Form HUD-92547-A Budget Worksheet

Budget Worksheet Income and Expense Projections	U.S. Department of Housing and Urban Development Office of Housing Federal Housing Commissioner	OMB Approval No. 2502-0324 (exp. xx-xx-xxxx)
Public reporting burden for this collection of information is estimated to average 5.33 hours 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. This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. This information is collected in accordance with Title II of the National Housing Act which requires that HUD regulate rents for certain cooperative and subsidized rental projects. The Department formulated the processes by which owners could request increases. The requirement for tenant participation in the rent increase process, which is included in Section 202(b) of the HCD Amendments of 1978, necessitated that the Department design procedures to give consideration to tenant comments. The information gathered is not of a confidential nature. The information is required in order to obtain benefits.

Project Number				Name of Project
Description of Account		Acct. No.	Statement of Profit/Loss FY__		Current FY (no. of mos. )		Budget from ( ) to ( )
Rental Income 5100	Rent Revenue- Gross Potential	5120
	Tenant Assistance Payments	5121
	Rent Revenue- Store and Commercial	5140
	Garage and Parking Spaces	5170
	Flexible Subsidy Revenue	5180
	Miscellaneous Rent Revenue	5190
	Excess Rent	5191
	Rent Revenue/Insurance	5192
	Special Claims Revenue	5193
	Retained Excess Income	5194
	Total Rent Revenue Potential at 100% Occupancy	5100T
Vacancies 5200	Apartments	5220
	Stores and Commercial	5240
	Rental Concessions	5250
	Garage and Parking Spaces	5270
	Miscellaneous	5290
	Total Vacancies	5200T
	Net Rental Revenue (Rental Revenue – Vacancies)	5152N
Income 5300	Nursing Homes/Assisted Living/Board & Care/ Other Elderly Care/Coop/Other Revenues	5300
Financial Revenue 5400	Financial Revenue- Project Operations	5410
	Revenue from Investments- Residual Receipts	5430
	Revenue from Investments- Replacement Reserve	5440
	Revenue from Investments- Miscellaneous	5490
	Total Financial Revenue	5400T
Other Revenue 5900	Laundry and Vending Revenue	5910
	Tenant Charges	5920
	Interest Reduction Payments Revenue	5945
	Gifts (nonprofits)	5970
	Miscellaneous Revenue	5990
	Total Other Revenue	5900T
	Total Revenue	5000T
Admin Expenses 6200/ 6300	Conventions and Meetings	6203
	Management Consultants	6204
	Advertising and Marketing	6210
Description of Account		Acct. No.	Statement of Profit/Loss FY__		Current FY (no. of mos. )		Budget from ( ) to ( )
Admin Expenses 6200/ 6300 (ctd.)	Other Renting Expense	6250
	Office Salaries	6310
	Office Expenses	6311
	Office or Model Apartment Rent	6312
	Management Fee	6320
	Manager or Superintendent Salaries	6330
	Administrative Rent-Free Unit	6331
	Legal Expenses - Project	6340
	Audit Expenses	6350
	Bookkeeping Fees/Accounting Services	6351
	Miscellaneous Administrative Expenses	6390
	Total Administrative Expenses	6263T
Utilities 6400	Fuel Oil/Coal	6420
	Electricity	6450
	Water	6451
	Gas	6452
	Sewer	6453
	Total Utilities Expense	6400T
Operating & Mainten. Expenses 6500	Payroll	6510
	Supplies	6515
	Contracts	6520
	Operating and Maintenance Rent Free Unit	6521
	Garbage and Trash Removal	6525
	Security Payroll/Contract	6530
	Security Rent Free Unit	6531
	Heating/Cooling Repairs and Maintenance	6546
	Snow Removal	6548
	Vehicle & Maint. Equip. Oper. and Repair	6570
	Misc. Operating & Maintenance Expenses	6590
	Total Operating & Maintenance Expenses	6500T
Taxes and Insurance 6700	Real Estate Taxes	6710
	Payroll Taxes (Project's share)	6711
	Property and Liability Insurance (Hazard)	6720
	Fidelity Bond Insurance	6721
	Workmen’s Compensation	6722
	Health Insurance & Other Employee Benefits	6723
	Misc. Taxes, Licen., Permits, & Insurance	6790
	Total Taxes & Insurance	6700T
Description of Account		Acct. No.	Statement of Profit/Loss FY__		Current FY (no. of mos. )		Budget from ( ) to ( )
Financial Expenses 6800	Interest on Mortgage Payable	6820
	Interest on Notes Payable (Long-Term) *	6830
	Interest on Notes Payable (Short-Term) *	6840
	Mortgage Insurance Premium/Service Charge	6850
	Miscellaneous Financial Expenses	6890
	Total Financial Expenses	6800T
Expenses 6900	Nursing Homes/ Assisted Living/ Board & Care/ Other Elderly Care/ Coop/ Other Revenues	6900
	Total Cost of Operations	6000T
Description of Account		Acct. No.	Statement of Profit/Loss FY__		Current FY (no. of mos. )		Budget from ( ) to ( )
	Reserve for Replacements Dep. Required
	Principal Payments Required
	Debt Service for other approved loans
	Debt Service Reserve (if required)
	General Operating Reserve (Coops)
	Total Cash Requirements
	Less Total Revenue
	Net Cash Surplus (Deficiency)
I hereby certify that all the information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate. Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)
(Signature)						Date (mm/dd/yyyy)

Previous editions are obsolete

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ref. Handbook 4350.1

form HUD-92547-A (8/2000)