Fla. Admin. Code R. 69O-193.050
(7) If a provider, or its escrow agent or trustee, intends to use funds from a debt service reserve that is included in computing a provider’s minimum liquid reserve pursuant to Section 651.035(1)(b), F.S., rather than filing Form OIR-A3-1284 as required in subsection (6) above, the following process applies:
(a) The provider, or its escrow agent or trustee if so authorized in the agreement under which such debt service reserve is held, shall submit the documents listed below.
1. An affidavit, sworn to by an officer or director of the provider, stating that the provider anticipates being unable to make its scheduled debt service payment and a withdrawal from the debt service reserve included in the minimum liquid reserves pursuant to Section 651.035(1)(b), F.S., is required to avoid a payment default. The affidavit shall include all of the following information:
a. The amount of the payment;
b. The payment due date;
c. The maximum amount of the withdrawal needed to make the payment;
d. The date the anticipated date of the withdrawal;
e. The account(s) from which the withdrawal will be made, which should match the account information and escrow statements previously provided to the Office; and
f. If there is a discrepancy in this account information, a written explanation of the discrepancy and any relevant documentation at the time of filing.
2. A document providing the following information with respect to the effect of the withdrawal on the provider’s minimum liquid reserves and compliance with Section 651.035, F.S.
a. A statement of whether the lender or trustee will require the provider to deposit additional funds in the debt service reserve to repay the amount withdrawn.
b. If the provider will be required to deposit additional funds in the debt service reserve to repay the amount withdrawn, the anticipated or proposed schedule for funding.
c. If the withdrawal will result in the provider being out of compliance with Section 651.035, F.S., the provider shall submit a preliminary plan or anticipated timeline for coming into compliance. If the provider intends to work with a consultant to establish a plan, as proscribed in its financing documents, the provider should provide a brief explanation of that process and the anticipated date that such a plan will be completed.
Rulemaking Authority 651.015(3), 651.026(2)(d), 651.035(9) FS. Law Implemented 651.026, 651.035 FS. History–New 7-16-92, Formerly 4-193.050, Amended 3-12-20, 7-21-22.