HUD 52671-B Special Claims for Vacancies Durinf Rent-Up

U.S. Department of Housing
and Urban Development
Office of Housing

Special Claims for
Vacancies During Rent-up
Instructions. Follow guidelines
in HUD Handbook 4350.3, Rev.
1, Chapter 9
Unit Number

Unit Size
(No. of Bedrooms)

Project name

OMB Approval No. 2502-0182 (04/30/2009)

FHA project no.

Period Vacant
Effective Date of
Contract

To (date)

Daily
# days Contract
vacant
Rent
(NTE 60)
or
Operating
Rent
(1)
(2)

Section 8/PRAC contract no.

Multiply
HUD's Amount Claimed
columns 1 & limitation (column 3 times
2 & enter
column 4)
here

*

(3)

(4)

* (Note: Item 4, use 0.80 for Section 8 and 0.50 for PRAC units)

Also, enter this total in
Column 5 of HUD52670-A Part 2.

I certify: (a) Units are in decent, safe, and sanitary condition, and are available for
occupancy during the vacancy period in which the payments are claimed. (b) I complied with
the HAP/PRAC Agreement & implemented diligent marketing not fewer than 90 (60 days for
Substantial Rehabilitation) days prior to the anticipated date of initial occupancy. (c) I
complied with the requirement of the HUD-approved Affirmative Fair Housing Marketing Plan
(AFHMP) and all fair housing and equal opportunity requirements. (d) I took all feasible
action to fill the vacancy. (e) I did not reject eligible applicants. (f) I submitted a list of units
leased and unleased as of the effective date of the contract. (g) All required documents will
be retained in the project's file for 3 years.

HUD/Contract Administrator Review
Claim approved.
Claim adjusted. Reason:
Claim denied. Reason:

(5)

Total

Official's name, signature, & date

Owner's printed name, signature, & date

Claim ID: _______________
HUD will prosecute false claims & statements. Conviction may result in criminal and/or civil
penalties (18 U.S.C. Sections 1001, 1010, 1012; 31 U.S.C. Sections 3729, 3802).
Previous versions obsolete
Submit an Original and two copies

form HUD-52671-B (09/2002)
ref. Handbook 4350.3 Rev. 1

This form must be completed so HUD can pay
owners an amount to offset vacancy costs during rent up.
Regulations require that owners complete this form
using statutory formulas for calculating vacancy rent up.
The statutes requiring the submission are S8, United
States Housing Act (42 U.S.C. 1437f); Section 202 of the
Housing Act of 1959 as amended by Section 801 of the
National Affordable Housing Act (12 U.S.C. 1701(g));
and Section 811 of the National Affordable Housing Act
(42 U.S.C. 8013). The regulations stipulating these rules
are: 24 CFR 880, 881, 883, 884, 886, and 891. The
administrative requirements for these forms are provided
in HUD Handbook 4350.3, Rev. 1, Chapter 9.
HUD does not promise confidentiality but will not
disclose data on a specific project or tenant. No questions
of a sensitive nature are asked in this form.
The Department of Housing & Urban Development
is authorized to collect this information by the U.S.
Housing Act of 1937, as amended. The owner/agent must

Previous versions obsolete
Submit an Original and two copies

provide all this information. The information provided
will be used by HUD to review accuracy of funds
requested by owner/agent for vacancy loses during rent
up. HUD may disclose this information to Federal,
state, and local agencies when relevant to civil, criminal, or regulatory investigations and prosecutions.
Otherwise, it will not be disclosed or released outside of
HUD, except as permitted or required by law. Providing all information is mandatory, and failure to provide
information will affect participation in HUD programs.
Public reporting burden for this collection of
information is estimated to average 0.33 hours per
response, 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 agency may not
conduct or sponsor, and a person is not required to
respond to, a collection information unless that collection displays a valid OMB control number.

form HUD-52671-B (09/2002)
ref. Handbook 4350.3 Rev. 1