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HOMEOWNER ASSISTANCE FUND U.S. DEPARTMENT OF …

OMB Approved No.: 1505-0269 Expiration Date: 10/31/2021 HOMEOWNER ASSISTANCE FUND DEPARTMENT OF THE TREASURY Financial ASSISTANCE Agreement Recipient Name and Address: [Recipient to provide] DUNS Number: [Recipient to provide] Taxpayer Identification Number: [Recipient to provide] Section 3206 of the American Rescue Plan Act of 2021 authorizes the DEPARTMENT of the Treasury (Treasury) to mitigate financial hardships associated with the coronavirus pandemic by providing funds to eligible entities for the purpose of preventing HOMEOWNER mortgage delinquencies, defaults, foreclosures, loss of utilities or home energy services, and displacements of homeowners experiencing financial hardship after January 21, 2020, through qualified expenses related to mortgages and housing.

HOMEOWNER ASSISTANCE FUND U.S. DEPARTMENT OF THE TREASURY Use of Funds. Recipient agrees that the funds disbursed under this award will only be used for the purposes set forth in section 3206 of the American Rescue Plan Act of 2021 (the HAF Statute) and the Guidance for the Homeowner Assistance Fund issued by Treasury on April

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