Annual Tenant Occupancy Report

Neighborhood Stabilization Program

State of Alabama

(An Annual Tenant Occupancy Report must be completed annually and submitted to ADECA no later than December 31st.)

Recipient/Developer Name: / Grant #:
Report Year: / ADECA Reviewer: / ______
Date Submitted: / Date Reviewed: / ______
Authorized Signature: / ______
If multifamily property, provide street address:
Total # of Multifamily Units: / Total # of Single Family Properties:
# of Multifamily Units Occupied: / # of Single Family Properties Occupied:
# of Multifamily Units Vacant: / # of Single Family Properties Vacant:
Describe property improvements made during the past year (excluding routine maintenance):
Describe property improvements planned for next year (excluding routine maintenance):

Complete the following page(s) with the requested information for each tenant.

Please attach copy of applicable Utility Allowances published by the local public housing authority.

Unit #(multifamily)or
Street Address(single family) / Resident Name
or“Vacant” / Move-In Date(mm/dd/yyyy) / Household Income at Initial Occupancy / Household Size / # of Bedrooms / Allowance for Tenant-Paid Utilities / Rent
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Unit #(multifamily)or
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Unit #(multifamily)or
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Unit #(multifamily)or
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Unit #(multifamily)or
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Unit #(multifamily)or
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or“Vacant” / Move-In Date(mm/dd/yyyy) / Household Income at Initial Occupancy / Household Size / # of Bedrooms / Allowance for Tenant-Paid Utilities / Rent
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Unit #(multifamily)or
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Unit #(multifamily)or
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or“Vacant” / Move-In Date(mm/dd/yyyy) / Household Income at Initial Occupancy / Household Size / # of Bedrooms / Allowance for Tenant-Paid Utilities / Rent
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Unit #(multifamily)or
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Unit #(multifamily)or
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Unit #(multifamily)or
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