Monetary Proffer Calculation Request

Monetary Proffer Calculation Request

A monetary proffer contribution is a cash payment required as a result of an approved Rezoning Case (RZ) or Proffer Condition Amendment (PCA). Monetary proffers are collected by the Proffer Coordination Department Team (PCDT) of Land Development Services (LDS). During the site plan review process, PCDT staff reviews monetary proffers for the development and places applicable permit holds in PLUS. This ensures that each contribution is paid at the project milestone (or trigger) as specified on the approved Proffer or Development Condition Statement.

INSTRUCTIONS:

Please complete the form below to initiate the proffer calculation process and allow 5 business days to process each request.
Each request is calculated by PCDT staff, then reviewed and approved by the Financial Management Branch (FMB).
You will receive an email notification once both PCDT and FMB have approved your submission.
Please add automation@app.smartsheet.com to ensure that the notification is delivered to your Inbox rather than your Spam/Junk folder.

Applicant Information

Applicant Name*

Applicant Company*

Applicant Email*

Applicant PH #*

Phone

Site Plan Information

Site Plan Name*

Site Plan #*

# of Lots*

# of Units*

Input 0 if your site plan does not propose Multifamily structures.

# of ADU Units*

# of WDU Units*

# of Stories*

Input 0 if you are not submitting an FCPS (Public Schools) calculation request.

Community Use GFA (SF)

Healthcare GFA (SF)

Hotel GFA (SF)*

Office GFA (SF)*

Residential GFA (SF)*

Retail GFA (SF)*

Monetary Proffer Calculation Request

Please upload the Proffer Statement and any other attachments necessary for calculation*

Drag and drop files here or

Rezoning Case #*

Proffer #*

Receiving Agency*

Select

FCDOT Proffers Only: Are you planning on using credits?*

YES

Contact Transportation at (703) 877-5600

IF YES, PLEASE CONTACT FAIRFAX COUNTY DEPARTMENT OF TRANSPORTATION TO OBTAIN WRITTEN APPROVAL PRIOR TO SUBMITTING THIS FORM TO FAC.

Is this an Escrow?*

YES

How is this proffer payment allocated?*

FLAT FEE

PER LOT/UNIT

Send me a copy of my responses

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