HB-2-3560 Attachment 4-F: Performance Standards

The required accounts are (are not) properly maintained and tracked separately.

Mark the accounts maintained: Operating Account(s), Security Deposit Account, Tax & Insurance Account, Reserve Account, Other Accounts:

The payments from operating account(s) are (are not) disclosed and accurately represented.

The reserve account(s): a. is on (not on) schedule with the Agency required minimum funding requirements.

The reserve account(s) is either: i. maintained in a supervised bank account that requires the Agency's countersignature on all withdrawals; or ii. maintained in a supervised bank account that has a Deposit Account Control Agreement fully executed after September 28, 2018.

The reserve account(s): c. is on (not on) schedule with contributions to the reserve account for the current year with the Agency required minimum funding; d. has no (has) encumbrances on the reserve funds; and e. replacement reserve accounts were (were not) used only for authorized purposes in accordance with 7 CFR 3560.306(g).

The tenant security deposits accounts are (are not) fully funded and are (are not) maintained in separate accounts.

The payment of owner return was: paid in the amount of $ for 20XX fiscal year and was (was not) in accordance with the Agency's requirements; OR not paid during the reporting year; OR not allowable due to non-profit status. However, an asset management fee in the amount of $ was paid for 20XX fiscal year.

The borrower has (has not) maintained proper insurance in accordance with the requirements in 7 CFR 3560.105. Coverage maintained for PROJECT NAME is as follows:

Liability Insurance, Flood Insurance, Property Insurance, Earthquake Insurance, Fidelity Bond, Other:

There have been no changes in the ownership of PROJECT NAME, other than those approved by the Agency and identified in the certification.

All current owners are identified in the Status of Ownership table in this Certification. This includes all General Partners, Limited Partners, President, Vice President, Secretary, Treasurer, Member and other Partners as applicable.

For non-profit borrowers: The Board of Directors is (is not) active and maintains oversight responsibilities for the project.

The real estate taxes (property taxes) are paid in accordance with state and/or local requirements. As of YEAR-END DATE, there are no delinquent real estate taxes (property taxes).

Certify that the form is true, accurate and is properly supported by documentation kept in files.

Fill in Signature of Borrower, PRINTED SIGNATURE, DATE and BORROWER ENTITY NAME.

Fill in Fiscal Year and Borrower's Name.

Enter TITLE or POSITION (i.e.- Board President (all non-profit Board Member info is not needed), Managing Member, GP or LP).

Enter NAME, ADDRESS PHONE NUMBER & EMAIL ADDRESS and TAXPAYER ID NUMBER or SOCIAL SECURITY NUMBER (not needed for non-profit Board President).

The information is current and there have been no changes in the ownership since the inception of the loan agreement/resolution(s), except as approved by the Agency. (7 CFR 3560.405 (c) (2))

There has been/will be a change in the ownership as reflected. For any change in the ownership, information is attached as required by 7 CFR 3560.405 (c) (3) and HB-3-3560, Chapter 5 or 7 as applicable.

If the project is not in compliance with any of the Performance Standards, you must state that you are not in compliance with the standard and provide the Agency with a statement about the non-compliance and the methods taken to correct the non-compliance.