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LIHTC and Loan Forms
 

Form name

Purpose

Use when

Exhibit A

Tenant Income Certification (TIC)

Prior to a resident taking occupancy and annually at recertification thereafter

Self-Affidavit (TIC)

Annual Tenant Income Certification (TIC)

Used only after first year recertification and annually thereafter. For 100% tax-credit properties only

Exhibit B

Income Verification (for employed persons)

Prior to a resident taking occupancy and annually at recertification thereafter

Exhibit C

Income Verification (for self-employed persons)

Prior to a resident taking occupancy and annually at recertification thereafter

Exhibit D

Unemployed Resident Affidavit

Prior to a resident taking occupancy and annually at recertification thereafter

Exhibit E

Resident Statement of Assets

Prior to a resident taking occupancy and annually at recertification thereafter

Exhibit E-1

Asset Verification and Release

Prior to a resident taking occupancy and annually at recertification thereafter

Exhibit F - Tax Credit Only

Certificate of Continuing Program Compliance

Submitted to CHFA on January 15th of each year

Exhibit F - Loan Only

Owner Certification of Continuing Loan Program Compliance

Submitted to CHFA on January 15th of each year

Occupancy and Demographics Report (formerly Exhibit G-1)

Resident occupancy and demographic data

Submitted to CHFA on January 15th of each year

Exhibit H

Student Status Verification

Prior to a resident taking occupancy and annually at recertification thereafter

Student Annual Certification

Student Annual Certification

Prior to a resident taking occupancy and annually at recertification thereafter

Exhibit I

Social Security or SSI Verification

Prior to a resident taking occupancy and annually at recertification thereafter

Exhibit J

Public Assistance Verification

Prior to a resident taking occupancy and annually at recertification thereafter

Exhibit K

Housing Authority Statement

Prior to a resident taking occupancy and annually at lease renewal thereafter

Exhibit K-1

Housing Authority Statement - Release of Information

Signed by resident at initial certification and remains effective throughout their residency

Exhibit L

Annual Demographics Resident Information Form

Provided to residents at the time of move-in and every year thereafter at lease renewal or recertification

Exhibit M

Lease Addendum

Prior to a resident taking occupancy and annually at recertification thereafter

Exhibit N

Child Support Affidavit

Certifying receipt or non-receipt of child support
Exhibit O - Loan Only Replacement Reserve Request and Itemized Request Form To request funds from Replacement Reserve Account
Exhibit P - Loan Only Project Owner's Certification that EH&S items are corrected Submitted within 72 hours to CHFA of Notification of EH&S Hazards Observed. Include documentation showing items are corrected.
Exhibit Q - Loan Only Residual Receipts Request To request Residual Receipts
Exhibit R Certification Questionnaire Annually at certification
Exhibit S - Loan Only Computation of Surplus Cash For requesting approval for a surplus cash distribution
Form 94-148 - Loan Only CHFA Resolution Form 94-148 Information regarding Allowable Distributions for Nonprofit and Housing Authority Borrowers
Form 80-110 - Loan Only CHFA Resolution Form 80-110 Information regarding Maximum Rate of Return on Equity for Partially-assisted Multifamily housing projects
Form 8703 - Loan Only IRS form 8703 - Annual Certification of a Residential Rental Project Due to IRS by April 15; A copy is due to CHFA by April 30
Form 8693 - LIHTC Only LIHTC Disposition Bond Submitted to the IRS within 60 days after the date of disposition of the building or interest therein

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