Form HUD-40093 HOME Investment Partnership agreement

Funding Approval and HOME
Investment Partnerships Agreement

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

Title II of the National Affordable Housing Act

OMB Approval No. 2506-0171
(Exp. 8/31/2009)

Public reporting burden for this collection of information is estimated to average 1 hour 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 of information unless that collection displays a valid OMB control number.
The HOME statute imposes a significant number of data collection and reporting requirements. This includes information on assisted properties, on the
owners or tenants of the properties, and on other programmatic areas. The information will be used: 1) to assist HOME participants in managing their
programs; 2) to track performance of participants in meeting fund commitment and expenditure deadlines; 3) to permit HUD to determine whether each
participant meets the HOME statutory income targeting and affordability requirements; and 4) to permit HUD to determine compliance with other statutory
and regulatory program requirements. This data collection is authorized under Title II of the Cranston-Gonzalez National Affordable Housing Act or related
authorities. Access to Federal grant funds is contingent on the reporting of certain project-specific data elements. Records of information collected will be
maintained by the recipients of the assistance. Information on activities and expenditures of grant funds is public information and is generally available for
disclosure. Recipients are responsible for ensuring confidentiality when public disclosure is not required.
1. Participant Name and Address

2. Participant Number
3. Tax Identification Number
4. Appropriation Number
5. FY (yyyy)

6. Previous Obligation (Enter “0” for initial FY allocation)

$

a. Formula Funds

$

b. Community Housing Development Org. (CHDO) Competitive

$

7. Current Transaction (+ or -)

$

a. Formula Funds

$

1. CHDO (For deobligations only)

$

2. Non- CHDO (For deobligations only)

$

b. CHDO Competitive Reallocation or Deobligation (see #18 below)

$

8. Revised Obligation

$

a. Formula Funds

$

b. CHDO Competitive Reallocation

$

9. Special Conditions (check applicable box)

Not applicable

10. Date of Obligation (Congressional Release Date)

Attached

(mm/dd/yyyy)

/

/

This Agreement between the Department of Housing and Urban Development (HUD) and the Participating Jurisdiction/Entity is made pursuant to the
authority of the HOME Investment Partnerships Act (42 U.S.C. 12701 et seq.). The Participating Jurisdiction’s /Entity’s approved Consolidated Plan
submission/Application and the HUD regulations at 24 CFR Part 92 (as is now in effect and as may be amended from time to time) and this HOME
Investment Partnership Agreement, form HUD-40093, including any special conditions, constitute part of this Agreement. Subject to the provisions of this
Agreement, HUD will make the funds for the Fiscal Year specified, available to the Participating Jurisdiction/Entity upon execution of this Agreement by the
parties. All funds for the specified Fiscal Year provided by HUD by formula reallocation are covered by this Agreement upon execution of an amendment by
HUD, without the Participating Jurisdiction’s execution of the amendment or other consent. HUD’s payment of funds under this Agreement is subject to the
Participating Jurisdiction’s/Entity’s compliance with HUD’s electronic funds transfer and information reporting procedures issued pursuant to 24 CFR
92.502. To the extent authorized by HUD regulations at 24 CFR Part 92, HUD may, by its execution of an amendment, deobligate funds previously awarded
to the Participating Jurisdiction/Entity without the Participating Jurisdiction’s/Entity’s execution of the amendment or other consent. The Participating
Jurisdiction/Entity agrees that funds invested in affordable housing under 24 CFR Part 92 are repayable when the housing no longer qualifies as affordable
housing. Repayment shall be made as specified in 24 CFR Part 92. The Participating Jurisdiction agrees to assume all of the responsibility for
environmental review, decision making, and actions, as specified and required in regulation at 24 CFR 92.352 and 24 CFR Part 58.
11. For the U.S. Department of HUD (Name and Title of Authorized Official)

12. Signature

13. Date

/
14. For the Participating Jurisdiction/Entity (Name and Title of Authorized Official)

15. Signature

/

16. Date

/

/

17. Check one:
Initial Agreement
18. Funding Information:
Source of Funds
Appropriation Code

PAS Code

Amendment #

Amount
$
$
$

CHDO Competitive Reallocation
Source of Funds
Appropriation Code

Page 1 of 1

PAS Code

Amount
$
$

form HUD-40093 (04/2004)