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Indiana Housing and Community Development Authority
2009-2010 Tax Credit Assistance Program Application
Date:
Development Name:
Development City:
Development County:
Building Identification Number (BIN):
Page 1
Indiana Housing and Community Development Authority
TCAP APPLICATION PACKAGE SUBMISSION GUIDELINES
All documents eligible for submission in electronic PDF format must be on a CD-ROM or flash drive.
To ensure your application package is reviewed properly, please ensure the following information is submitted with organization, in the following
order:
1. Table of Contents - listing all items of application package. Each numerical item should be in a separate PDF document. (Electronic PDF
Format).
2. TCAP Application form - completed and signed with authorized signature (Must submit original with Electronic PDF Format)
3. TCAP Return of Credits Form (if applicable) - completed and signed with authorized signature (Original with Electronic PDF
4. Exhibit A - A letter and any other documentation from the development equity provider verifying the amount of tax credits secured as
equity. The letter should detail the pricing amount, anticipated date of closing, and total equity amount and include the main contact person's
name, contact information and signature. (Electronic PDF Format)
5. Exhibit B - Environmental Review documenation . The Environmental Review User's Guide, which includes the forms, can be found at:
http://www.in.gov/ihcda/files/Environmental_Review_User_Guide.pdf (Electronic PDF Format)
6. Exhibit C - (Rehabilitation Developments Only) - Section 106 Historical Review Documentation. The Historical Review User's Guide can be
found at: http://www.in.gov/ihcda/files/Historic_Review_Manual_2009-2010.pdf
7. Exhibit D - Davis Bacon Wage determination documentation (by development county) as published at:
http://www.gpo.gov/davisbacon/in.html (Electronic PDF Format)
8. Exhibit E - Completed Site and Neighborhood Standards Form (attached to Application) - New Construction Only (Electronic PDF Format)
9. Exhibit F - Itemized list and written detail of any change(s) to the Rental Housing Tax Credit Initial Application (Form A) with this
application. (Electronic PDF Format)
10. Exhibit G - Narrative explanation of your process in securing equity and how the TCAP amount requested is needed as gap funding as
compared to the RHTC application you originally submitted. (Electronic PDF Format)
11. Exhibit H - Detailed cost estimate for Davis Bacon requirements and all other federal financing compliance requirements (Electronic PDF
Format)
12. Exhibit I - Owner's detailed report of project's current status. Along with a narrative, include all current plans and specs, construction
contract, state and local permits, and zoning dated within 12 months of the date of application must be included and referenced.
(Electronic PDF Format)
13. Exhibit J - All current project financing documentation (construction, permanent and/or secondary) that supports the requested
amount of TCAP funding. (Electronic PDF Format)
14. Exhibit K - Statement explaining the need for changes, if any, to the development team. (Electronic PDF Format)
15. Exhibit L - Updated Capital Needs Assessment (CNA) (Rehabilitation projects only) - An updated assessment is required if original
was done more than 12 months from date of this application. All CNA's must prepared by an Indiana-licensed architect or engineer.
(Electronic PDF Format)
16. Exhibit M - Updated Environmental Assessment - An updated assessment is required if original was done more than 12 months from
date of this application. If assessment was conducted within 18 months and was originally submitted to IHCDA, written documentation
from the prior Environmental Professional that no additional environmental conditions have been discovered is acceptable. (Electronic
PDF Format)
17. Exhibit N - Updated Market Study - Any market study over 12 months old from date of this application. The market study must be
done by an IHCDA Approved Market Study Provider. (Electronic PDF Format)
18. Exhibit O - Updated Site Control - An updated documentation is required if original was submitted more than 12 months from date
of this application. A Warranty Deed, Exclusive Options to Purchase, Land Contract, etc. which documents owner ability to ma intain site
control through the anticipated closing date. (Electronic PDF Format)
19. Exhibit P - Any other documents that the Authority may require or need in determining the amount of TCAP funds requested to be
awarded to the Development and the Development's conformance with the requirements of the TCAP. (Electronic PDF Format)
Applications should be sent via U.S. mail, express mail, or hand delivery to the IHCDA Multi-Family division at the following address:
IHCDA
Attn: Multi-family Division - TCAP Applications
30 S. Meridian St., Suite 1000
Indianapolis, IN 46204
Owners are strongly encouraged to maintain a copy of all information submitted
as well as any postage or delivery receipts to verify application submission.
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using and Community Development Authority
LICATION PACKAGE SUBMISSION GUIDELINES
ssion in electronic PDF format must be on a CD-ROM or flash drive.
erly, please ensure the following information is submitted with organization, in the following
2f3beb61-8750-411c-ac50-15d860878255.xls Page 2
A. Development Name and Location
1. Development Name
Street Address
City State Zip
Development was allocated credits under the following Set-Aside(s):
Not for Profit Elderly Persons with Disabilities Large City
Small City Rural USDA 515 Preservation
General
2. Development Type: Family Elderly Special Needs
B. Credit Allocation
1. Date of Allocation: Were credits exchanged in 2008? Yes No
2. Check the boxes that describe the allocation for the building (check those that apply):
a. Newly constructed and federally subsidized
b. Newly constructed and not federally subsidized
c. Existing building
d. Sec. 42(e) rehabilitation expenditures federally subsidized
e. Sec. 42(e) rehabilitation expenditures not federally subsidized
f. Not federally subsidized by reason of 40-50 rule under sec. 42(i)(2)(E)
g. Allocation subject to nonprofit set-aside under sec. 42(h)(5)
3. Type of Credits Allocated:
a. Midwest Disaster
b. Traditional
4. If you have Midwest Disaster Credits, do you elect to replace a nominal amount of these credits with Traditional
Credits for funding purposes?
Yes
No
5. Request Amount of TCAP Funds:
6. Type of TCAP Funds loan desired:
a. Bridge
b. Construction
c. Permanent
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7. Please provide a detailed explanation as to how the loan type selected will be
structured. Include proposed terms, draw schedule, and source(s) of repayment. Attach a
seperate page if necessary.
NOTE: No Prepayments will be allowed before February 17, 2012.
8. Owner hereby understands that all Section 1602 funds are subject to a 30 year affordability period and
agrees to waive the Section 42 Qualified Contract Provisions.
Yes
No
9. Will total development costs exceed 221(d)4 limits? Yes No
No
Yesyes, please explain specific cost estimates that demonstrate the overage is due
If
solely to federal funding requirements. Attach a seperate page if necessary.
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C. Owner Information
a. Name of Owner
Contact Person
Street Address
City State Zip
Phone Fax
E-mail Address
Federal I.D. No.
Type of entity: Limited Partnership
Individual(s)
Corporation
Limited Liability Company
Other
footnotes:
2f3beb61-8750-411c-ac50-15d860878255.xls Page 5
b. List all that have an ownership interest in Owner and the Development. Include the names
of all general partners (including the principals of each general partner if applicable),
managing member, controlling shareholders, etc.
Name Role Phone # % Ownership
General Partner (1)
Principal
Principal
Principal
General Partner (2)
Principal
Principal
Principal
Limited Partner
Principal
Principal
Principal
D. Development Team
a. Are there any changes to the Development Team? Yes No
If yes, please provide additional information regarding these changes under Exhibit K.
Is the Owner/Developer's permanent address different than what is listed in the
Carry Over Agreement?
Yes No
If yes, please provide the permanent address here:
Development Team Information
1. Attorney
Firm Name
Phone Fax
E-mail Address
footnotes:
2009-10 TCAP Application Page 6
2. Developer (contact person)
Firm Name
Street Address
Phone Fax
E-mail address
3. Accountant (contact person)
Firm Name
Phone Fax
E-mail address
4. Consultant (contact person)
Firm Name
Phone Fax
E-mail address
5. Management Entity (contact person)
Firm Name
Street Address
City State Zip Code
Phone Fax
E-mail address
6. General Contractor (contact person)
Firm Name
Phone Fax
E-mail address
7. Architect (contact person)
Firm Name
Phone Fax
E-mail address
footnotes:
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E. Development Information
1. Unit Breakdown
NOTE: All units are subject to the applicable area rent limits.
1 2 3 4
List number of units and number of bedrooms for each income category in chart below:
2 3 4
0 Bedroom 1 Bedroom Total % of Total
Bedrooms Bedrooms Bedrooms
30 % AMI # Units 0 #DIV/0!
40 % AMI # Units 0 #DIV/0!
50% AMI # Units 0 #DIV/0!
60% AMI # Units 0 #DIV/0!
Market Rate # Units 0 #DIV/0!
Development # Units 0 0 0 0 0 0 #DIV/0!
Total
# Bdrms. 0 0 0 0 0 0
* No market rate units are permitted in scattered site developments per IRS Code Section 42(g)(7)
2. Rental Assistance
a. Do or will any low-income units receive rental assistance? Yes No
If yes, indicate type of rental assistance and attach copy of rental assistance contract,
if applicable:
Section HAP FmHA 515 Rental Assistance
Other___________________________
b. Number of units (by number of bedrooms) receiving assistance:
1 Bedrooms 2 Bedrooms
3 Bedrooms 4 Bedrooms
c. Number of years rental assistance contract
Expiration date of contract
3. Will garage space be built and/or available at the development? Yes No
If Yes:
a. Will this space be included in eligible basis? Yes No
b. Will tenants be charged a fee to have/use the garage space? Yes No
footnotes:
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Building by Building Information
Project Address:
Building Number of Building Building Building's Tax Credit Expected Eligible Basis
Number of Applicable Amount as Placed in Percentage
Building Address Identificaton Residential Residential LIHTC Sq. Eligible Basis Qualified
LIHTC Units Fraction listed in Carry Service Date (include boost if
Number Units Sq. Footage Footage Basis eligible)
Over (mm/dd/yy)
0 0 0 0 $ - 0 0
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Actual Date (if process
TCAP Expenditure Timeline Anticipated Dates
completed)
1. Site
Option/Contract
Site Acquisition
Zoning
Site Plan Approval
2. Financing
a. Construction Loan
Loan Application
Conditional Commitment
Firm Commitment
Loan Closing (must have closed)
b. Permanent Loan
Loan Application
Conditional Commitment
Firm Commitment
Loan Closing
c. Other Loans and Grants (List Type & Source)
Application Date
Conditional Commitment
Firm Commitment
d. Other Loans and Grants (List Type & Source)
Application Date
Conditional Commitment
Firm Commitment
e. Other Loans and Grants (List Type & Source)
Application Date
Conditional Commitment
Firm Commitment
3. Formation of Owner
4. IRS Approval of Not-for-Profit Status
5. Transfer of Property to Owner
6. Plans and Specifications, Working Drawings
7. Building Permit Issued by Local Government
8. Construction Starts
9. Completion of Construction
10. Lease-Up
11. Credit Placed in Service Date(s)
(month and year must be provided)
12. Estimated # of jobs to be created from project
13. Estimated # of jobs retained
14. Estimate date 75% of TCAP Funds expended
15. Estimate date 100% of TCAP Funds expended
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4. Utilities and Rents
a. Monthly Utility Allowance Calculations - Entire Section Must Be Completed
Enter Allowance Paid by Tenant ONLY
Type of
Utility
Utilities (Gas, Utilities Paid by: 0 Bdrm 1 Bdrm 2 Bdrm 3 Bdrm 4 Bdrm
Electric,
Oil, etc.)
Heating Owner Tenant
Air Conditioning Owner Tenant
Cooking Owner Tenant
Lighting Owner Tenant
Hot Water Owner Tenant
Water Owner Tenant
Sewer Owner Tenant
Trash Owner Tenant
Total Utility Allowance for Costs Paid by
Tenant $ - $ - $ - $ - $ -
b. Source of Utility Allowance Calculation
HUD FmHA 515
PHA Utility Company (Provide letter from utility company)
NOTE: IRS regulations provide further guidance on how utility allowances must be determined.
c. List below the applicable rental housing tax credit monthly rent limits (based on the number of
bedrooms) less the applicable utility allowance calculated in subpart 2.a. above:
0 BR 1 BR 2 BR 3 BR 4 BR
Maximum Allowable Rent for Tenants at 30% AMI
Minus Utility Allowance Paid by Tenant
Equals Maximum Allowable rent for your Development $ - $ - $ - $ - $ -
Maximum Allowable Rent for Tenants at 40% AMI
Minus Utility Allowance Paid by Tenant
Equals Maximum Allowable rent for your Development $ - $ - $ - $ - $ -
Maximum Allowable Rent for Tenants at 50% AMI
Minus Utility Allowance Paid by Tenant
Equals Maximum Allowable rent for your Development $ - $ - $ - $ - $ -
Maximum Allowable Rent for Tenants at 60% AMI
Minus Utility Allowance Paid by Tenant
Equals Maximum Allowable rent for your Development $ - $ - $ - $ - $ -
footnotes:
2f3beb61-8750-411c-ac50-15d860878255.xls Page 11
d. List below the maximum rent limits minus tenant-paid utilities for all HOME-Assisted,
and/or HOME-Eligible, Non-assisted units in the development.
0 BR (SRO
0 BR (SRO
w/o
with
kitchen 1 BR 2 BR 3 BR 4 BR
kitchen
and/or
and bath)
bath)
Maximum Allowable Rent for beneficiaries at
30% or less of area median income
MINUS Utility Allowance Paid by Tenants
Maximum Allowable Rent for Your Development $ - $ - $ - $ - $ - $ -
Maximum Allowable Rent for beneficiaries at
40% or less of area median income
MINUS Utility Allowance Paid by Tenants
Maximum Allowable Rent for Your Development $ - $ - $ - $ - $ - $ -
Maximum Allowable Rent for beneficiaries at
50% or less of area median income
MINUS Utility Allowance Paid by Tenants
Maximum Allowable Rent for Your Development $ - $ - $ - $ - $ - $ -
Maximum Allowable Rent for beneficiaries at
60% or less of area median income
MINUS Utility Allowance Paid by Tenants
Maximum Allowable Rent for Your Development $ - $ - $ - $ - $ - $ -
e. Estimated Rents and Rental Income
1. Total Number of Low-Income Units (30% Rent Maximum)
Monthly Total
Number of Number of Net Sq. Ft. Rent per Monthly Rent
HOME RHTC Unit Type Baths Units of Unit Unit Unit Type
Yes/No Yes/No # of bedrooms
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Other Income Source
Other Income Source
Other Income Source
Total Monthly Income $ -
Annual Income $ -
footnotes:
2f3beb61-8750-411c-ac50-15d860878255.xls Page 12
5. Total number of Low-Income Units (40% Rent Maximum)
Monthly Total
Number of Number of Net Sq. Ft. Rent per Monthly Rent
HOME RHTC Unit Type Baths Units of Unit Unit Unit Type
Yes/No Yes/No # of bedrooms
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Other Income Source
Other Income Source
Other Income Source
Total Monthly Income $ -
Annual Income $ -
6. Total number of Low-Income Units (50% Rent Maximum)
Monthly Total
Number of Number of Net Sq. Ft. Rent per Monthly Rent
HOME RHTC Unit Type Baths Units of Unit Unit Unit Type
Yes/No Yes/No # of bedrooms
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Other Income Source
Other Income Source
Other Income Source
Total Monthly Income $ -
Annual Income $ -
footnotes:
2f3beb61-8750-411c-ac50-15d860878255.xls Page 13
7. Total number of Low-Income Units (60% Rent Maximum)
Monthly Total
Number of Number of Net Sq. Ft. Rent per Monthly Rent
HOME RHTC Unit Type Baths Units of Unit Unit Unit Type
Yes/No Yes/No # of bedrooms
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Other Income Source
Other Income Source
Other Income Source
Total Monthly Income $ -
Annual Income $ -
8. Total Number of Market Rate Units
Monthly Total
Number of Number of Net Sq. Ft. Rent per Monthly Rent
HOME RHTC Unit Type Baths Units of Unit Unit Unit Type
Yes/No Yes/No # of bedrooms
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Bedrooms $ -
Other Income Source
Other Income Source
Other Income Source
Total Monthly Income $ -
Annual Income $ -
footnotes :
2f3beb61-8750-411c-ac50-15d860878255.xls Page 14
9. Summary of Estimated Rents and Rental Income
Annual Income (30% Rent Maximum) $ -
Annual Income (40% Rent Maximum) $ -
Annual Income (50% Rent Maximum) $ -
Annual Income (60% Rent Maximum) $ -
Annual Income (Market Rate Units) $ -
Potential Gross Income $ -
Less Vacancy Allowance $ -
Effective Gross Income $ -
What is the estimated average annual % increase in income over the Compliance Period?
F. Annual Expense Information
(Check one) Housing OR Commercial
Administrative Operating
1. Advertising 1. Elevator
2. Management 2. Fuel (heating & hot water)
3. Legal/Partnership 3. Electricity
4. Accounting/Audit 4. Water/Sewer
5. Compliance Mont. 5. Gas
Total Administrative $ - 6. Trash Removal
Maintenance 7. Payroll/Payroll Taxes
1. Decorating 8. Insurance
2. Repairs 9. Real Estate Taxes*
3. Exterminating 10. Other Tax
4. Ground Expense 11. Annual Replacement
Reserve
5. Other
12. FSA Asset Management Fees
Total Maintenance $ -
Total Operating $ -
Total Annual Administrative Expenses: $ - Per Unit #DIV/0!
Total Annual Maintenance Expenses: $ - Per Unit #DIV/0!
Total Annual Operating Expenses: $ - Per Unit #DIV/0!
TOTAL OPERATING EXPENSES (Admin + Operating + Maintenance): $ - Per Unit #DIV/0!
What is the estimated average annual percentage increase in expenses for the next 15 years?
What is the annual percentage increase for replacement reserves for the next 15 years?
* List full tax liability for the property - do not reflect tax abatement.
footnotes:
2f3beb61-8750-411c-ac50-15d860878255.xls Page 15
G. Projections for Financial Feasibility
Check one: Housing
Commercial - Developments with commercial space must submit housing,
commercial and combined proformas (total of 3)
Housing & Commercial
15 Year Projections of Cash Flow Year 1 Year 2 Year 3 Year 4 Year 5
1. Potential Gross Income $ - $ - $ - $ - $ -
2. Less Vacancy Loss $ - $ - $ - $ - $ -
3. Effective Gross Income (1-2) $ - $ - $ - $ - $ -
4. Less Operating Expenses $ - $ - $ - $ - $ -
5. Less Replacement Reserves $ - $ - $ - $ - $ -
6. Plus Tax Abatement
(increase by expense rate if applicable)
7. Net Income (3-4-5+6) $ - $ - $ - $ - $ -
8.a. Less Debt Service #1
8.b. Less Debt Service #2
9. Cash Flow (7-8) $ - $ - $ - $ - $ -
10. Debt Coverage Ratio (7/(8a +8b)) #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
11. Deferred Developer Fee Payment
12. Cash Flow after Def. Dev. Fee Pmt. $ - $ - $ - $ - $ -
13. Debt Coverage Ratio #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Year 6 Year 7 Year 8 Year 9 Year 10
1. Potential Gross Income $ - $ - $ - $ - $ -
2. Less Vacancy Loss $ - $ - $ - $ - $ -
3. Effective Gross Income (1-2) $ - $ - $ - $ - $ -
4. Less Operating Expenses $ - $ - $ - $ - $ -
5. Less Replacement Reserves $ - $ - $ - $ - $ -
6. Plus Tax Abatement
(increase by expense rate if applicable)
7. Net Income (3-4-5+6) $ - $ - $ - $ - $ -
8.a. Less Debt Service #1
8.b. Less Debt Service #2
9. Cash Flow (7-8) $ - $ - $ - $ - $ -
10. Debt Coverage Ratio (7/(8a+8b)) #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
11. Deferred Developer Fee Payment
12. Cash Flow after Def. Dev. Fee Pmt. $ - $ - $ - $ - $ -
13. Debt Coverage Ratio #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Year 11 Year 12 Year 13 Year 14 Year 15
1. Potential Gross Income $ - $ - $ - $ - $ -
2. Less Vacancy Loss $ - $ - $ - $ - $ -
3. Effective Gross Income (1-2) $ - $ - $ - $ - $ -
4. Less Operating Expenses $ - $ - $ - $ - $ -
5. Less Replacement Reserves $ - $ - $ - $ - $ -
6. Plus Tax Abatement
(increase by expense rate if applicable)
7. Net Income (3-4-5+6) $ - $ - $ - $ - $ -
8.a. Less Debt Service #1
8.b. Less Debt Service #2
9. Cash Flow (7-8) $ - $ - $ - $ - $ -
10. Debt Coverage Ratio (7/(8a+8b)) #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
11. Deferred Developer Fee Payment
12. Cash Flow after Def. Dev. Fee Pmt. $ - $ - $ - $ - $ -
13. Debt Coverage Ratio #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
The above Projections utilize the estimated annual percentage increases in income.
footnote:___________________________________________________________________________________________________
2f3beb61-8750-411c-ac50-15d860878255.xls Page 16
Commercial and Office Space: IHCDA Rental Housing financing resources cannot be used to finance commercial space within a development. Income
generated and expenses incurred from this space, though, must be factored into IHCDA's underwriting for the development as a whole when reviewing the
application. If the development involves the development of commercial space the applicant will need to provide separate annual operating expense
information and a separate 15-year proforma fro the commercial space. Be sure to label which forms are for the housing and which ones are for the
commercial space. Also separate out all development costs associated with the commercial space on line M of the Development Costs chart.
H. Sources of Funds/Developments (Include the TCAP request)
1. Construction Financing. List individually the sources of construction financing including any such loans
financed through grant sources. Please provide documentation under Exhibit J.
Date of Date of Amount of Name and Telephone Numbers of
Source of Funds Application Commitment Funds Contact Person
1
2
3
4
Total Amount of Funds $ -
2. Permanent Financing. List individually the sources of permanent financing including any such loans
financed through grant sources. Please provide documentation under Exhibit J.
Annual
Debt Interest Term
Date of Date of Amount of Service Rate of Amortization of
Source of Funds Application Commitment Funds Cost Loan Period Loan
1
2
3
4
Total Amount of Funds $ -
Deferred Developer Fee
3. Grants. List all grants provided for the development. Provide documentation under Exhibit J.
Date of Date of Amount of Name and Telephone Numbers of
Source of Funds Application Commitment Funds Contact Person
1
2
3
4
Total Amount of Funds $ -
footnotes:
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If the loan and any outstanding interest is not expected to be paid until the end of the Initial Compliance Period,
there must be reasonable expectation that the fair market value of the Development will be sufficient at
that time to pay the accrued interest and debt and that the net income of the Development will be sufficient
to sustain debt service.
4. Historic Tax Credits
Have you applied for a Historic Tax Credit? Yes No
If Yes, Please list amount
If Yes, indicate date Part I of application was duly filed: ( Must be included with
application. Please provide under Exhibit J.)
5. Other Sources of Funds (excluding any syndication proceeds)
a. Source of Funds Amount
b. Timing of Funds
c. Actual or Anticipated Name of Other Source
d. Contact Person Phone
6. Sources and Uses Reconciliation
Limited Partner Equity Investment*
General Partner Investment
Total Equity Investment $ -
Total Permanent Financing
Deferred Developer Fee
TCAP
Other
Total Source of Funds $ -
Total Uses of Funds $ -
NOTE: Sources and Uses MUST EQUAL
*Load Fees included in Equity Investment Yes No
Load Fees
footnotes:
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7. Intermediary Information
a. Actual or Anticipated Name of Intermediary
(e.g., Syndicator, act.)
Contact Person
Phone
Street Address
City State Zip
b. Investors: Individuals and/or Corporate
c. As a percentage of the total credits to be received throughout the compliance period (assuming no
recapture, should be the annual amount of credit times 10), how much are investors (excluding
Owner's own equity) willing to invest toward development costs, excluding all syndication fees or
charges?
check if estimated check if based on commitment(s); if so please attach copies
d. Has the intermediary (identified above) provided you with any documentation regarding the amount
of syndication or other intermediary costs, fees, "loads" or other charges it will impose in
with its services?
Yes No If yes, please attach copies
e. How much, if any, is the Owner willing or committed to invest toward Development Costs?
Evidence of investment must be provided to IHCDA.
footnotes:
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I. Cost/Basis/Maximum Allowable Credit & Assistance
1. Development Costs - List and Include Eligible Basis by Credit Type:
Eligible Basis by Credit Type
30% PV 70% PV
ITEMIZED COST Project Costs [4% Credit] [9% Credit]
a. To Purchase Land and Bldgs.
1. Land
2. Demolition
3. Existing Structures
4. Other (specify)
b. For Site Work
1. Site Work (not included in Construction Contract)
Other(s) (Specify)
c. For Rehab and New Construction
(Construction Contract Costs)
1. Site Work
2. New Building
3. Rehabilitation
4. Accessory Building
5. General Requirements*
6. Contractor Overhead*
7. Contractor Profit*
d. For Architectural and Engineering Fees
1. Architect Fee - Design
2. Architect Fee - Supervision
3. Consultant or Processing Agent
4. Engineering Fees
5. Other Fees (specify)
e. Other Owner Costs
1. Building Permits
2. Tap Fees
3. Soil Borings
4. Real Estate Attorney
5. Construction Loan Legal
6. Title and Recording
7. Other (specify)
SUBTOTAL -THIS PAGE -
SPREADSHEET WILL CALCULATE 0 0 0
* Designates the amounts for those items that are limited, pursuant to the Allocation Plan
footnotes:
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ITEMIZED COSTS Eligible Basis by Credit Type
Project Costs 30% PV [4% Credit] 70% PV [9% Credit]
Subtotal from previous page 0 0 0
f. For Interim Costs
1. Construction Insurance
2. Construction Interest & Other Capitalized
Operating Expenses
3. Construction Loan Orig. Fee
4. Construction Loan Credit Enhancement
5. Taxes/Fixed Price Contract Guarantee
g. For Permanent Financing Fees & Expenses
1. Bond Premium
2. Credit Report
3. Permanent Loan Orig. Fee
4. Permanent Loan Credit Enhancement
5. Cost of Iss/Underwriters Discount
6. Title and Recording
7. Counsel's Fee
8. Other (Specify)
h. For Soft Costs
1. Property Appraisal
2. Market Study
3. Environmental Report
4. IHFA Fees
5. Consultant Fees
6. Other (specify)
I. For FSA Costs
1. Organizational (e.g. Partnership)
2. Bridge Loan Fees and Exp
3. Tax Opinion
4. Other (specify)
j. Developer's Fee*
% Not-for Profit
% For-Profit
k. For Development Reserves
1. Rent-up Reserve
2. Operating Reserve
l. Total Project Costs(spreadsheet will calculate) - - 0
* Designates the amounts for those items that are limited, pursuant to the Allocation Plan.
footnotes:
2f3beb61-8750-411c-ac50-15d860878255.xls Page 21
Eligible Basis by Credit Type
30% PV 70% PV
ITEMIZED COST Project Costs [4% Credit] [9% Credit]
Subtotal from Previous Page 0 0 0
m. Total Commercial Costs*
n. Total Dev. Costs less Comm. Costs (l-m)
0
o. Reductions in Eligible Basis
Subtract the following:
1. Amount of Grant(s) used to finance Qualifying
development costs
2. Amount of nonqualified recourse financing
3. Costs of nonqualifying units of higher quality (or
excess portion thereof)
4. Historic Tax Credits (residential portion)
5. Subtotal (o.1 through 4 above) 0 0
p. Eligible Basis (ll minus o.5)
0 0
q. High Cost Area
Adjust to Eligible Basis
(ONLY APPLICABLE IF development is in a Census Tract
or difficult development area)
Adjustment Amount X 30%
r. Adjusted Eligible Basis (p plus q)
0 0
s. Applicable Fraction
(% of development which is low income)
Based on Unit Mix or Sq Ft. (Type U or SF)
t. Total Qualified Basis (r multiplied by s)
0 0
u. Applicable Percentage
(weighted average of the applicable percentage for each
building and credit type)
v. Maximum Allowable Credit under IRS sec 42 (t
multiplied by u)
0 0
w. Combined 30% and 70% PV Credit
0
* Commercial costs are defined as those costs that are not eligible basis and are attributed to non-residential areas of the Development
(e.g. retail area of mixed-use development).
Note: The actual amount of credit for the Development is determined by IHCDA If the Development is eligible for Historic Tax Credit,
include a complete breakdown of the determination of eligible basis for the Historic Credit with the Application. If the Development's
basis has been adjusted because it is in a high cost or qualified census tract, the actual deduction for the Historic Cost items must be
adjusted by multiplying the amount by 130%. This does not apply to Historic Tax Credits.
footnotes:
2f3beb61-8750-411c-ac50-15d860878255.xls Page 22
2. Determination of Tax Credit Assistance Needed
The following calculation of the amount of credits/funding needed is substantially the same as the calculation which will be
made by IHCDA to determine, as required by the IRS, the maximum amount of credits which may be reserved for the
Development. However, IHCDA at all times retains the right to substitute such information and assumptions as are determined
by IHCDA to be reasonable for the information and assumptions provided herein as to costs (including development fees,
profits, etc.) sources of funding, expected equity, etc. Accordingly, if the development is approved for TCAP funding, the
amount may differ significantly from the amount that is computed below.
a. TOTAL DEVELOPMENT COSTS $0
b. LESS SYNDICATION COSTS $0
c. TOTAL DEVELOPMENT COSTS (a - b) $0
d. LESS: TOTAL SOURCES OF FUNDING EXCLUDING
SYNDICATION PROCEEDS $0
e. EQUITY GAP (c - d) $0
f. EQUITY PRICING PERCENTAGE
(Percentage of 10-year credit expected to be personally
invested by you or raised as equity excluding syndication or
similar costs to 3rd parties) $
g. 10-YEAR CREDIT AMOUNT NEEDED TO FUND THE EQUITY
GAP (e/f) $ #DIV/0!
h. ANNUAL TAX CREDIT REQUIRED TO FUND EQUITY GAP
(g/10) $ #DIV/0!
i. MAXIMUM ALLOWABLE CREDIT AMOUNT $0
j. CARRYOVER AMOUNT $
k. RESERVATION AMOUNT
(Lesser of h or j) $ #DIV/0!
l. TOTAL EQUITY INVESTMENT (anticipated for intial app) $0
m. DEFERRED DEVELOPER FEE $0
n. TAX CREDIT ASSISTANCE GAP $0
1. CREDIT PER UNIT
(j/Number of Units) $ #DIV/0!
2. MAX CREDIT/UNIT (QAP) $
3. CREDIT PER BEDROOM
(j/Number of Bedrooms) $ #DIV/0!
4. COST PER UNIT
a - (Cost of Land + Commercial Costs + Historic Credits)
Total Number of Units $ #DIV/0!
footnotes:
2f3beb61-8750-411c-ac50-15d860878255.xls Page 23
J. TCAP Federal Requirements Certification
1. Davis Bacon Prevailing Wages
Per section 1606 of Division A of the American Recovery and Reinvestment Act of 2009 ("ARRA")
TCAP grantee hereby agrees that all laborers and mechanics associated with the construction of
this project will be paid prevailing wages in compliance with the Davis Bacon Act.
In the case of projects already under construction, it may be possible to obtain a determination,
under 29 CFR 1.6(g) that Davis-Bacon requirements apply prospectively to the construction
project as part of the TCAP award.
YES NO
2. Lead Based Paint (pre-1978 Rehabilitation properties only)
TCAP Grantees involved in Rehabilitation of properties built prior to 1978 hereby agrees to
comply with the HUD Lead Safe Housing Rule ("LSHR") as outlined in the 24 CFR Part 35
regulations.
YES NO N/A
3. Environmental Review
For Environmental Review purposes, ARRA expressly applies section 288 (42 U.S.C. 12838) of the HOME
Program statute to TCAP.
TCAP grantee hereby agrees to conduct a formal Environmental Review ("ER") process for the entire
property requesting TCAP assistance. The ER process will comply with the HOME statute 24 CFR Part
24 CFR Part 58 Environmental Review Procedures for Entities Assuming HUD Environmental
Responsibilities and applicable National Environmental Protection Agency of 1969 ("NEPA") and
related federal environmental laws.
YES NO
TCAP Grantee hereby understands that no TCAP funds may be committed to the project prior to
completion of the ER process, which occurs with the HUD Release of Funds Letter.
YES NO
TCAP Grantee hereby understands that no construction can begin or resume on project once
TCAP application is submitted and HUD has issued ER Release of Funds letter.
YES NO
Owner understands that once they apply for TCAP funds, committing TCAP or any other funds to or
undertaking any “choice-limiting” activity prior to successful completion of the environmental
clearance review (i.e., HUD approval of the Request for Release of Funds), is prohibited. This includes
any activity that will result in a physical change and/or acquisition, including leasing, or disposition of
real property. Performing a choice-limiting action may disqualify a project from receiving any federal
funds.
YES NO
4. Section 504 of the Rehabilitation Act of 1973
TCAP grantee hereby certifies to follow regulations of 24 CFR Part 8 "Nondiscrimination Based on
Handicap in Federally Assisted Programs and Activities of the Department of Housing and Urban
Development."
YES NO
5. Accessibility Standards
TCAP grantee proposing to build a new construction development hereby certifies to comply with the
seven (7) design standards for all newly-constructed multi-family housing with four (4) or more units as
outlined in the Federal Fair Housing Act Amendments of 1988.
YES NO
2f3beb61-8750-411c-ac50-15d860878255.xls Page 24
2f3beb61-8750-411c-ac50-15d860878255.xls Page 24
The undersigned hereby acknowledges that :
1. This Application form, provided by IHCDA to applicants for funding, including the sections herein relative to basis, credit
calculations and determinations of the amount of the credit necessary to make the development financially feasible, is
provided only for the convenience of IHCDA in reviewing the reservation requests; completion hereof in no way
guarantees eligibility for the credits or ensures that the amount of credits applied for has been computed in accordance
with Internal Revenue Code ("IRC") requirements; any notations herein describing Tax Credit Assistance Program ("TCAP")
and IRC requirements are offered only as general guides and not as legal advice;
2. The undersigned is responsible for ensuring that the proposed development will be comprised of qualified low-income
buildings; that it will in all respects satisfy all applicable requirements of federal tax laws and any other requirements
imposed upon it by the IHCDA; and that the IHCDA has no responsibility for ensuring that all or any funding allocated to
the development may not be useable or may later be recaptured;
3.
For purposes of reviewing this Application, IHCDA is entitled to rely upon the representations of the undersigned as to the
inclusion of costs in eligible basis and as to all of the figures and calculations relating to the determinations of qualified
basis for the development as a whole and for each building therein individually as well as the amounts and types of credit
applicable thereto, and that the issuance of a reservation based on such representations in no way imposes any
responsibility on the IHCDA for the accuracy of these representations or their compliance with IRC requirements;
4. The IHCDA offers no advice, opinion or guarantee that the Applicant or the proposed development will ultimately qualify
for or receive TCAP funding.
5. TCAP funding awards are not transferable without prior written notice and consent of the IHCDA;
6. The requirements for applying for funding and the terms of any reservation or allocation thereof are subject to change at
any time by federal or state law, federal, state or IHCDA regulations, or other binding authority;
7. Applicant is submitting this Application on behalf of Owner, whether Owner has already been formed or is
a to-be-formed entity;
8. Applicant represents and warrants to IHCDA that it has all necessary authority to act for, obligate and execute
this Application on behalf of itself and Owner, and to engage in all acts necessary to consummate this
Application. Applicant further represents and warrants to IHCDA that the signatories hereto have been duly
authorized and that this Application shall be the valid and binding act of the Applicant, enforceable according to
its terms;
9. In the event the Applicant is not the Owner, Applicant represents and warrants to IHCDA that it will take, and
not fail to take, any and all necessary actions to cause the Owner to ratify and confirm all representations in and
comply with the terms and conditions of this Application;
10. Applicant represents and warrants to IHCDA that it will take any and all action necessary and not fail to cause the
Developer to ratify and confirm all representations in and comply with the terms and conditions of this Application.
Further, the undersigned hereby certifies that:
a) All factual information provided herein or in connection herewith is true, correct and complete, and all estimates are
reasonable;
b) It shall promptly notify the IHCDA of any corrections or changes to the information submitted to the IHCDA in
connection with this Application upon becoming aware of same;
c) It is responsible for all calculations and figures used for the determination of the eligible basis and qualified basis for
any and all buildings and other improvements, and it understands and agrees that the amount of funding to be reserved
and allocated has been calculated pursuant to and in reliance upon the representations made herein; and
2f3beb61-8750-411c-ac50-15d860878255.xls Page 25
d) It will at all times indemnify, defend and hold harmless IHCDA against claims, losses, costs, damages, expenses and
liabilities of any nature (including, without limitation, attorney fees to enforce the indemnity rights hereunder)
directly or indirectly resulting from, arising out of, or relating to IHCDA's acceptance, consideration, approval or
disapproval of this Application and the issuance or non-issuance of an allocation of funding in connection herewith.
e) It shall furnish the IHCDA with copies of any and all cost certifications made to any other governmental agency,
including, but not limited to, cost certifications made to FmHA or FHA, at the time that such certifications are
furnished to such other agency.
11. Applicant hereby authorizes IHCDA and its successors, affiliates, agents and assigns to utilize in any manner and at
anytime, any photograph, picture, or misrepresents in any other medium (collectively "photographs") of the property
covered by this Application, without limitation, in any and all matters, publications, or endeavors, commercial or
noncommercial, undertaken directly or indirectly by IHCDA at any time on or after the date of this Application without any
limitation whatsoever. Applicant understands that: (1) it is relinquishing any and all ownership rights in any such
photographs; and (ii) it is relinquishing any and all legal rights that it may now or hereafter have to, directly or indirectly,
challenge, question or otherwise terminate the use of the photographs by IHCDA.
12. DISSEMINATION OF INFORMATION and AGREEMENT TO RELEASE AND INDEMNIFY. The undersigned for and on behalf of
itself, the Development, Owner and all participants in the Development, together with their respective officers, directors,
shareholders, members, partners, agents, representatives, and affiliates (collectively, "Applicant") understands,
acknowledges and agrees that this and any application for Tax Credit Assistance Program ("TCAP") (including, but not
limited to, all preliminary or final Applications, related amendments and information in support thereof and excepting
personal financial information) are, and shall remain, available for dissemination and publication to the general public.
As additional consideration for IHCDA's review of its request for TCAP assistance, the Applicant does hereby release IHCDA
and its directors, employees, attorneys, agents and representatives of and from any and all liability, expenses, costs and
damage that applicant may, directly or indirectly, incur because of such dissemination or publication, and the Applicant
hereby agrees to hold IHCDA harmless of and from any and all such liability, expense or damage.
AFFIRMATION OF APPLICANT. Under penalty of perjury, I/we certify that the information, acknowledgements,
and representations in this application and its supporting documents are true and accurate to the best of my/our
knowledge. The undersigned understands that providing false, misleading or incomplete information herein
constitutes an act of fraud and may subject applicant to debarment and other legal recourse.
IN WITNESS WHEREOF, the undersigned, being duly authorized, has caused this document to be executed in
its name on this day of ,
Legal Name of Applicant/Owner
By:
Printed Name:
Its:
2f3beb61-8750-411c-ac50-15d860878255.xls Page 26
STATE OF INDIANA )
) SS:
COUNTY OF )
Before me, a Notary Public, in and for said County and State, personally appeared,
(the of ), the Applicant in the foregoing Application for Reservation
of (current year) funding, who acknowledged the execution of the foregoing instrument as his (her)
voluntary act and deed, and stated, to the best of his (her) knowledge and belief, that any and all representations
contained therein are true.
Witness my hand and Notarial Seal this day of , .
My Commission Expires:
Notary Public
My County of Residence:
Printed Name
(title)
Provide Name and Signature for each Authorized Signatory on behalf of the Applicant.
1.
Printed Name & Title Signature
2.
Printed Name & Title Signature
3.
Printed Name & Title Signature
4.
Printed Name & Title Signature
5.
Printed Name & Title Signature
2f3beb61-8750-411c-ac50-15d860878255.xls Page 27
EXHIBIT E: SITE AND NEIGHBORHOOD STANDARDS (FOR NEW CONSTRUCTION DEVELOPMENTS ONLY)
See Appendices Definitions for further guidance.
A. Describe below how you have determined that the site is adequate in size, exposure, and contour to accommodate
the number and type of units proposed.
B. Describe how you have determined that there is adequate utilities (water, sewer, gas, and electricity) to accommodate
the number and type of units proposed.
C. Are there streets available to service the site? Yes No
D. Complete the chart below for the proposed site location using the most current U.S. Census data.
This data can be found at http://factfinder.census.gov/servlet/DatasetTableListServlet?_ds_name=DEC_2000_SF3_U&_
type=table&_program=DEC&_lang=en&_ts=192712773791
Alternatively: www.census.gov , click on "Summary File 3 (SF3)", click on, "Access to all tables and maps in American FactFinder",
click on "list all tables".
Choose table "P6 - Race", then click "Next". Under Geographic Type select "census tract", then select Indiana, your county,
and your census tract. Highlight the census tract you want, then click "Add", and click "Show Result" to get the data.
Indicate the year for which this data pertains:
Census Tract #: Municipality:
Number of Number of
% of Total % of Total
Race Persons Persons
Caucasian
African Amer.
Asian
Native Amer.
Hawaiian/Pacific Islander
Some Other Race
Two or More Races
Total
1) Given the data provided above, is the site located in a racially mixed neighborhood?
Yes No
a. If yes, will the development cause a significant increase in the proportion of minority to non-minority residents in
the area? Why or why not? Yes No
2) Given the data provided above, is the development located in an area of minority concentration?
* See Definitions in Appendix A under Site and Neighborhood Standards.
Yes No
a. If yes, are there "sufficient"*,"comparable opportunities"* for housing for minority families, in the income range
served by the project, outside areas of minority concentration?
Yes No
2009-10 TCAP Application Exhibit E
Describe your method for making this determination.
b. If yes, is the project necessary to meet "overriding housing needs"* that cannot be met in that housing market area?
Describe your method for making this determination. Yes No
E. Complete the chart below for the proposed site location using the most current U.S. Census data.
This data can be found at http://factfinder.census.gov/servlet/DatasetTableListServlet?_ds_name=DEC_2000_SF3_U&_
type=table&_program=DEC&_lang=en&_ts=192712773791
Alternatively: www.census.gov , click on "Summary File 3 (SF3)", click on, "Access to all tables and maps in American FactFinder",
click on "list all tables".
Choose table "P53 - Median Household Income in 1999", then click "Next". Under Geographic Type select "census tract", then
select Indiana, your county, and your census tract. Highlight the census tract you want, then click "Add", and click "Show Result"
to get the data. To get data for the county and the state, click on "geography" at the top of the screen, select "County"
under geographic type, then select Indiana, select your county, click "Add", then go back to geographic type, select "State"
select Indiana, and click "Add" and "Show Result".
% of County % of Indiana
Median Income
(a/b) (a/c)
a. Census Tract
#:
b. County:
c. Indiana:
1) Given the above data, is the development located in an area containing a high proportion of low income persons?
Yes No
a. If yes, describe how this development avoids undue concentration of assisted persons in areas containing a high
proportion of low-income persons.
F. Describe how this development promotes greater choice of housing opportunities.
2009-10 TCAP Application Exhibit E
G. Is the neighborhood one which is seriously detrimental to family life?
Yes No
If yes, describe.
H. Is there actively in progress a program to remedy the undesirable condition?
Yes No
If yes, describe:
I. Do substandard dwellings or other undesirable conditions predominate the neighborhood?
Yes No
1) If yes, describe:
2) If yes, is there actively in progress a concerted program to remedy the undesirable conditions?
Yes No
If yes, describe:
J. Describe how the housing is accessible to social, recreational, educational, commercial, and health facilities and services, and
other municipal facilities and services that are at least equivalent to those typically found in neighborhoods consisting
largely of unassisted, standard housing of similar market rents.
2009-10 TCAP Application Exhibit E
K. Is the proposed development designed for elderly persons?
Yes No
1) If no, what is the average travel time and cost via public transportation from this neighborhood to places of
employment providing a range of jobs for lower-income workers?
2) If no, what is the average travel time and cost via private automobile from this neighborhood to places of
employment providing a range of jobs for lower-income workers?
2009-10 TCAP Application Exhibit E
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