Sample Copy for a Vacant Unit
Appendix 3B
SAMPLE CHECKLiST
Special Claim for
Regular Vacancies
Project Name:
Unity Housing LP
Contract Number:
WV15T811001
Unit Number
/
Eastview Unity Apts.
206
Attach the following items to the claim submission:
Completed form HUD-52670-A Part 2.
X
2.
3,
~
Completed form l-[UD-52671-C.
A copy of the signed form HUD-50059 completed at move-in for the
former tenant which shows the amount of the security deposit required.
X
4,
X
5.
~
A copy of the security deposit disposition notice provided to the tenant
which indicates the move-out date, amount of security deposit collected,
amount of security deposit returned and any charges withheld from the
deposit for unpaid rent, tenant damages or other charges due under the
lease.
6.
X
Documentation that verifies the date the unit was ready for occupancy.
7.
8.
—
________
~
Documentation that the appropriate security deposit was collected from the
tenant: for example, a copy of the original lease, a copy of the tenant’s
ledger card, or a copy of the receipt(s) for security deposit.
Copy of the waiting list from which the tenant was selected (i.e. unit
transfer waiting list, one-bedroom waiting list. etc.)
If the unit was not filled from the waiting list(s), documentation of
marketing efforts must be included such as copies of advertising or
invoices for advertising expenses that substantiate the date marketing
occurred in accordance with the AFHMP.
Appendix 3-3
Main Office Completes
Special Claims
Schedule
U.S. Department of Housing and
Urban Development
Office of Housing
Federal Housing Commissioner
Instructions
Follow guidelines in HUD
Handbook 4350.3, Rev. I Chapter 9
I
Project Name
I
Head of Household Name,
Social Security Number,
Date of Birth
0MB Approval No. 2502-0182
FHA Project No.
Eastview Unity Apartments
200 Jefferson Street
Fairmont, WV 26554
Section 8/PAC/PRAC
J Contract No.
I WV15T811001
045EH029
Unit Number
Type and Amount of Claim
Unpaid Rent
From HUD
52671-A
(3)
Tenant Damages
From HUD
52671-A
(4)
Rent-up Vacancies
From HUD
52671-B
(5)
($):
Regular Vacancies
From HUD
52671-C
(6)
(1)
(2)
Lioscomb, Dorothy
23~589985 012319~6
00206
1,299
Liv inaston, Hobert T
23464’7562 0211 1941
00 403
1,438
0
Totals
I certify: (a) the above amounts have been computed in accordance with all
instructions and requirements prescribed by HUD and the applicable Section
8/PAC/PRAC Contract; (b) all prerequisites to and conditions for the
assistance claimed have been met; and (c) All required documents will be
retained in the projects file for 3 years.
Owner’s printed name, signature, date, & phone no.:
Tracey Bevins
304-296-8223 x22
0
0
2,737
Debit Service
From HUD
52671-D
(7)
0
HUD/Contract Administrator Review:
~ Claim approved.
Claim adjusted.
Claim denied. Reason
Official’s name, signature, & date:
05/09/2013
j
~((
,
.
~
(
HUD will prosecute false claims & statements. Conviction result in criminal and/or civil penalties (18
U.S.C. Sections 1001, 1010, 1012: 31 U.S.C. Sections 3729, 3802),
Previous versions obsolete
Submit an Original and three copies
form HUD-52670-A Part 2 (03/2003)
ref. Handbook 4350.3 Rev. 1
(Computer Generation by FHA Software -2013.03.31) 05/09/2013 02:41PM
Main Office Completes
Special Claims
U.S. Department of Housing
and Urban Development
‘for Regular Vacancies
Instructions
Project Name
Follow guidelines
in HUD Handbook~
i4r~~ ~
Part A
0MB Approval No. 2502-0 182
Office of Housing
Federa’ Housing Commissioner
FHA project no.
Eastview Unity Apartments
200 Jefferson Street
Fairmont, WV 26554
1. Tenants move-out 2. No. days taken to
3. Date unit ready for
date
clean/repair unit
occupancy
03/03/2013
15
7. Contract rent/operating rent at move-out
8, Enter daily contract rent/operating rent (Divide contract rent/operating
rent in effect on move-out date by actual no. days in move-out month)
~
9, Multiply line 6 and 8 (Contract rent/operating rent for days vacant)
884: Rural Housing
Services
886: LMSA Subpart A
891. Elderly Housing
10, Multiply line 9 by 0.80 for Section 8/PAC units or 0.50 for Section 202/
811 PRAC units (This is the most HUD will pay)
11. Enter amounts paid by other sources
(Security deposit, Title I, etc.)
WV1 5T8 1 1001
Vacated Tenant name
Unit no.
Dorothy Lipscomb
4. Date unit ready for
5. Date unit was
occup. + 59 days
re-rented
00 206
6. No. of days vacant
(Not to exceed 60.
Include
but
not day
day inin line
line 35.)
03/19/2013
(applies to the
following)
880: Section 8 New
Construction
Section 8/PAC/PRAC Cont#
045EH029
05/17/2013
839.00
60
31
27.06
1,623.60
0.00
(—)
1,623.60
12. Subtract line 11 from line 9
13. Compare line 10 with line 12 & enter the lesser amount
Enter in column 6 on HUD 52670-A Part 2.
14. Tenant’s move-out 15. No. days taken to
date
clean/repair unit
03/03/2013
15
19. Enter daily assistance payment
16. Date unit ready for
occupancy
1,299
17 Last day of mo. (or day before
move-in if in same month)
18. Number of days vacant in first month
(Line 17 minus line 16, plus one day.
Not to exceed 30.)
03/19/2013
Note: This should be the day afer unit completed date on the work order.
22 16
(Divide assistance payment in effect on move-out date by actual no.
days in
0
31
20. Multiply lines 18 by line 19
This is the most HUD will pay for the first month.
If vacancy continues for a second month, continue with line 21,
However, if a new tenant moved in the same month as the
previous tenant moved out, skip to line 26.
0 00
0
0
21. Day of second month the unit was rented
Part 8
(applies to)
22. Subtract one(1) day from line 21 (Or enter actual no. days vacant
if the unit was not re-rented.l
27 06
23, Enter daily contract rent/operating rent (Divide contract rent/operating
rent in effect on move-out by actual no. days in move-out month)
24. Multiply line 22 by line 23
~
Subpart C
‘
0 00
25. Multiply line 24 by 0.80
This is the most HUD will pay for the second month.
0.00
0.00
26. Add lines 20 & 25
27. Enter amounts paid by other sources
(Security deposit, Title I, etc.)
—
28. Subtract line 27 from 26
Enter in column 6 on HUD 52670-A Part2.
I certify: (a) Units are in decent, safe, and sanitary condition, and are available for
occupancy during the vacancy period in which the payments are claimed. (b) The
Owner / Agent did not cause the vacancy by violating the lease, the contract, or any
applicable law. (c) I notified 1-IUD or the contract administrator immediately upon
learning of the vacancy, or prospective vacancy, and the reasons for it. (d) I complied
with all HUD requirements on termination of tenancy (Chapter 8, Section 3 of Handbook
4350.3 Rev. 1) if the vacancy was caused by an eviction. (e) All documentation will be
retained in the project’s file for 3 years.
Owner’s printed name, signature, & date
Tracey Bevins
Claim approved.
~ Claim adjusted. Reason’
Claim denied. Reason:
Official’s name, signature, & date
304-296-8223 x22
(,./ ~
“
HUD/Contract Administrator Review
,
.
~
~
~‘
05/09/2013
Claim ID:
HUD will prosecute faIse~laims & statements. Conviction result in criminal and/or civil penalties
(18 U.S.C. Sections 1001, 1010, 1012; 31 U.S.C. Sections 3729, 3802).
Previous versions obsolete
Submit an Original and two copies
(Computer Generation by FHA Software- 2013.03.31 ) 05/09/2013 02:33PM
Site Manager Completes
form HUD-52671.C (09/2002)
ref. Handbook 4350.3 Rev. 1
uwners ~ertItlcation of Compliance
U.S. Department of Housing
with HUD~s Tenant Eligibility
and Urban Development
Office of Housing
Federal Housing Commissioner
and Rent Procedures
NOT for submission to the Federal Government
0MB Approval Number 2502-0204
Section A. Acknowledgements
Read this before you complete and sign this form HUD-50059
Public Reporting Burden. The reporting burden for this collection of information is estimated to average 55 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this
burden, to the Office of Management and Budget, Paperwork Reduction Project (25020204), Washington, DC 20503. The information is being collected
by HUD to determine an applicant’s eligibility, the recommended unit size, and the amount the tenant(s) must pay toward rent and utilities. HUD uses
this information to assist in managing certain HUD properties, to protect the Government’s financial interest, and to verify the accuracy of the information
furnished. HUD or a Public Housing Authority (PHA) may conduct a computer match to verify the information you provide. This information may be
released in accordance with HUD’s Computer Matching Agreement (CMA) between the Social Security Administration and the Department of Health and
Human Services. You must provide all of the information requested, including the Social Security Numbers (SSN5), unless exempted by 24 CFR 5.216,
you, and all other household members, have and use. Giving the SSNs of all household members, unless exempted by 24 CFR 5.216, is mandatory; not
providing the SSNs will affect your eligibility approval. Failure to provide any information may result in a delay or rejection of your eligibility approval.
Privacy Act Statement. The Department of Housing and Urban Development (HUD) is authorized to collect this information by the U.S. Housing Act of
1937, as amended (42 U.S.C. 1437 et. seq.); the Housing and Urban-Rural Recovery Act of 1983 (P.L. 98-181); the Housing and Community
Development Technical Amendments of 1984 (P.L. 98-479); and by the Housing and Community Development Act of 1987 (42 U.S.C. 3543).
Tenant(s)’ Certification - I/We certify that the information in Sections C, D, and E of this form are true and complete to the best of my/our knowledge
and belief. I/We understand that I/we can be fined up to $10,000, or imprisoned up to five years, or lose the subsidy HUD pays and have my/our rent
increased, if I/we furnish false or incomplete information.
Owner’s Certification - I certify that this Tenant’s eligibility, rent and assistance payments have been computed in accordance with HUD’s regulations
and administrative procedures and that all required verifications were obtained.
Warning to Owners and Tenants. By signing this form, you are indicating that you have read the above Privacy Act Statement and are agreeing with
the applicable Certification.
False Claim Statement. Warning: U.S. Code, Title 31, Section 3729, False Claims, provides a civil penalty of not less than $5,000 and not more than
$10,000, plus 3 times the amount of damages for any person who knowingly presents, or causes to be presented, a false or fraudulent claim; or who
knowingly makes, or caused to be used, a false record or statement; or conspires to defraud the Government by getting a false or fraudulent claim
allowed or paid.
Certification Summary from Page 2
unit Number
Name of Project
Eastview Unity Apartments
00 208
Total Tenant Payment
Head of Household
$ 209
Dorothy Lipscomb
Head of Household
)/~7 ~
~)
Date
.
.
Tenant Signatures.
Other Adult
Effective Date
Certification Type
02104/2013
Assistance Payment
Mi - Move in
Tenant Rent
$ 687
$ 152
Date
fc~J/l
Spouse! Co-Head
Date
Other Adult
Date
Other Adult
Date
Other Adult
Date
Other Adult
Date
Other Adult
Date
Other Adult
Date
Other Adult
Date
Other Adult
Date
Other Adult
Date
Other Adult
Date
Other Adult
Date
OwnerlAgent Signature~
Owner/A ~nt
~ ‘7~1c~&~ ))1
~
JJ
.
I
Date
~
Anticipated Voucher Date
..
Check this box if Tenant is unable to sign for a legitimate reason
Previous versions of this form are obsolete,
This form also replaces HUD-50059-D, -E, -F, & -G.
(Computer Generation by FHA Software - Rel 2012.12.31 ) 02/04/2013 9:59 am
April 2013
Page 1 of 2
Site Manager Copies and Submits
form HUD-50059 (03/2011)
HB 4350.3 Rev 1
U.S. Department of Housing
and Urban Development
Office of Housing
Federal Housing Commissioner
Owner’s Certification of Compliance
with HUD~’s Tenant Eligibility
and Rent Procedures
For Personal Records ONLY - Not for
Submission to the Federal Government
Record for Landlords
Section B. Summary Information
1. Project Name
Eastview Unity Apartments
2.
3.
4.
5.
6.
7,
8.
9.
10.
11.
12.
Subsidy Type
Secondary Subsidy Type
Property ID
Project Number
Contract Number
Telecom Address
Plan of Action Code
HUD-Owned Project?
FIPS county Code
Previous Housing Code
Displacement Status
1
-
13. Effective Date
14. Anticipated Voucher Date
15. Next Recertification Date
Sec.8
~Future
045EH029
WV1 5T81 1001
TRACMOO525
16.
17.
18.
19.
20.
21.
22.
N/A
~Future
3
4
~
Project Move-In Date
Unit Move-In Date
Certification Type
Action Processed
Correction Type
Cert. Correction Date
Prey. Subsidy Type
35., 36., 37.
38.
Last Name, First Name Ml
39.
Rel, Sex
Lipscon,b, Dorothy
.
.
..
.
50. Family
is Mobility
Impaired?
51. Family is Hearing Impaired?
52. Family is Visually Impaired?
02/04/2013
02/04/2013
Ml - Move In
H
NO
NO
NO
53.
54
~
56.
F
40.
41.
Eth.
42.
Birth
Date
43.
Special
Status
Race
W
2
01/23/1936
EH
Number
Family Members
Number of
of Non-Famil
Members
Number of Dependents
Number of Eligible Members
01
0
60. Previous Head Last Name
61. Previous Head First Name
62. Previous Head Middte Initial
Unit Number
No. of Bedrooms
Building ID
Unit Transfer Code
Previous Unit No.
Security Deposit
Basic Rent
Market Rent
Contract Rent
Utility Allowance
Gross Rent
00 206
1 BR
WV-08-00102
209
0
839
57
896
66.
Mbr
No.
67.
68
Income Type / Code
Amount
Social Security? SS
Supp. Sec. Inc.? SI
70.
71.
72.
73.
74.
44.
Student
Status
45.
ID Code
(SSN)
46.
Elig.
Code
233-58-9985
EC
47.
Alien Reg.
Number
48.
49.
Age at Work
Cert. Codes
77
57. Expected Family Addition - Adoption
58. Expected Family Addition - Pregnancy
59. Expected Family Addition - Foster Children
0
0
0
( Blank>
( Blank)
( Blank)
63. Previous Effective Date
64. Previous Head ID
65. Previous Head Birth Date
Section D. Income Information
1
1
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
Section C~ Household_Information..
34.
Mbr
No.
I
02104/2013
04/2013
02101/2014
8004
756
Total Employment Income
Total Pension Income
Total Public Assistance Income
Total Other Income
Non-Asset Income
Section
—
69.
SSN Benefits
Claim No.
75.
Mbr
No.
233-58-9985
233-58-9985
1
I
78.
77.
78.
Description
Status
Cash Value
79.
Actual Yearly
Income
51
427
0
0
Checking
Savings
0
8,760
0
0
8,760
Asset Information
81.
82.
83.
84.
85.
C
C
Cash Value of Assets
Actual Income from Assets
HUD Passbook Rate
Imputed Income from Assets
Asset Income
80.
Date
Divested
478
0
2.000%
0
o
Section F. Allowances & Rent Calculations
86.
87.
88.
89.
90.
91.
92,
93.
94.
95.
96.
Total Annual Income
Low Income Limit
Very Low Income Limit
Extremely Low Income Limit
Current Income Status
Eligibility Universe Code
Section 8 Assist. 1984 Indicator
Income Exception Code
Police? Security Tenant?
Survivor of Qualifier?
Household Assistance Status
8,760
29,200
18250
11,000
3- Extremely Low
2 - Post 1981
NO
E
97.
98.
99.
100.
101.
102.
103.
104.
105.
108.
107.
o
o
a
Deduction for Dependents
Child Care Expense (work)
Child Care Expense (school)
3% of Income
Disability Expense
Disability Deduction
Medical Expense
Medical Deduction
Elderly Family Deduction
Total Deductions
Adjusted Annual Income
Previous versions of this form are obsolete.
This form also replaces HUD-50059-D, -E, -F, & -0.
(Computer Generation by FHA Software - Rel.2012. 12.31
263
o
o
o
o
.100
400
8,360
Page 2 of 2
)
02/04/2013 9:59 am
Total Tenant Payment (UP) Determinations
209.00 - 30% of Adj Monthly Income
73.00 - 10% of Gross Monthly Income
0.00 - Monthly Welfare Rent Amount
25.00 - HUD Minimum Rent Amount
108. Total Tenant Payment UP
209
109. Tenant Rent
152
110. Utility Reimbursement
0
111. Assistance Payment
687
112. Welfare Rent
113. Hardship
114 Waiver
form HUD-50059(03/2011)
HB 4350.3 Rev 1
Security Deposit Ledger
.~lSt\ ie~ Un tv Apartments
200 id erson Street
(As of) Report Date : 05/09/2013
05/09/2013
2:29 pm
Page I ol’
lainnont, WV 26554
l~ntry No.
Itaicli No.
t’nil No.
0() 206
-
7154
7154
759
0
0
20130205
759
20130205
I)ate
Charge
Code
Charge
Amount
Type Description
Adjustment
Amount
l’ayment
Amount
Running
Balance
15,00
209,00
0.00
0.00
224.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
15.00
209.00
223.00
15.00
224.00
209.00
0.00
224.00
0.00
224.00
IJI)#1671 Lipscomh, Dorothy ( Move-Out Date: 03/03/2013 ) ( Refund Date: 03/14/2013
02/04/20 13
02/04/20 13
02/05/2013
02105/2013
SECDE1~
SECDEP
SI/CDEP
SI2CDEP
C
C
P
p
Key Deposit
Security Deposit at Move-In
#00 206 Key Deposit
#00 206 Security Deposit
I)esignates that the Security l)eposit Payment has been refunded
Tota’s
*
*
You can find this report in FHA under:
Accounting - Tenant Reports - Security Deposit Report - Select Tenant Only - Print Ledger ( Detailed Report)
Site Manager Runs Report
Security Deposit Refund Report
E.setv:~’.v Umt Apartments
200 Jefferson Street
Fairmsnt. WV 2655-i
03.’ 11 20 3
-1.14 pm
Tenant ID
Unit No.
Tenant Name
Move-In Date
Beginning Date
Ending Date
167
00 206
Dorothy L~pscomb
02/03~ 2013
02,’0-1i2013
03/03i20I3
Move-Out Date 03/0312013
No. of Days
27
Interest Rate % 0,000
For,\arding Address
SECURITY DEPOSITS PAID
CODE.
Total Interest S
S 209.00
0.00
Total Security Deposit $
209.00
TENANT CHARGES
SECDEP
L\PPUED
$2.00
Total Tenant Charges S(
Net Refund S
2.00 )
207.00
S
S
$
S
130.00
(209.00)
( l5.00~
15.00
S
128.00
S 2.00
j
DESCRIPTION
Security Deposit
CODE
CABLE
DESCRIPTION
Cable
Funds Transfer to Cash Account will be done by Bank Transfer.
<~-
Net Amount of Refund to Tenant
February 2013 Rent Credit
Security Depsoit Retained
<--- March 2013 Rent Charge
<--- Key Deposit Refund
<---
<---
TOTAL REFUND
Site Manager Runs Report
Work Order
c~I~,c~ci
~OpcnI
1’toject
Site Manager Completes
East~ jew Unity .Apai tinents
200 Jetterson Street
Fairmont. WV 26554
Work Order ID
947
Reported h)
Location Description Unit
nit ‘4o.: 00 206
Date & Time Received
Call l3ack on WO ID
Name or Location
.\ddress I
Address 2
Phone Number:
03/03/20 13 03:55 PM
Has Pets
Permission to Enter
Work Order Description
VACANT
200 JEFFERSON STREET, #00 206
FAIRMONT. WV 26554
Vendor ID
Work Assigned to: Tim VanPelt
Date & Time Assigned 03/03/20 13 03:55 AM
Schedule Date : 03/0312013
Priority: Normal
Work Order Type
03 13/2013
3:57 pm
f~4a.k~e- (_4.,~’~
.i~~e~aI ~
~—
No
Call First
1~e4.~d1
—
Ready apt for occupancy.
~ ,Jj
Date & Time Completed:
~
Corrective Action Description:
~
~.
~ // ~
~
t~i~1
~2
4W\—~.
~
A-~tc_/~
~(LI_(.g~
~
~dQA1~) ~
~
~Jj~ ~
~
~f/,( ~-0~1~
I
his ≤edi
r~
Parts I. scd
~o 1c~ ~
No. I ~ed
4~p~cJ
~b Fi-I~4
Part Cost
Total
S____________
S____________
I.abor Fime
/
/ ~j
c~q
_______
2.
3.
________
I.
~±
dV/~
(~)(J(~~
L
,~
x S_________________
S
‘$_____________
5
.~‘-
a in ten:mnce Sit perv i ~o r
Please make sure the work order is signed and closed.
Labor Wage
C
~
\
S
1/
Property \lanagcr
~
~.
Site Manager Submits Copies of All Advertising
MONTHLY MARKETING/ADVERTISING CONTACTS
Please use
Left Click
Only to Access Drop
DATE
(MM/DD/YYYY)
SITES MANAGED BY HRDE
Down Fields
NAME OF BUSINESS
ADDRESS
CITY, STATE, ZIP CODE
EMAIL
NAME OF CONTACT
PHONE
HOW
MATERIALS
PROPERTY
-Indicate Date/Publication of Ad
Leasing signs on the building
~
1 U.~
3/1/2013
COMMENTS
NOTE
-Indicate number in attendance at
Presentation
item.
DisabtIit~ Action Center
.
102
Benonj Avenue
Fairmont, WV 26554
Julie Sole, Executive
Director
304-366-3213
P~rsun to l’erson
flrochiirv
EU.%
Disability
Action center Schools
transition fair, set up a displa)
table with pre-appllcations,
brochure, business cards.
attached_invitation.
(‘lick here to
enter a date.
(‘lick here to
enter a date.
(‘lick here to
enter a date.
(lick hei’e 10
enter a date.
Click here to
enter a (late,
(‘lick here to
enter a date.
Click here to
enter a date,
(‘lick here to
enter a
:hoose an
item.
Choose an
item.
Choose an
item.
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item.
Choose an
item.
iii
item.
(‘h~iose an
item.
(.hoosc an
item.
Choose an
item,
Choose an
item,
C’htiose all
date,
Click here to
date.
(‘lick here to
enter a date,
(‘lick here to
enter a date.
C’lick here to
enter a date,
enter a
HRDE Rev. 2-6
item.
Choose
item.
Documenti
au
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See
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“
~
~
~ THE I)IS~1llLIflT~ACTION~E1~I!El1 ANI) MARION COUNTY
~ SCHOOLS TRANSITION
FAIR 2013
~
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9:O() A L’Q~i4:OO A.M.
HEDISABIlI TYAC11~O~ CENTER
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ices available in
hii’ereduca ~ employm~n~t, a~td i~~p&rts after high school.
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at the Disability Action Center, 102 Benoni Ave.,
? ~ 2i ~I on March 13, 2013 from 9:00 am to 11:00 am.
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~vai1able for your agency/school. Please let us
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You can RSVP by return~g the registration form to:
Mail:
Email: jso1e~disabilityactio
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Fax: (304) 368-1300
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Phone: (304) 366-3213
102 Bendni Ave.
Fairmon , WV 26554
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Apartments, LP
Eastview
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Studio and 1& 2 Bedroom Apartments
Social Activities
Rent Based on 30% Adjusted Income
Electric Allowance
Multi-Purpose Room for Activities
Public Transportation Available
For More Infor at’on Cal:
Susan Hallums, Manager
200 Jefferson Street
Fairmont, WV 26554
Phone: (304) 366-6934 TDD: 1-800-982-8771
Website: www.hrdewv.org
M/F/V/D
EQUAL HOUGIMO
OPPOItUNITY
aft 4009, afl-cio
MONTHLY MARKETING/ADVERTISING CONTACTS
Please use Left Click
Only to Access Drop Down Fields
DATE
(MM/DDIYYYY)
4/1/2013
4/18/2(113
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H RDE Rev. 2-6
SITES MANAGED BY HRDE
NAME OF BUSINESS
ADDRESS
CITY, STATE, ZIP CODE
EMAIL
ApartmentFinder.com
Rivesville Post Office
NAME OF CONTACT
PHONE
HOW
MATERIALS
PROPERTY
COMMENTS
NOTE~
-Indicate number in attendance at
Presentation
—Indicate Date/Publication nt Ad
Barbara Van Baush
800-466-8732
Ran Ad
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Ad online for the month of April
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F:\MSWord\Sharon\Housing\Tina\Advertising-Marketing\Marketing Advertising Monthly Report.docx
Un~ty Hous~ng Apa~rnents~
Eastv~ew
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AFFORDABLE HOUSING FOR THOSE 62 YEARS OF AGE OR OLDER
HANDICAP/DISABLED
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~tud~o and I & 2 ~i3edroom Apartments
~oda~ ActMti~es
Rent ~8ased on 30% Adjusted kicome
E~1ectrk AEll~owance
t~Purpose Room for Act~v~t~es
Publlc Transportation Ava~11ab~1e
FOR MORE INFORMATION CONTACT:
Susan Hallums, Manager
200 Jefferson Street
Fairmont, WV 26554
Phone: (304) 366-6934
TDD: 1-800-982-8771
Website: www.hrdewv.org
aft 4009, afl-cio
Unity Housing Apartments, LP/Eastview does business in accordance with the Federal Fair Housing Law and does not
discriminate against any person because of race, color, religion, sex, hand cap, familial status, or national origin.
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Page 1 of 1
Apqrtment
Finder~
ApartmentFinder~com
Invoice Date:
03/31/13
Invoice No:
Due Date:
Customer No:
Sales Rep:
AJ 2357
Job Reference: Charleston, V’N
04/30/13
Billing For:
‘Apr 2013”
902901884
BARBARA VAN BAUSH-D
Terms:
NET 30 DAYS
2 Sun Court Suite 300
Norcross, GA 30092
Phone (678) 346-9300 Fax (404) 759-2296
www.NC Loom
Ship to:
Bill to:
EASTVIEW UNITY APARTMENTS
200 JEFFERSON STREET
FAIRMONT
WV 26554
UNITED STATES
HUMAN RESOURCE DEVELOPMENT AND
DON SAVAGE
1644 MILEGROUND
MORGANTOWN
WV 26505
IILINEj
ITEM
FPAK-D
DESCRIPTION
FINDER PAK (DIGITAL)
UOM
EACH
QTY
1
UNIT PRICE
DISCOUNT
399.00
350.00-
TOTAL
49.00
Invoice Amount
TAX
Past Due Balance
Net Due (USD)
49.00
0.00
0.00
$49.00
PLEASE REVIEW YOUR BALANCE
Current Balance
1-30 Days
31-60 Days
61-90 Days
Over 90 Days
Total Due
49.00
$49.00
For a complete statement of your account or if you have questions regarding your balance, please contact [email protected]
Apartment
Finder
ApartmentFjnder.com
PLEASE DETACH THIS PORTION AND RETURN WITH YOUR PAYMENT
Invoice Date:
Invoice No:
S
REMITTANCE DOCUMENT:
Please make check payable to:
Network Communications, Inc.
AIR ACCOUNT
AF TELESALES
P 0 BOX 935080
ATLANTA
GA 31193-5080
2357
Due Date:
04/30/13
Customer No: 902901884
$
Invoice Amount (USD)
49.00
METHOD OF PAYMENT:
(Credit card charges will reflect Network Communications, Inc.):
LI Check
[1 Credit Card LI Visa
Card Number:
Street:
City, State, Zip:
Ad 0 000235730 00 04 90 07
03/31/13
AJ
[1 Mastercard
LI
Discover
[I
Amex
Expiration Date:________