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V.04-20-09 v.3.0 <br /> Electronic AQplication <br /> �J. Statement and CertiFcation of ApplicanUOwner � <br /> Individually,or as die general parmer(s)or officers of the applicant entity(hereinafrer referred to as"Owner"),we are familiar with the provisions of the <br /> Tax Refom�Act of 1986 and subsequent revisions with respect to the Low Income Housing Tax Gedit(HTC),and to the best of our knowledge and belief, <br /> the applicant entiry has complied,or will comply widi all of the requirements which are prerequisite to issuance of the HTC by Minnesota Housing <br /> Finance Agency(Minnesota Housing). We understand that die HTC Program will be governed and controlled by rules and regulations issued <br /> by the Internal Revenue Service(IRS). We also understand that we must comply with the Minnesota Statutes 462A and Housing Tax Credit Program <br /> Procedural Manual and Allocation Plan of Minnesota Housing concerning Low-Income Housing Tax Credits. <br /> 1(We)hereby make applica[ion to Minneso[a Housing for allocation of HTC. The undersigned hereby acknowledges that the making of an allocation <br /> by Minnesota Housing does not warrant that the project is deemed qualified to receive such allocation. [(We)agree d�at neither Minnesota <br /> Housing nor any of its directors,officers,employees,and agents will not be held responsible or liable for any representations made to die undersigned <br /> or its investors relating to the HTC. I(We)assume the risk of all damages,losses,costs,and expenses related diereto and agree to indemnify <br /> and save harniless Minnesota Housing or a�ry of its directors,officers,employees,and agen[s against any and all claims,suits,losses,damages,costs,and expenses <br /> of any kind and of any na[ure that the Minnesota Housing may hereinafter suffer,incur,or pay arising out of its decision concerning the application for HTC <br /> or the use of the infomiation concerning the HTC Program. <br /> I(We)also understand and agree that Minnesota Housing has made no representations about the effect of the tax credit upon my(our)taxes <br /> or that of any other person connected with this project. <br /> I(we)understand and agree that <br /> (1)The infomiation requested on this application and any attachments hereto are being collected to detemiine eligibiliry of the project under Section 42. <br /> (2)Minnesota Housing may request additional inforniation in order to evaluate this application. <br /> (3)An applicant who fails to complete all infomiation requested will not be eligible for a reservation of HTC. <br /> (4)Certain provisions of Internal Revenue Code(IRC)Section 42 and regulations thereunder and Minnesota Statute Chapter 462A may change <br /> and as a result of said change may require the submission of additional documentation to Minnesota Housing. <br /> (5)Infom�ation requested in this application is public data which is accessible to die public pursuant to Mimiesota Statutes,Chapter 13. <br /> 1(We)hereby certify that the infomiation contained in this application is true,correct and complete. I(We)understand that any misrepresentations <br /> and/or fraudulent inforniation made in tl�is application may result in the tern�ination of HTC by Mi�mesota Housing and may bar me(us)and <br /> related parties from future program participation,and reporting of such misrepresentation and fraudulent infomiation to the IRS. <br /> SiQnature of General Partner <br /> by: <br /> of: <br /> its: <br /> Print name <br /> of sio iatory, <br /> Date <br /> The foregoing instrument was acknowledged before me this day of__ ,20 , <br /> by _,the <br /> _ _ — -- <br /> (name) (title) <br /> of a <br /> (Name of corporation) � <br /> Notary Public <br /> SiQnature of Nonprofit Partner(iT applicable) <br /> by: <br /> of: <br /> its: <br /> Print name <br /> of signatory, <br /> Date <br /> The foregoing instrument was acknowledged before me this day of__ _,20 , <br /> bY �the <br /> (name) _ _ (title)—��-- — <br /> of _ a . <br /> (Naine of corporation) � <br /> Notary Public <br /> Email the completed Minnesota Multifamily Renlal Housing Common Applicalion to MHFA at mhfa.app@state.mn.us. <br /> The MHFA will accept only one copy of the completed final Multifamily Application Form. Do not send incomplete or preliminary Application Forms. <br /> The Minnesota Mulfifamily Rental Housing Common Application that is emailed to the MHFA must be identical to ihe original signed Application Form submitted to the MHFA.. <br /> Minnesota Multifamily Rental Housing Common Application forms will not be accepted after 5:00 pm on ihe application submission tlate. <br /> MHFA Application Form RFP/HTC1 15 4/22/2010 4:28 PM <br />