ATTACHMENT III-B
ADVANCE REQUEST FROM THE CDBG REVOLVING GRANT FUND APPLICATION (“ADVANCE APPLICATION”)
Name of City: _____________________________________________________________ For further policies and procedures of the Revolving Grant Fund, please refer to the GMU Bulletin No. 24-0021, Reissuance of the Community Development Block Grant Revolving Grant Fund Guidelines. ___________________________________________ ________________________________
NAME OF AUTHORIZED OFFICIAL (PRINT) TITLE
___________________________________________ ________________________________
SIGNATURE OF AUTHORIZED OFFICIAL DATE
Existing Project
Project No:
Project Title:
Current Budget: $
Amount Requested: $
New Project
Project HUD Code/Eligibility:
Project Title:
Amount Requested: $
See attached Quarterly Expenditure and Milestone Plan ☐ Repayment of Advanced CDBG Grant Funds
Please identify projected annual repayment of Advanced CDBG Grant Funds.
Fiscal Year 202___: $
Fiscal Year 202___: $
Fiscal Year 202___: $
TOTAL AMOUNT: $
Use of Additional CDBG Funds
Describe how the use of additional CDBG funds would benefit an existing or new project, such as a reduced waiting list or the addition of a project component, etc. This application is limited to two (2) pages.
Do the additional CDBG funds cause a change to an existing project: eligibility/national objective, change in scope of work, beneficiaries, etc.?
If yes, explain: