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Docusign Envelope ID:EA783739-0864-4E5C-9728-C9EA1C7C8352 <br /> __.�._,.....,..� -_1......r,.....,_ —Nproval and HOME Investment Partnerships Agreement <br /> General Instructions:This Agreement is used for with the jurisdiction (or entity) for the HOME <br /> one of three purposes: 1)the initial Agreement Program. <br /> between HUD and the Participating Jurisdiction(PJ) <br /> that obligates HOME formula funds;2)the initial 3b. Unique Entity Identifier.The identifier required <br /> Agreement between HUD and the PJ/entity that for SAM registration to uniquely identify business <br /> obligates Community Housing Development entities shown in Box 8c of Standard Form 424 <br /> Organization(CHDO)competitive reallocation (formerly known as DUNS).For jurisdictions(or <br /> funds;3)the amendment to the Agreement that entities) that are already participating in the <br /> deobligates an amount of a PJ/entity's HOME funds HOME Program, this must be the Unique Entity <br /> previously obligated because of a reduction of funds Identifier associated with the jurisdiction (or <br /> by HUD. entity)for the HOME Program. <br /> For all initial Agreements-The Agreement(HUD- 4. Appropriation Number. The Appropriation <br /> 40093)must have an original or electronic signature Number from the HUD-185 sub-assigning funds <br /> by the appropriate HUD official,who is usually the for the Fiscal Year source of funds for this <br /> Community Planning and Development(CPD) transaction. <br /> Director in the Field Office. After the HUD official <br /> signs the Agreement,it must be sent to the 5. Budget Start and End Date. Indicate the fiscal <br /> jurisdiction(or entity)for signature.The jurisdiction years of funds for this transaction. <br /> (or entity)must sign or electronically sign the <br /> Agreement and should retain a copy for its records. 6. Previous Obligation. Enter the total amount of <br /> The jurisdiction(or entity)must return the signed funds that have been previously obligated for this <br /> Agreement to the HUD Field Office.The HUD Field participant for this FY source of funds. <br /> Office must forward the executed Agreement to the a. Formula Funds. Enter the total amount of <br /> CFO National Accounting Center for recording and formula funds previously obligated to the <br /> retain a copy for the Field Office files. participant. If this is the funding approval <br /> form for the participant's initial allocation for <br /> For amendments to the Agreement that deobligate the fiscal year,the amount will be"0". If this <br /> funds because of a reduction by HUD - after is a funding approval form for reallocating or <br /> notification from the Headquarters' Office of deobligating funds, enter the amount from <br /> Affordable Housing (OAHP) to proceed, the Box 7 of the previously submitted form <br /> Agreement (HUD-40093) must be signed or HUD-40093 for the FY identified in Box 5. <br /> electronically signed by the appropriate HUD official, b. Community Housing Development <br /> who is usually the CPD Director in the Field Office.It Organization (CHDO) Competitive <br /> is not necessary to have the jurisdiction sign the form. Reallocation. Enter the amount of funds <br /> (Also,please See#8 below) The Field Office should previously obligated to the PJ/entity by <br /> send one copy to the jurisdiction (or entity) for its competition for CHDOs. If this is a funding <br /> records. Forward the HUD signed amendment to the approval form for reallocating or <br /> CFO National Accounting Center to initiate the deobligating funds previously allocated by <br /> deobligation. Email a copy to Headquarters, OAHP, competition for CHDOs, enter the amount <br /> Financial and Information Services Division so that from Box 7 of the previously submitted form <br /> Headquarters can track the deobligation.Retain a copy HUD-40093 for the FY identified in Box 5. <br /> for the Field Office files. <br /> 7. Current Transaction. Enter the total amount of <br /> 1. Participant Name and Address. The funds for this action.Indicate a deobligation either <br /> participating jurisdiction's(or entity's)name and by placing parentheses around the amount <br /> address as shown in Box 4 of Standard Form 424. deobligated or a minus sign before the amount <br /> deobligated. <br /> 2. Grant Number. The applicable grant number a. Formula Funds.Of the amount indicated in <br /> assigned by the HUD for the PJ/entity that Box 7,indicate the amount that is for formula <br /> corresponds to the fiscal year source of funds for funds. If this is a formula fund deobligation, <br /> this transaction. show the distribution of that amount of funds <br /> in Box 7a.1 CHDO fiends and/or Box 7a.2 <br /> 3a. Tax Identification Number. Enter the Tax non-CHDO funds. <br /> (Employer).Identification Number(TIN)shown 1. CHDO.Of the amount indicated in Box <br /> in Box 8b of Standard Form 424.For jurisdictions 7a, indicate the amount that is CHDO <br /> (or entities) that are already participating in the fiords.If none,enter"0."Note: If this is <br /> HOME Program,this must be the TIN associated a CHDO competitive reallocation, enter <br /> the amount in 7b. <br /> Page 4 form HUD-40093 <br />