 12 months.
vii.
Information for the Rental Schedule should come directly from the Tenant Income
Certification (TIC) form completed for each household in 2019.
viii.
Project Name/Address: Enter the property name (i.e. Perfect Place Apartments) and
the address.
ix.
Unit #: Units must be listed on a per building basis in numerical order.
x.
# Bdrms: Number of bedrooms in the unit
xi.
Household Last Name: Head of Household’s last name and first initial. For vacant
units write “VACANT”.
xii.
Unit Set-Aside: Enter the set-aside percentage of the AMGI for the unit, as outlined
in the project’s CCRs.
xiii.
Race of HH: Use number code to identify race of household based on Household
Demographic information obtained at move-in or recertification.
xiv.
Hispanic: Input a “Y” for yes and an “N” for no, based on Household Demographic
information obtained at move-in or recertification.
xv.
Total # of people in the unit: List the total number of people residing in the unit.
xvi.
Move-In Date: The original date that the tenant moved into the unit. For vacant
units, list the day after the unit was last occupied.
xvii.
Annual Recert Date: Enter the date of recertification during the reportable year
(2016). Only input if the tenant moved in during a previous reporting year. Fill in
N/A for current reportable year move-ins and vacant lines.
HOME/HTF/NSP Compliance Annual Report
Effective 01/2020
xviii.
Move-Out Date: Enter the date the tenant vacated the unit. Complete only if
household vacated during the reportable year. Do not anticipate future move-out
dates. For vacant units, enter the day before the next household moved in.
xix.
Total Income + Income from Assets: Enter the household’s most recent documented
total gross annual income for the reportable year. (item L on page 1 of TIC)
xx.
Unit Monthly Rent (A): The actual dollar amount of contracted rent for the unit, not
including the utility allowance.
xxi.
Utility Allowance (B): Enter the actual dollar amount of the utility allowance being
used for the unit.
xxii.
Total Monthly Housing Cost for the unit (C): Enter the total of:
i. Unit Monthly Rent (A) + Utility Allowance (B)
xxiii.
Type of Rental Subsidy for the unit: If the Household is receiving rental assistance,
the funding source must be listed.
xxiv.
Amount of Rental Assistance: List the actual dollar amount of rental assistance that
the household is receiving, if any.
xxv.
Total Monthly Rent paid by the Tenant (Tenant Paid Rent + Utility Allowance):
List the actual dollar amount paid by the tenant to include the utility allowance.
c. Project Contact Sheet
i.
Indicate HOME/HTF/NSP Contract Number
ii.
Complete form in its entirety
iii.
Complete additional sheets for scattered sites
ci. Financial Statements
i.
All projects with 10 or more State Assisted HOME units are required to submit
financial statements. Financial Statement are to be uploaded to the Financial
Statement https://housing.az.gov/portals/document-upload-portals/financial-
statements-upload-portal.
cii. Rent Increase
i.
All projects funded after August 23, 2013 are required to submit a formal request to
increase rent. This can be done by submitting the HOME Rent Increase Request
spreadsheet with your submittal of the Annual Compliance Report.
2. HOME, Housing Trust Fund or NSP Units in a Tax Credit Property
a.
Annual Report requirements for HOME, HTF or NSP units in a Tax Credit property are
satisfied with the submittal of the Tax Credit Annual Report every March 15
th
HOME/HTF/NSP Compliance Annual Report
Effective 01/2020
HOME/HTF/NSP Contract #: _______________
# of State assisted Units:
_______________
Annual Compliance Report
For Rental Properties with State-Assisted HOME, HTF and/or NSP Units
This report is required to be filed with the Arizona Department of Housing (ADOH) for properties containing State-
Assisted units (either State Housing Trust Fund (HTF), State HOME Funds or Neighborhood Stabilization
Program (NSP) and is due postmarked no later than August 1, 2020.
For Information contact Juan Bello, Compliance Program Manager, at (602) 771-1074.
Reporting period covered by this report: January 1, 2019 through December 31, 2019
Project Name (if applicable):
___________________________________________________________________
Property Address:
___________________________________________________________________
City, State, Zip:
___________________________________________________________________
Property Owner:
___________________________________________________________________
Contact Name & Phone Number:
___________________________________________________________________
Management Company (if applicable)
_______________________________________________________________
Mgmt Contact Name & Phone Number: _______________________________________________________________
Placed in Service Date:
________________________
A. Occupancy Information
__________ Number of State-Assisted Units in Project
# Occupied:
# Vacant:
____________
___________
Low-Income Units (occupants @ or <60% AMI)
____________
___________
Very Low-Income Units (occupants @ or <50% AMI)
__________ Number of Other Units in Project
# Occupied:
# Vacant:
____________
___________
Low-Income Units (occupants @ or <80% AMI)
____________
___________
Market Rate Units
__________ Total Number of Units in Project
HOME/HTF/NSP Compliance Annual Report
Effective 01/2020
B. Certifications
By signing below I/we certify the following to be true for this reporting period:
1.
All State-Assisted Units are occupied by income-eligible households according to the project’s funding
agreement with the State and according to any applicable Declaration of Covenants, Conditions, and
Restrictions (CC&R’s).
2.
All State-Assisted Unit rents have been set according to any applicable Declaration of Covenants,
Conditions, and Restrictions (CC&R’s).
3.
An annual income certification (TIC & supporting verifications) from each low-income resident
occupying a State-Assisted Unit was received.
4.
All State-Assisted Units in the project were made available for use by the general public and used on a
non-transient basis. Initial leases on all State-Assisted units were for a term of at least 1 year unless the
tenant agreed otherwise.
5.
Residents of the State-Assisted Units with incomes that increased to over 80% AMI, had their rents
adjusted to require that the tenant pay 30% of their adjusted income.
6.
Documentation is on file that shows that updated utility allowances was obtained during the reporting
year and tenant rents in State-Assisted Units have been adjusted accordingly (if utilities are tenant paid).
Date of last update from Utility Allowance: ______________________________ (If utilities are paid by
owner please state “N/A” in place of date). Attach a copy of the current utility allowance schedule.
7.
Uniform Physical Condition Standards (UPCS) Inspections were conducted on all State-Assisted Units
during the calendar year. Records on file reflect that:
Check as applicable:
All ___________ State-assisted units met UPCS.
_______________ units did not meet UPCS at the time of inspection but all concerns have been
corrected and units currently meet UPCS.
_______________ units did not meet UPCS at the time of inspection. Repairs are scheduled to be
completed no later than: _________________ .
8.
The project continues to meet all applicable local codes, zoning and ordinances.
9.
I/We certify that we are complying with the State’s Affirmative Marketing requirements and that
residents have been notified of their VAWA 2013 rights. Documentation demonstrating compliance is on
file.
This certification is made under penalty of perjury. I/We understand that if, at any time, ADOH determines
that the Owner or the property is not in compliance with all requirements as set forth in the funding agreement
with ADOH or in the applicable Declaration of Covenants, Conditions, and Restrictions, ADOH shall consider
the item as a finding of non-compliance and shall pursue any and all remedies at its disposal.
___________________________________________________
_______________________________________________
Owner Representative Signature
Date
___________________________________________________
_______________________________________________
Print Name
Print Title
C. Contact Information
Please fully complete the requested contact sheet.
This report must be postmarked or submitted electroniaclly no later than August 1, 2020.
Please mail report and attachments to (reports should not be faxed or emailed; original
documentation required):
Arizona Department of Housing
Juan Bello, Compliance Program Manager
1110 W. Washington, Suite 280
Phoenix, Arizona 85007
HOME/HTF/NSP Compliance Annual Report
Effective 01/2020
STATE OF ARIZONA HOME PROGRAM
AFFIRMATIVE MARKETING REPORT
For the period January 1, 2019 through December 31, 2019
Project Name:
___________________________________________________________________
Project Address:
___________________________________________________________________
City/State/Zip Code:
___________________________________________________________________
Property Owner/Contact:
___________________________________________________________________
Property Owner Address:
___________________________________________________________________
City/State/Zip:
___________________________________________________________________
Owner Phone Number:
_______________________________________________
Property Manager/Contact:
___________________________________________________________________
Manager Phone Number:
_______________________________________________
1.
√ All that apply:
Advertisements included the equal housing opportunity logo or statement
Advertised in minority-owned newspapers or on minority radio and/or television
Advertised in general audience newspapers, radio, and/or television
Distributed brochures and/or leaflets
Placed ad in rental office window
Utilized the following resources for outreach to those least likely to apply to live in the units:
Community organizations
Housing counseling agencies
Places of worship
Social service centers
Employment centers
Medical services centers
Fair housing groups
2. Attach copies of Affirmative Marketing Plan and information regarding all marketing efforts
(i.e. copies of newspaper ads, memos of phone calls, copies of letters, etc.).
CERTIFICATION
I hereby certify that the above actions have been taken to provide information and otherwise attract eligible person
from all racial, ethnic, and gender groups in the housing market area to this project. I understand that if these
actions are determined unacceptable or otherwise unsuccessful, ADOH may take corrective actions.
_________________________________________________
_____________________________________________
Signature
Date
___________________________________________________
_______________________________________________
Print Name
Print Title
HOME/HTF/NSP Compliance Annual Report
Effective 01/2020
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