Low Mod Chart Submission Form

Development Name

Property Address(es)

City

Zip

Name of Monitoring Agent

Total Number of Affordable Units

Number of Units Under 30% AMI

Number of Units Under 50% AMI

Number of Units Under 60% AMI

Number of Units Under 80% AMI

Number of Units under 100% AMI

Number of Units Under 120% AMI

Number of Units Under 140% AMI

Qualifying Mobile Homes

*Qualifying mobile homes include those that are:

The primary residence of the occupant/s; and
Located within a community owned by the residents or the land containing the home is owned by the occupant or occupants; and
Were constructed after June 15, 1976 and complies with the Manufactured Home Construction and Safety Standards of HUD

Please submit documentation confirming that all three of the above requirements are met.

Email Address

Your email address so we can follow up with you with any questions

Upload documentation of deed restricted status:

Drop your files here

Notes/Additional Information

Send me a copy of my responses