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I <br /> i <br /> <br /> • REPORT FOR1Vi C • <br /> SCATTERED SITE HOUSING ACTIVITY 1 <br /> (Tenant Based Rental Assistance, Ernergency HousinglUtility Assistance} <br /> AC7IVETY NAME: <br /> ACTIVITY LOCATION: DATE PAYMENTS 13EGAN: <br /> Number of Units Assisted by Payment Tyr~e: <br /> SRO 0 13drm 1 Bdrm 2 Bdrms 3 13drms ~ Bdrms 5+• Bdrms <br /> Tenant-Based Rent <br /> Rent, Mart a e, Utilities <br /> Rent, Mort a e, Utilities <br /> Expenditures 13y Type: <br /> Tenant Based Rental Assistance: $ STRMU Assistance: $ <br /> I <br /> I <br /> i <br /> Total Families Assisted with Housing Assistance: <br /> Program Departure Counts: <br /> Number of Months <3 3-6 7-12 ~'{2 <br /> Voluntary: <br /> Nonpayment of rent: <br /> supportive Service noncompliance: <br /> Un)<nown: 1 <br /> CriminaL• {I <br /> [lea#Et: <br /> Other: <br /> Availabie H~PWA Funds: <br /> Total HOPWA Funds for Project: $ <br /> Total HOPWA Expended To Date: ~a <br /> Project Balance Remain)ng: $ <br /> I <br /> 1 <br /> Leveraging (for year end report onlyj: <br /> Non-HOPWA Funds: $ ~ <br /> $ - <br /> I <br /> $ <br /> Value of In-)find Support: $ <br /> $ I <br /> ~ ~ <br /> Total of Leveraf}ed Amounts: $ <br /> I <br /> Revised x5/05109 <br /> 25D-26 i <br /> <br />