Spreadsheet: b1df8d87-6f6e-48fa-a761-8acd9e6f3b74
Sheet: Building (2)

SPECIAL MULTIFAMILY OCCUPANCY REPORT
CALCULATED BUILDING SUMMARY                                                         (DO NOT ENTER DATA HERE)
 |  | Number of Units in Building:
 |  | Number of Units Meeting DOE Income Requirements:
 |  | Percent of Households Meeting Requirement:
 |  | [For buildings with over 5 units, at least 66% of the units must meet DOE income requirements. For buildings under 4 units at least 50% of units must meet DOE income requirements.]
COMPLETE SEPARATE WORKSHEET FOR EACH BUILDING AT PROPERTY
ENTER DATA BELOW FOR EACH UNIT IN BUILDING INCLUDING UNOCCUPIED UNITS.
Column 1 | Column 2 | Column 3 | Column 4 | Column 5 | Column 6 | Column 7 | Column 8 | Column 9 | Column 10 | DO NOT ENTER DATA HERE
Contract Number | Unit Identifier | Building Identifier | Building Street address | SSN of certified head of household | Is the rental unit unoccupied? | Is the rental occupied by site manager or a market rate unit? | Is the rental unit occupied by a Voucher Holder | Household Certified Income | [NAME] | DOE Income Eligibility Threshold | Meets DOE Unit Eligibility | Eligibility Count
Enter HUD Contract Number (if applicable) | Enter unit number or identification for all units in building including unoccupied units. | Enter building number, name or other identification for unit number listed | Enter street address for building unit | Blank | Enter YES if the unit is unoccupied. | Enter YES if the unit is a market rate unit or occupied by site manager. | Enter YES if the unit is occupied by a Section 8 Voucher Holder? | Enter the certified annual  household income for each occupied unit. The income reported must be supported by property records.  Enter "N/A" if there is no income record for the occupied unit. | Enter household size for the  unit number listed. For unoccupied units enter 0 (zero). |  |  |  |  |  | [NAME] SUMMARY                                 (DO NOT ENTER DATA HERE)
 |  |  |  |  |  |  |  | Enter Income |  |  |  |  |  |  |  | Number of Units in Building:
 |  |  |  |  |  |  |  | Enter Income |  |  |  |  |  |  |  | Number of Units Meeting DOE Income Requirements:
 |  |  |  |  |  |  |  | Enter Income |  |  |  |  |  |  |  | Percent of Households Meeting Requirement:
 |  |  |  |  |  |  |  | Enter Income |  |  |  |  |  |  |  | [For buildings with over 5 units, at least 66% of the units must meet DOE income requirements. For buildings under 4 units at least 50% of units must meet DOE income requirements.]
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