OMB Approved HUD-Form Changes

OMB Approved HUD-Form Changes

October 08, 2014

The Following forms have been posted to HUDClips with new expiration dates.

Please note, the HUD Model Leases have a new expiration date of 6/30/2017.

Form Number Description OMB Approval Number
HUD-50059 Owner's Certification of Compliance with HUD's Tenant Eligibility and Rent Procedures 2502-0204
HUD-50059-A Owner's Certification of Compliance with HUD's Tenant Eligibility and Rent Procedures - Partial Certification 2502-0204
HUD-52670 Housing Owner's Certification and Application 2502-0182
HUD-52670-A Part 1 Schedule of Tenant Assistance Payments Due - Part 1 2502-0182
HUD-52670-A Part 2 Schedule of Section 8 Special Claims - Part 2 2502-0182
HUD-52670-A Part 3 Adjustment to Schedule of Tenant Assistance Payments Due – Part 3 2502-0182
HUD-52670-A Part 4 Misc. Accounting Requests for Schedule of Tenant Assistance Payments Due - Part 4 2502-0182
HUD-52670-A Part 5 Approved Special Claims for Schedule of Tenant Assistance Payments Due - Part 5 2502-0182
HUD-52670-A Part 6 Repayment Agreements for Schedule of Tenant Assistance Payments Due - Part 6 2502-0182
HUD-52671-A Section 8 Special Claims for Unpaid Rent/Damages 2502-0182
HUD-52671-B Section 8 Special Claims for Vacancies During Rent-up 2502-0182
HUD-52671-C Section 8 Special Claims for Regular Vacancies 2502-0182
HUD-52671-D Section 8 Special Claims for Debt Service 2502-0182
HUD-90100 Recertification Notice 2502-0204
HUD-90101 Certification Long-Term Care Insurance 2502-0204
HUD-90102 Sample Verification of Disability 2502-0204
HUD-90103 Sample Verification of Disability 2502-0204
HUD-90104 Sample Exceptions to Limitations on Admission of Families 2502-0204
HUD-90105-A Lease for Subsidized Programs 2502-0204
HUD-90105-B Lease for Section 202/8 or Section 202 PAC 2502-0204

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