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APPLICANT NAME:
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PROJECT NAME:
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Enter information into only the yellow shaded cells. All other cells will calculate automatically.
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Rental Assistance Budget
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Eligible with TH Projects
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Size of Units# of UnitsFY25 FMR Monthly
Rent*		12
Months		Total Request*Use the link below to determine the FY25 FMR for the area(s) you are serving. If your proposed new project serves more than one area, indicate with multiple separate Rental Assistance Budgets for each area.
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Single Room Occupancy12$0
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Efficiency12$0Click for Vermont Statewide Metropolitan Area 2026 FMRs
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1 Bedroom12$0
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2 Bedrooms12$0
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3 Bedrooms12$0
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4 Bedrooms12$0
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Total Units & Annual Assistance Requested$0
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Grant Term1 year
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Total Request for Grant Term$0
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Leasing Budget
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Eligible with TH Projects
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Size of Units# of UnitsFY25 Monthly Rent**12
Months		Total Request**When leasing individual units, the rent charged may not exceed the lesser amount of reasonable rent or Fair Market Rent
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Leased Structure (whole building)12$0
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OR
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Single Room Occupancy12$0
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Efficiency12$0
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1 Bedroom12$0
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2 Bedrooms12$0
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3 Bedrooms12$0
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4 Bedrooms12$0
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Total Units & Annual Assistance Requested$0
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Grant Term1 year
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Total Request for Grant Term$0
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Operating Costs Budget
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(Combine With Leasing -- Not Eligible With Rental Assistance)
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Eligible CostsQuantity AND Description
(400 CHARACTERS INCLUDING SPACES)		Direct CostsIndirectTotal
Request
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Maintenance/Repair $0$0
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Property Taxes and Insurance$0
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Replacement Reserve$0
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Building Security$0$0
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Electricity, Gas, and Water$0
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Furniture$0
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Equipment$0
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Total Annual Assistance Requested$0$0$0
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Grant Term1 year
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Total Request for Grant Term$0
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HMIS BUDGET
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(If funds are needed for HMIS participation)
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Eligible CostsQuantity AND Description
(400 CHARACTERS INCLUDING SPACES)		Direct CostsIndirectTotal
Request
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Equipment$0
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Personnal$0$0
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Total Annual Assistance Requested$0$0$0
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Grant Term1 year
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Total Request for Grant Term$0
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SUPPORTIVE SERVICES BUDGET
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All Project Types
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Eligible CostsQuantity AND Description
(400 CHARACTERS INCLUDING SPACES)		Direct CostsIndirectTotal
Request
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Annual Assessment of Service Needs$0$0
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Case Management$0$0
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Assistance with Moving Costs$0
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Child Care$0
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Employment Assistance/Job Training$0$0
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Education Services$0$0
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Life Skills Training$0$0
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Legal Services$0$0
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Outreach Services$0$0
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Housing Search/Counseling$0$0
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Food$0
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Transportation$0$0
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Outpatient Health Services$0
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Mental Health Services$0
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Substance Abuse Treatment Services$0
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Utility Deposits$0
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Operating Costs$0
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Total Annual Assistance Requested$0$0$0
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Grant Term1 year
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Total Request for Grant Term$0
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Total Annual Admin Budget Allowed (10% of Direct Costs Above)
$0
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ADMIN BUDGET
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All Project Types
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Eligible CostsQuantity AND Description
(400 CHARACTERS INCLUDING SPACES)		Direct CostsIndirectTotal
Request
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Gen'l Mgmt, Oversight, Coordination$0$0
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Trainings$0$0
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Environmental Reviews$0$0
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Rent, Utilities, Equipment$0
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Total Annual Assistance Requested$0$0$0
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Grant Term1 year
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Total Request for Grant Term$0.00
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SUMMARY BUDGET
(Will auto-populate based on budget items entered above)