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								    Computation of Payments U.S. Department of Housing and Urban Development 
<br />in Lieu of Taxes Office of Public and Indian Housing 
<br />For Fiscal Year Ended 6/30/2023 OMB Approval No. 2577-0072 (Exp. 11/30/2007) 
<br />Public reporting burden for the collection of information Is estimated to average A hours. This includes the time for collecting, reviewing, and reporting the data. The 
<br />information will be used for HUD to ascertain compliance with requirements of Section 6(D) of the U.S. Housing Act, which provides for PHA exemptions from real and 
<br />personal property taxes, and inclusion in the formula data used to determine public housing operating subsidies. Response to this request for information is required in 
<br />order to receive the beneifts to be derived. This agency may not collect this Information, and you are not required to complete this form unless It displays a currently 
<br />valid OMB control Number. 
<br />Name of LocalAgenc 
<br />Location 
<br />Contract Number 
<br />Project Number 
<br />ads HousingAuthorityeee.._� 
<br />ons Tx ,� 
<br />P.. „_ svv,... a.." �.v. 
<br />,,................ 
<br />_. __ .. .... .....d" 
<br />TX0�48 
<br />..... 
<br />Part I - Computation of Shelter Rent Charged. 
<br />.,. .....�... ................. ... 
<br />..... 
<br />M, � e 
<br />1. Tenant Rental Revenu.. 
<br />Revenue (FDS Line 703) 
<br />$ 
<br />642,465.80 
<br />2. Tenant Revenue Other (Excess utilities) 
<br />$ 
<br />- 
<br />3. Total Rental Charged (Lines 1 & 2) 
<br />$ 
<br />642,465.80 
<br />4. Utilities Expense (FDS Line 931 - 939) 
<br />$ 
<br />547,861.44 
<br />5. Shelter Rent Charged (Line 3 minus Line 4) e..........".,._........_ w 
<br />�...� ...pe 
<br />$ .. 
<br />94,604.36 
<br />� 
<br />Part II - Computation of Sheiter, Rent Collected.. To be completed._ 
<br />tion e of h Rent 
<br />only ff Cooperation Agreement provides for Payment of PILOT on basis of Shelter Colleted.) 
<br />Payment PILOT Collected.) 
<br />1. Shelter Rent Charged 5 of Part I, above 
<br />rg (Line ) 
<br />$ 
<br />94,604.36 
<br />2. Add: Accounts Receivable - Tenants (FDS Lines 126, 126.1, & 126.2) at beginning of fiscal year 
<br />3. Less: Tenant Bad Debt Expense (FDS Line 964) 
<br />4. Less: Accounts Receivable - Tenants (FDS Lines 126, 126. 1, & 126.2) at end of fiscal year 
<br />5. Shelter Rent Collected (Line 1 plus Line 2 minus Lines 3 & 4)$ 
<br />-...._..._..._...........-v.�ri.a_ ...�� ...._......_e. ......._.........._........_.. 
<br />.. 
<br />94,604.36 
<br />..._ .n Wee..A.. e....... .. .-. 
<br />Part Ill -Computation of Approximate Full Real Property Taxes. 
<br />Districts 1 (2) Assessable Value 1 (3) Tax Rate 1 (4) Approximate Full Real Property Taxes 
<br />Total 
<br />Part Iv -Li' mltatfon Based on Annuaun'— (To be completed if Cooperation Agreement 
<br />limits PILOTto 'an by which real propertytaxes exceed 20% 
<br />of annual contribution.) 
<br />1. Approximate full real property taxes 
<br />2. Accruing annual contribution for'all projects under the contract 
<br />3. Prorata share of accruing annual contribution' 
<br />4.20% of accruing annual contribution (20% of Line 3) $ 
<br />5. Approximate full real property taxes less 20% of accruing annual 
<br />_ contribution (Line 1 minus Llne 4, If Line exceeds Line 1, enter zero) ' 
<br />Part V - Payments in of . .............. ........._�..._ 
<br />ym Taxes 
<br />1. 10°/C of shelter rent (10% of Line 5 of Part I or 10% of Line 5 of Part 11, 
<br />whichever is applicable)" $ 9,460.44 
<br />2. Payments in Lieu of Taxes (If Part IV is not applicable, enter the amount $ 9,460.44 
<br />shown on Line 1, above, or the total in Part III, whichever is the lower. If 
<br />Part IV is applicable, enter the amount shown on Line 1, above, or the 
<br />_amount shown on Line 5 of Part IV, whichever is lower.) 
<br />'Same as Una 2 If the statement includes all projects under n ontr.�...ntrac,,, . h .,.,..t doe. .... e a �is un _ ..An � ...... 
<br />the Annual Contributions Contract. ff this statement does not ioduria all pro)ecis under the Annual 
<br />Contributions Contract' enter prorate share based upon the development cost of each project. 
<br />"If the percentage specified in the Cooperation Agreement or the Annual Contributions Contract with HUD is lower, such lower percentage shall be used. 
<br />Warning: HUD will proseaAs false clalms-and statement. Conviction ma result In criminal andlar civil penalties 18 U.S.C. 1001.1010, 1012:31 U.S.C. 3729, 380 
<br />_.� M...... . , �.".".,,.,...".W. ..._.. 
<br />Prepared by: Ronald Urlaub Approved By: 
<br />Name. Name: 
<br />"a 
<br />--o 
<br />...........0..w_.._ _.."..... "....._ 
<br />P�.�.... ., _..._ w� ... �.._ 
<br />Title: Fee Accountant �� ��� Dale: 8130123 Title: Date: 
<br />......_�._Editionsarew.. ..... ..... ay.._.. g......�.�. ...wr... ........ ... ...... 
<br />Previous Obsolete Pa e 1 of 1 form HUD -52267 (8!2005) 
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