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{"sheet":"Program Income Report","index":0,"n_rows":30,"n_cols":6,"rows_kept":30,"cut":false,"hidden":false,"merged":[[0,1,0,5],[26,0,27,6],[3,1,3,5],[2,1,2,5],[8,3,8,5]]}
[null,"HOME Homebuyer and Homeowner Rehabilitation (HHR) ANNUAL PROGRAM INCOME and RECAPTURED REPORT"]
[]
[null,"HOME grantees are required to report and return to DEHCR annually the Program Income/Recaptured proceeds generated by their HOME funds.  "]
[null,"Please complete the following chart for all HOME Program Income Activity for the period of March 1, 2021- March 1, 2022. "]
[]
[null,"Please submit the report and return all program income and recaptured funds by March 15, 2022.  "]
[null,"Email the report to:  DOADOHHHRHCRI@wisconsin.gov "]
[null,"Send funds to: Department of Administration, Attention: DEHCR Fiscal-9, PO Box 7970, Madison, WI  53707-7970 "]
[]
[null,"Activity Number","Program Year/Contract Number","Address Check Came From ","PI/ Recaptured ","Dollar Amount Received"]
[]
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[]
[]
[]
[]
[]
[]
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[]
[]
[]
[null,null,null,null,null,{"$f":"SUM(F11:F22)","v":0}]
[]
[]
[]
["By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the Federal award. I am aware that any false, fictitious, or fraudulent, information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title18, Section 1001 and Title 31, Sections 3729-3730 and 3801-3812)"]
[]
["Printed Name: ",null,null,"Signature:"]
["Agency Name:"]

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