Laserfiche WebLink
<br />ATTACHMENT 3 - 1 <br /> <br />TDHCA HOME PROGRAM <br /> <br />Identification of Contract Administrators <br />Forward to: HOME Program, P.O. Box 13941, Austin, TX 78711-3941 Fax: (512) 475-3287 <br /> <br />Administrator Information' <br />HOME Contract Number: <br />Name: <br />Address: <br />Administrator's Fiscal Year Begins: <br /> <br /> <br />Tax 10 Number: <br /> <br />Ends: <br /> <br />HOME Program Management; identify the following: <br /> <br />Individual authorized to execute a contract on behalf of the Administrator:.i~i\~~~~~1 <br />Name: Title: <br /> <br />Phone: <br />Email: <br /> <br />Fax: <br />Signature: <br /> <br />Individual responsible for day-to~ay program management and reporting::~,~~~~~;:;-t~ <br />Name: Title: <br /> <br />Phone: <br />Email: <br /> <br />Fax: <br />Signature: <br /> <br />Individuals responsible for HOME On-line Authorization (The same persorr{<i~I~}?~ <br />approve both set-ups and draws) .... . ":i~:~;~"'i;~fl <br /> <br />Authorized to enter data and approve set-ups <br /> <br />Name: Title: <br /> <br />Phone: <br />Email: <br /> <br />Fax: <br />Signature: <br /> <br />Authorized to approve draws: <br />Name: <br />Phone: <br />Email: <br /> <br />Title: <br />Fax: <br />Signature: <br /> <br />Consultant: Consultants may enter draws into HOMEOnline,but may not approve eitherseiup~~~~@]i~ <br />Name: Title: <br /> <br />Phone: <br />Email: <br /> <br />Fax: <br />Signature: <br /> <br />HOME Contract #530395 <br />City Of Paris <br />(OCC) <br /> <br />Revised 07/27/00 <br /> <br />Please return ORIGINAL FORMS 10: <br />Hilaria Rivera, HOME Contract Coordinator <br />TDHCA <br />P. O. Box 13941 <br />Austin, Texas 78711-3941 <br /> <br />I-lOMEI#5JOJ9S <br />