1. (a) No later than 60 days after the end of each fiscal year, the sponsor shall report to the department on form HCD 781, “California Housing Rehabilitation Program Rental Component, Annual Report,” dated 12/89, as set forth in subsection (b). This form is provided by the department.

   HCD 781 12/89

   CALIFORNIA HOUSING REHABILITATION PROGRAM

   RENTAL COMPONENT

   ANNUAL REPORT

   Sponsor: __________________________________________________

   Project Name: ________________________________________

   Project Address: _____________________________________________

   Contract Number: ________________________________________

   I hereby submit the following items for the fiscal year beginning __________ and ending __________.

   [ ] CHRP Interest Payment in the amount of $ _______.

   [ ] Principal Prepayment in the amount of $ _______.

   [ ] Residual Receipts Payment in the amount of $ _______

   [ ] Financial Statement.

   [ ] Income & Expense Statements (plus attachments).

   [ ] Report on Account Balances.

   [ ] Management Report) plus attachments.

   [ ] Copy of current Hazard Insurance Policy.

   CERTIFICATION: I hereby certify that I am responsible for the above submittals and, furthermore, to the best of my knowledge, the information included is true and complete.

   By:

   Signature

   Name and Title

   Date

   Phone Number

   At:

   City

   Contract No.: __________

   Fiscal Year: __________

2. A. PROJECT INCOME:
3. 1. a. Attach an Occupancy and Rent Schedule for all residential rents labeled A.1. using the format attached. (See example attached.) Also attach another schedule showing the nonresidential occupancy and rent schedules if CHRP money was used to rehabilitate the nonresidential portion of the building.

4. 2. Report of Actual Annual Income:

   Residential Income

   Non-Residential Income

   Total Income

5. a. Rental Income

   $ __________

   $ __________

   $ __________

6. b. Rent Subsidies

   $ __________

   $ __________

   $ __________

7. c. Laundry Income

   $ __________

   $ __________

   $ __________

8. d. Interest Income

   $ __________

   $ __________

   $ __________

9. e. Security Deposits Withheld

   $ __________

   $ __________

   $ __________

10. f. Other: __________

    $ __________

    $ __________

    $ __________

11. g. Total Income:

    1. B. OPERATING EXPENSES: Attach a description of each expense and relevant invoices, payrolls, etc.

       Residential +

       Non- Residential =

       Total

    $ __________

    $ __________

    $ __________

12. 1. MANAGEMENT

13. a. Sponsor's Overhead

    $ __________

    $ __________

    __________

14. b. Contracted Management fee

    $ __________

    $ __________

    __________

15. c. Total Management

    $ __________

    $ __________

    $ ________

16. 2. ADMINISTRATION

17. a. Marketing Expense

    $ __________

    $ __________

    __________

18. b. Audit

    $ __________

    $ __________

    __________

19. c. Legal

    $ __________

    $ __________

    __________

20. d. Miscellaneous

    $ __________

    $ __________

    __________

21. e. TOTAL

    $ __________

    $ __________

    $ ________

22. 3. SPONSORS SALARIES AND BENEFITS

    (include value of rent discounts)

23. a. On-/Off Site Manager

    $ __________

    $ __________

    __________

24. b. Assistant Manager

    $ __________

    $ __________

    __________

25. c. Assistant Manager

    $ __________

    $ __________

    __________

26. d. Grounds & Maintenance Personnel

    $ __________

    $ __________

    __________

27. e. Janitorial Personnel

    $ __________

    $ __________

    __________

28. f. Housekeepers

    $ __________

    $ __________

    __________

29. g. Service Staff

    $ __________

    $ __________

    __________

30. h. Other (specify)

    $ __________

    $ __________

    __________

31. i. TOTAL SALARIES AND BENEFITS

    $ __________

    $ __________

    $ ________

32. 4. MAINTENANCE

33. a. Supplies

    $ __________

    $ __________

    __________

34. b. Elevator Maintenance

    $ __________

    $ __________

    __________

35. c. Pest Control

    $ __________

    $ __________

    __________

36. d. Grounds Contract

    $ __________

    $ __________

    __________

37. e. Painting & Decorating (Interior Only)

    $ __________

    $ __________

    __________

38. f. Other:

    $ __________

    $ __________

    __________

39. g. TOTAL MAINTENANCE

    $ __________

    $ __________

    $ ________

40. 5. UTILITIES (Not paid for by tenants)

41. a. Trash Removal

    $ __________

    $ __________

    __________

42. b. Electricity

    $ __________

    $ __________

    __________

43. c. Water and Sewer

    $ __________

    $ __________

    __________

44. d. Gas

    $ __________

    $ __________

    __________

45. e. TOTAL

    $ __________

    $ __________

    $ ________

46. 6. INSURANCE

47. a. Property and Liability Insurance

    $ __________

    $ __________

    $ ________

48. 7. TAXES

49. a. Real Estate Taxes

    $ __________

    $ __________

    __________

50. b. Business Licenses

    $ __________

    $ __________

    __________

51. c. TOTAL TAXES

    $ __________

    $ __________

    $ ________

52. 8. OTHER

53. a. Food

    $ __________

    $ __________

    __________

54. b. Support Services

    $ __________

    $ __________

    __________

    c.

    $ __________

    $ __________

    __________

    d.

    $ __________

    $ __________

    __________

55. e. TOTAL OTHER

    $ __________

    $ __________

    $ ________

56. 9. DEPOSITS TO RESERVE ACCOUNT

57. a. Replacement Reserve

    $ __________

    $ __________

    __________

58. b. Operating Reserves

    $ __________

    $ __________

    __________

59. c. Other

    $ __________

    $ __________

    __________

60. d. TOTAL

    $ __________

    $ __________

    $ ________

61. 10. DEBT SERVICE

62. a. CHRP (Attached)

    $ __________

    $ __________

    __________

    b.

    $ __________

    $ __________

    __________

    c.

    $ __________

    $ __________

    __________

63. d. TOTAL DEBT SERVICE

    $ __________

    $ __________

    $ ________

64. 11. TOTAL OPERATING, RESERVE & DEBT SERVICE EXPENSES

    $ __________

    $ __________

    $ ________

65. C. PROJECT SUMMARY

66. 1. Total Income (from A.1.g.)

    $ __________

    $ __________

    $ ________

67. 2. Less Total Operating, Reserve & Debt Service Expenses (from B.11.)

    ($ _________)

    ($ _________)

    ($ ________)

68. 3. Net Cash Available for Distributions or Payments

    $ __________

    $ __________

    $ ________

69. 4. Less Distribution
70. 5. Less Loan Prepayments (Attached)
71. 6. Less Incentive Payments
72. 7. Residual Receipts (Attached)

73. D. REPORT ON ACCOUNT BALANCES:

    (copies of Bank Statements should be attached.) Only complete the nonresidential summary if CHRP funds were used for any of the nonresidential rehabilitation. Copies of invoices or explanations supporting all withdrawals from the Replacement Reserve or Operating Reserve Accounts must be attached.

    Residential

    Beginning Balance

    Budgeted Deposits

    Actual Deposits ^*

    Withdrawals

    Interest Earned ^**

    Net Increase (Decrease)

    Ending Balance

    1.

    Replacement Reserves:

    $ ________

    $ ________

    $ ________

    $ ________

    $ ________

    $ ________

    $ ________

    2.

    Operating Reserves:

    __________

    __________

    __________

    __________

    __________

    __________

    __________

    3.

    Security Deposits:

    __________

    __________

    __________

    __________

    __________

    __________

    __________

    4.

    Operating Account:

    __________

    __________

    __________

    __________

    __________

    __________

    __________

    5.

    __________

    __________

    __________

    __________

    __________

    __________

    __________

    Residential

    Beginning Balance

    Budgeted Deposits

    Actual Deposits ^*

    Withdrawals

    Interest Earned ^**

    Net Increase (Decrease)

    Ending Balance

    1.

    Replacement Reserves:

    $ ________

    $ ________

    $ ________

    $ ________

    $ ________

    $ ________

    $ ________

    2.

    Operating Reserves:

    __________

    __________

    __________

    __________

    __________

    __________

    __________

    3.

    Security Deposits:

    __________

    __________

    __________

    __________

    __________

    __________

    __________

    4.

    Operating Account:

    __________

    __________

    __________

    __________

    __________

    __________

    __________

    5.

    __________

    __________

    __________

    __________

    __________

    __________

    __________

    ^* “Actual Deposits” should reflect the same amount as shown under Section B. Operating Expenses, item 9.

    ^** “Interest Earned” should reflect the same amount as shown under Section A. Project Income, item 2.d.

74. E. CHRP Interest Payment Summary

75. (1) Interest due on CHRP loan for this fiscal year

    $

76. (2) Less interest payment made on CHRP loan for this fiscal year (check attached)

    $

77. (3) Equals interest deferred for this fiscal year =

    $

78. (4) Plus interest deferred from previous fiscal years +

    $

79. (5) Less interest payment made on CHRP loan for prev. fiscal years (attached) -

    $

80. (6) Equals total outstanding CHRP interest owed HCD as of =

    $

81. F. MANAGEMENT REPORT: (Attach additional comments if necessary).

    1. 1. Describe any notice or citation for violation of local housing codes:
    2. 2. Describe any major purchases or maintenance work undertaken in the reporting year.
    3. 3. Describe any major repair or maintenance work still needed:
    4. 4. Number of evictions during the year? __________ Explain reasons for each eviction and show unit number for each

    5. 5. Determine vacancy rate: (a) Total number of units:

       1. (a) Total number of units: x 12 months = unit months
       2. (b) Number of vacant units during the year:
       3. (c) Number of months vacant:
       4. (b) __________ x (c) __________ = __________ (d)
       5. (d) __________ / (a) __________ = __________% vacancy rate
    6. 6. Describe the nature of vacancies that occurred:
    7. 7. Describe any problems which arose in filling vacancies and steps taken to address them.
    8. 8. How many names are currently on the waiting list? _____
    9. 9. Has the project experienced any problems with nonpayment of rent, bad debts, etc.? If so, describe and indicate steps taken to alleviate such problems.
    10. 10. Describe any additional management problems that occurred during the past fiscal year, and steps taken to solve management problems.
    11. 11. Have there been any changes in property management staff responsible for the project? If so, identify new staff and indicate their qualifications.

82. A. 1. Occupancy and Rent Schedule

    (A)

    (B)

    (C)

    (D)

    (E)

    (F)

    (G)

    For CHRP Assisted Units

    Unit Number Unit Dsgntn

    Unit Type

    Market Rent (or Basic Rent)

    Approved CHRP Rent

    Subsidy (if any) over CHRP Rent

    Tenant's Portion of Rent

83. No. of Months Occupd

    Total Rent Rec'd (BxE)

    Total Rent Sbsdy (CxE)

    Gross Hsehld Income

84. No. of Occupants
85. (c) At any time during the term of the loan and upon reasonable notice, the department may enter and inspect the physical premises and inspect all accounting records pertaining to the rehabilitation or operation of the rental housing development.
86. (d) The department may perform or cause to be performed audits of any and all phases of the sponsor's activities related to the project. At the department's request, the sponsor shall provide, at its own expenses, an audit of the financial condition of the project prepared by a certified public accountant.

Note: Authority cited: Section 50668.5, Health and Safety Code. Reference: Section 50668.5, Health and Safety Code.

History

1. New section filed 6-12-89 as an emergency pursuant to Health and Safety Code section 50668.5(g); operative 6-12-89 (Register 89, No. 24). A Certificate of Compliance must be transmitted to OAL within 120 days or the regulation will be repealed on 10-10-89. For history of former subchapter 8 (sections 7700-7714.5, not consecutive), see Register 85, No. 33.

2. New section refiled 10-6-89 as an emergency pursuant to Health and Safety Code section 50668.5(g) and Government Code section 11346.1(h); operative 10-10-89 (Register 89, No. 42). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 2-7-90.

3. New section refiled 2-5-90 as an emergency pursuant to Health and Safety Code section 50668.5(g) and Government Code section 11346.1(h); operative 2-7-90 (Register 90, No. 6). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 6-7-90.

4. Amendment of subsections (a)-(c) filed 3-5-90 as an emergency pursuant to Health and Safety Code section 50668.5(g); operative 3-5-90 (Register 90, No. 12). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 7-3-90.

5. Certificate of Compliance as to 2-5-90 and 3-5-90 orders including amendment of subsections (a) and (b) transmitted to OAL 5-22-90 and filed 5-29-90 (Register 90, No. 29).