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Get HUD-52670-A 2008-2024

Type of Subsidy Tenant Assistance Payment 16a. Requested 16b. Approved HUD/CA use only 17. Totals for this page Previous editions are obsolete Submit an Original and two copies Page 1 of form HUD-52670-A part 1 09/2008 ref. Handbook 4350. OMB Approval No* 2502-0182 04/30/2012 U*S* Department of Housing and Urban Development Office of Housing Federal Housing Commissioner Schedule of Tenant Assistance Payments Due Before completing this form read and follow the instructions in the Monthly Activity Transmission MAT User s Guilde. See the statements on the form HUD-52670 for information on public burden* 1. Asst. Pymts Due For mm/yyyy Head of Household Name Last First Initial 2. Project Name Unit Number 3. FHA / EH / Non-Insured Proj. No Unit Size Contract Rent Util* Allow. Gross Turnover Data Income Code 13a* 13b. Mo. /Day 4. Section 8 / PAC / PRAC Contract No Recertification Data 14a* Effective Date 14b. First Reminder Notice Change 5. OMB Approval No* 2502-0182 04/30/2012 U*S* Department of Housing and Urban Development Office of Housing Federal Housing Commissioner Schedule of Tenant Assistance Payments Due Before completing this form read and follow the instructions in the Monthly Activity Transmission MAT User s Guilde. See the statements on the form HUD-52670 for information on public burden* 1. Asst. Pymts Due For mm/yyyy Head of Household Name Last First Initial 2. See the statements on the form HUD-52670 for information on public burden* 1. Asst. Pymts Due For mm/yyyy Head of Household Name Last First Initial 2. Project Name Unit Number 3. FHA / EH / Non-Insured Proj. No Unit Size Contract Rent Util* Allow. Gross Turnover Data Income Code 13a* 13b. Project Name Unit Number 3. FHA / EH / Non-Insured Proj. No Unit Size Contract Rent Util* Allow. Gross Turnover Data Income Code 13a* 13b. Mo. /Day 4. Section 8 / PAC / PRAC Contract No Recertification Data 14a* Effective Date 14b. First Reminder Notice Change 5. OMB Approval No* 2502-0182 04/30/2012 U*S* Department of Housing and Urban Development Office of Housing Federal Housing Commissioner Schedule of Tenant Assistance Payments Due Before completing this form read and follow the instructions in the Monthly Activity Transmission MAT User s Guilde. See the statements on the form HUD-52670 for information on public burden* 1. Asst. Pymts Due For mm/yyyy Head of Household Name Last First Initial 2. Project Name Unit Number 3. FHA / EH / Non-Insured Proj. No Unit Size Contract Rent Util* Allow. Gross Turnover Data Income Code 13a* 13b. See the statements on the form HUD-52670 for information on public burden* 1. Asst. Pymts Due For mm/yyyy Head of Household Name Last First Initial 2. Project Name Unit Number 3. FHA / EH / Non-Insured Proj. No Unit Size Contract Rent Util* Allow. Gross Turnover Data Income Code 13a* 13b. Mo. /Day 4. Section 8 / PAC / PRAC Contract No Recertification Data 14a* Effective Date 14b. First Reminder Notice Change 5. .

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