Replacement Housing Computation for 90-Day Owners

State Form 38641

RAAP FORM #15

REVISED 09/2014

REPLACEMENT HOUSING COMPUTATION FOR 90-DAY OWNERS

Name / DISPLACEE(S) NAME / Project / PROJECT #
Address in RW / ADDRESS IN RIGHT OF WAY / Code / CODE / Parcel / PARCEL
Comparable #1 / $
Comparable #2 / $
Comparable #3 / $
Selected comparable and basis for correlation:
Owner to Purchase / ENTITLEMENT COMPUTATION / Owner to Rent *(see attached R15A)
A. / Correlated Comparable / $ / A. / Correlated Comparable / $ / /mo.
(with utilities)
B. / Acquisition Price of Subject / $ / B.
Subject Economic Rent / $ / /mo.
C. / Less Breakout Items / $ / C. / (with utilities)
D. / Adjusted Relo Value of Subject (B-C) / $ / 0.00 / A minus B / $ / 0.00 / /mo.
D. / Price Differential Entitlement (A-D) / $ / 0.00 / x 42 months
LRH-0 (See R8) / (not to exceed PDP Entitlement determination)
D. / RAP Entitlement / $ / 0.00
Owner to Purchase / PAYMENT COMPUTATION / Owner to Rent *
A. / Correlated Comparable / $ / A. / Correlated Comparable / $ / /mo.
B. / Actual Replacement / $ / B. / Actual Replacement / $ / /mo.
C. / Lesser of A & B / $ / 0.00 / C. / Lesser of A & B / $ / 0.00 / /mo.
D. / Adjusted Relo Value of Subject / $ / 0.00 / D. / Subject Economic Rent / $ / /mo.
(not to exceed PDP Entitlement determination)
E. / Price Differential Payment (C-D) / $ / 0.00 / E. / Lesser of C and D / $ / 0.00 / /mo.
F. / Increased Interest / $ / F. / C minus E / $ / 0.00 / /mo.
(additional under LRH)
G. / Eligible Incidental Expenses Paid / $ / x 42 months
(not to exceed PDP or RAP Entitlement determinations)
H. / Replacement Housing Payment / $ / 0.00 / G. / Rental Asst. Payment / $ / 0.00
(E + F + G)
MAXIMUM IS $31,000.00 / MAXIMUM IS $7,200.00
Unless in the case of Last Resort Housing Entitlement / Unless in the case of Last Resort Housing Entitlement
LAST RESORT HOUSING (Yes or No) / *All Rental Amounts Include Utilities
RELOCATION SPECIALIST’S CERTIFICATION:
This is to certify that the undersigning Right of Way Agent determined the Replacement Housing Payment and/or Rental Assistance Payment listed above. It is further understood that the undersigned has no direct present or contemplated personal interest in this transaction, nor will the undersigned Relocation Specialist derive any benefit from the these entitlements.
Date / AGENT NAME, Right of Way Agent

State Form 38641

RAAP FORM #15

REVISED 09/2014