Residents who have received improper subsidy payments due to failure to report, must return any improper payment to HUD. This sample agreement outlines the requirements, payment plan and penalties for failure to meet the terms of the agreement. This Pre-HOTMA version requires the resident to report if income changes by $200/month.
Agreement Repayment HOTMA
$20
Updated for HOTMA and/or TRACS 2.0.3.A Residents who have received improper subsidy payments due to failure to report, must return any improper payment to HUD. This sample agreement outlines the requirements, payment plan and penalties for failure to meet the terms of the agreement. This HOTMA version requires residents to report if Annual Adjusted Income changes by 10% or more per month.
Agreement Repayment Policy (Pre-HOTMA)
$20
If you want to establish a policy to reduce the number of repayment agreements for a single family, it is best to make sure you can prove that you have explained the policy. Use this Memorandum of Understanding to document conversations with your residents. This Pre-HOTMA version requires the resident to report if income changes by $200/month.
Agreement Repayment Policy HOTMA
$20
Updated for HOTMA and/or TRACS 2.0.3.A If you want to establish a policy to reduce the number of repayment agreements for a single family, it is best to make sure you can prove that you have explained the policy. Use this Memorandum of Understanding to document conversations with your residents. This HOTMA version requires residents to report if Annual Adjusted Income changes by 10% or more per month.
Agreement Repayment Unpaid Rent (Pre-HOTMA)
$20
Owner/agents may use this repayment agreement to establish a payment plan for unpaid rent. This is for the tenant portion of the rent and should not be confused with repayment agreements for improper subsidy payments created when a resident fails to fully and accurately report income. This Pre-HOTMA version requires the resident to report if income changes by $200/month.
Agreement Repayment Unpaid Rent HOTMA
$20
Updated for HOTMA and/or TRACS 2.0.3.A Owner/agents may use this repayment agreement to establish a payment plan for unpaid rent. This is for the tenant portion of the rent and should not be confused with repayment agreements for improper subsidy payments created when a resident fails to fully and accurately report income. This HOTMA version requires residents to report if Annual Adjusted Income changes by 10% or more per month.
Agreement Repayment Zero Income
$20
Residents who have received an improper payment, due to failure to fully and accurately report, must return that improper payment to HUD. This sample agreement outlines the requirements when a person has zero income and explains penalties for failure to meet the terms of the agreement. There is no need for a HOTMA version of this Zero Income Repayment Agreement because residents are required to report any new income.
Notice HUD Housing Counseling Agency
$20
Use this notice to let residents know that they have a right to contact HUD’s Housing Counseling Agency to receive assistance with repayment agreement negotiations.
Notice Income Dispute Income Calculation
$20
Use this notice to acknowledge that a resident does not agree with the income calculation. This form advises the resident that they must file a dispute with the CA or HUD but the owner/agent cannot change regulations. The resident is still required to complete required paperwork and provide signatures in order to continue to receive housing assistance.
Notice Lease Violation Failure to Repay
$20
Use this notice when a resident misses a repayment agreement payment. The language in this notice supports requirements outlined in the House Rules. Modifications should be consistent.
Notice Lease Violation Multiple Repayments
$20
Some owner/agents limit the number of repayment agreements. Use this notice when there is a second or subsequent improper payment and the owner/agent requires full repayment or eviction.
Notice Repayment Requirement to Sign
$20
Use this notice to advise residents that 50059s and repayment agreements are ready for signature. The notice also advises that failure to sign will result in termination of assistance.
Notice Tenant Organization Acknowledgement
$20
Use this notice to respond to residents’ inquiries about starting a tenant organization. Owner/agents should also provide other information including HSG Notice 11-12, 14-12 and 16-05.
Notice Term Assistance Fail to Repay
$20
If a resident receives an improper payment and fails to return the improper payment, the penalty is termination of tenancy. However, in some cases, judges will not award an eviction when a resident fails to repay. When that is the case, the family is no longer eligible for assistance. This Notice is used assuming the OA has attempted eviction and has failed and now needs to terminate assistance. Do not use for PRAC. There is no termination of assistance for PRAC.
Notice Term Ten Failure to Repay
$20
Use this notice when a resident fails to pay repayment agreement payments. Owner/agents must pursue termination of tenancy
Notice Term Ten Multiple Repayments
$20
Use this notice when a you have established a limit on the number of repayments allowed any resident and the resident has exceeded that number. The resident must return the new improper payment immediately (no repayment) or face eviction.
Notice Term Tenancy Failure to Sign Repayment Agreement
$20
When an owner/agent discovers that a resident failed to fully and accurately report income and that resulted in an improper payment, the resident may enter into repayment. However, if a resident refuses to sign required documents, the owner/agent must terminate tenancy (all MFH programs). This notice provides the required language to terminate tenancy because residents failed to sign a repayment agreement.
Notice to HUD Resident Failed Report/Repay Improper Payment
$20
If an owner/agent suspects fraud or wishes to report default on a repayment, the owner/agent has the option of notifying HUD. Use this form to notify HUD or the CA when a resident refuses or fails to repay assistance-paid-in-error as required. This letter includes an area to enter an address for a Contract Administrator. Information about HUD’s IG Division can be found at http://portal.hud.gov/portal/page/portal/HUD/program_offices/oig You can also complete a Fraud form online at http://oig.hhs.gov/fraud/hotline/
Policy Repayment Agreement Template
$200
This policy template can be used when improper payments are discovered while using EIV or when improper payments are discovered at other times.
Worksheet Repayment Calc
$30
Use this worksheet to document your method used to determine a Repayment Agreement amount.
