Blank Affidavit Form - Excel by wgo39119

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									                                                                                                                                                                                        Version 1: 2008
                                                                                   EXHIBIT CHECKLIST                                                                                   Submission Date:


      DEVELOPMENT NAME                                                                                                                   APPLICANT

    = Not applicable                                                        N      = Non-Threshold Item - if applicable, required prior to approval. If available, include with application.
T = Threshold Item - if applicable, required at application submission

                  Check if submitted or Mark N/A                           THIS FORM MUST BE SUBMITTED WITH INITIAL APPLICATION & ALL RESUBMISSIONS                                             CHFA/
                                                                                                                                                                                               DECD use
    DECD Funding                         CHFA Funding
                                                                                                                                                                                                 only
                                         Next                            Exhibit
Program      Project    Financing                    LIHTC       HTCC
                                         Steps                           Number
                                                                                   SECTION I. APPLICANT & CO-SPONSOR
T           T                        N           T           T             1.5     Organizational Documents
T           T           T            T                                     1.8     Financial Statements and Annual Operating Budget
T           T           T            T                                    1.9.a    Applicant's and Co-Sponsor's Record of Performance
T           T           T            T                                    1.9.b    Applicant Capacity (Form Provided)
T           T           T            T           T                        1.10     Explanation of Bankruptcy
T           T           T            T           T                        1.11     Explanation of Current Taxes
                                                                                   SECTION II. DEVELOPMENT TEAM
T           T           T            T           T           T             2.1     Qualified Development Team Contact Information (Form Provided)
                        T            N           T                         2.2     Management Agent Approval
                        T            N           T                        2.2.a      Connecticut Real Estate Broker’s’ License
                        T            N           T                        2.2.b      Agent is registered to do business in the State of Connecticut
                        T            N           T                        2.2.c      Experience in management of multifamily residential housing
                        T            N           T                        2.2.d      Experience managing LIHTC developments
                        T            N           T                        2.2.e      List of all multifamily housing developments the Agent has managed
                        T            N           T                        2.2.f      Financial statements of the Agent’s principals
                        T            N           T                        2.2.g      Company profile
                        T            N           T                        2.2.h      Maintain an office within the State of Connecticut
                        T            N           T                         2.2.i     Statement of familiarity and intention
                        T            N           T                        2.2.j      CHFA staff visit Management Agent property
                        T            N           T                        2.2.k      Oral presentation of management services
T           T                                                              2.3     Construction Procurement Plan
                                                                                   SECTION III. DEVELOPMENT
            T                        N           T           T            3.1.a    Qualified Census Tract
            T                        N                       T            3.1.b    Multiple and/or Scattered Site Detailed Listing
T           T           T            N           T           T            3.3.a    Development Description
            T           T            N           T           T            3.3.b    Location Map, Plot Plan and/or Site Layout
T           T           T            T           T                        3.3.c    Compliance with State Plans
                        T                        T                        3.3.d    Residential Equipment
T           T           T            N           T           T             3.4     Development Schedule (Form Provided)
            N           N            T           T           N             3.6     Planning & Zoning Board Approval
            T           T            T           T           N             3.7     Site Control Documentation
            T           T            N           T           T            3.8.a    Site Plan
            T           T            N           T           N            3.8.b    Site & Building Report (Form Provided)
            N           N            N           T                        3.8.c    Capital Needs Assessment Report
T           T           T           N            T                        3.8.d    Historic Property Documentation
T           T           T           N            T           T            3.8.e    Phase I Environmental Site Assessment or other Site Hazardous Materials Review
N           N           N            N                                    3.8.f    Phase II Environmental Site Assessment report
            T           T            N           T                        3.9.a    Schematic Drawings
            T           T            N           T                        3.9.b    Outline Specifications (Form Provided)
            T           T            N           T           T            3.9.c    Project Cost Summary (Form Provided)
N           N           N            N                                    3.9.d    Exploded Trade Payment Breakdown (Form Provided)
T           T           T            T                                    3.11.a   Market Survey (Form Provided)
T           T                                    T                        3.11.b   Market Study/Market Analysis/Waiting Lists
T                                                                         3.12     Narrative Submission for Programs
T           T                                    T                        3.13.a   Flood Zone
                                                                                   SECTION IV. RENTAL DEVELOPMENTS (N/A for Homeownership Projects)
            T           T            T           T           T             4.1     Rental Income Calculation Worksheet (Form Provided)


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                                                                                                                                                                                        Version 1: 2008
                                                                                   EXHIBIT CHECKLIST                                                                                   Submission Date:


      DEVELOPMENT NAME                                                                                                                   APPLICANT

    = Not applicable                                                       N       = Non-Threshold Item - if applicable, required prior to approval. If available, include with application.
T = Threshold Item - if applicable, required at application submission

                  Check if submitted or Mark N/A                           THIS FORM MUST BE SUBMITTED WITH INITIAL APPLICATION & ALL RESUBMISSIONS                                             CHFA/
                                                                                                                                                                                               DECD use
    DECD Funding                         CHFA Funding
                                                                                                                                                                                                 only
                                         Next                            Exhibit
Program      Project    Financing                    LIHTC       HTCC
                                         Steps                           Number
            T           T            T           T           T            4.2.a    Detailed Income & Expense Form (Form Provided)
N           N           T            N           T                        4.2.b    Line by Line Explanation of Expenses
            T           T            T           T           T            4.2.c    Expense Summary (Generated Form)
            T           T            N           T                        4.2.d    Tax Schedule
            T           T            N           T                        4.2.e    Real Estate Tax Estimate / PILOT
            T           T            T           T                         4.3     Cash Flow Projection (Generated Form)
            T                                                              4.4     Model Lease
            N           T            N           T           T             4.5     Evidence of Utility Allowance
                                                                                   SECTION V. FINANCING
                                                 T                         5.1     Eligible Basis
                                     T           T                         5.2     Syndication Expenses
T           T           T            N           T           T             5.3     Development Budget (Form Provided)
                        T                        T           T             5.5     LIHTC Calculation (Form Provided)
T           T           T            T           T           T             5.6     Sources of Funds (Form Provided)




      C:\Docstoc\Working\pdf\File \ Exhibit Checklist 1-5                                                                                                                                      2 of 3
                                                                                                                                                                                             Version 1: 2008
                                                                                      EXHIBIT CHECKLIST                                                                                     Submission Date:


      DEVELOPMENT NAME                                                            0                                                         APPLICANT                                   0

    = Not applicable                                                        N         = Non-Threshold Item - if applicable, required prior to approval. If available, include with application.
T = Threshold Item - if applicable, required at application submission

                  Check if submitted or Mark N/A                           THIS FORM MUST BE SUBMITTED WITH INITIAL APPLICATION & ALL RESUBMISSIONS                                                CHFA/
                                                                                                                                                                                                  DECD use
    DECD Funding                         CHFA Funding
                                                                                                                                                                                                    only
                                         Next                            Exhibit
Program      Project    Financing                    LIHTC       HTCC
                                         Steps                           Number
                                                                                      SECTION VI. HOMEOWNERSHIP DEVELOPMENTS (N/A for Rental Properties)
            T                                                              6.1        Homeownership Unit Descriptions (Form Provided)
            T                                                T             6.2        Homeownership Sales Proceeds (Form Provided)
T           T                                                             6.3.a       Mechanism of Affordability
            T                                                             6.3.b       Developer/Homebuyer Subsidy Determination Worksheet (Form Provided)
            T                                                             6.3.c       Development Cash Flow Analysis for Single Family Housing (Form Provided)
            T                                                             6.3.d       Explanation of Resale / Recapture
            T                                                             6.3.e       Homebuyer Training Plan
                                                             T             6.4        Documentation of Property Taxes and Insurance
                                                                                      SECTION VII. COMMUNITY IMPACT
T           T                                                              7.3        Community Stability
T           T           N            N                                    7.4.a       Community Impact "Snapshot"
O           T           N            N                                    7.4.b       Targeting Commitments or Requirements
O           T                                                              7.5        Resident Participation/Empowerment
N           N           N            N           N                         7.6        Community Support
T           T           T            T           T           T            7.7.a.      Relocation Assistance Plan Guide (Form Provided)
T           T           N            N           T           T            7.7.b.      Non-Displacement Certification (Form Provided)
T           T                        N           T           T             7.8        Relocation Plan
                                                                                      SECTION VIII. AFFIRMATIVE ACTION/FAIR HOUSING & EQUAL OPPORTUNITY
T           T                                    T           T            8.1.a       Fair Housing Policy Statement
                                     T           T                        8.1.b       Fair Housing Law Violations (Form Provided)
T           T                                                             8.1.c       Tenant Selection Methodology
T           T                                                             8.1.d       Fair Housing Impacts (Form Provided)
T           T                                    T                        8.1.e       Affirmative Fair Housing Marketing Plan (Form Provided)
T           T                                                             8.1.f       Discrimination Complaint Procedure
T           T                                                             8.1.g       Certification to Affirmatively Further Fair Housing
T           T           N            N           T           T             8.2        Affirmative Action Plan
T           T                                                             8.3.a       Section 3 Plan (HOME only)
T           T                                                             8.3.b       Section 3 Activity (HOME only)
T           T                                                              8.4        Americans with Disabilities Act/Section 504 Notice
                                                                                      SECTION IX. CERTIFICATIONS
T           T           N           N                                     9.1.a       State Contracts
T           T           T            T           T           T            9.1.b       SEEC 10 (Form Provided)
T           T           T           N                                      9.2        Owner's Affidavit (Form Provided)
T           T           T           N            T           N             9.3        Previous Participation Certification (Form Provided)
T           T           N            N                                     9.4        Litigation Information
T           T           N            N                                     9.5        Description of Federal or State Action
T           T           N            N                                     9.6        Description of Felony Conviction
T           T           N            N                                     9.7        Compliance
                                     T           T                         9.8        Transfer Site Assessment (TASA)
                                     T           T                         9.9        Fire and Safety Certification
                                                 T                         9.1        Request For Release From Connecticut State Housing Program
                                                 T                        9.11        Certification For Rehabilitation of State Housing Authority Units
T           T                                                             9.12.a      NEPA Statutory Checklist (HOME Only) (Form Provided)
T           T                                                             9.12.b      NEPA Environmental Assessment (HOME Only) (Form Provided)
                                                                                      SECTION X. OTHER
                                     T           T                        10.1        10-Year Rule Waiver
                        T            T           T           T            10.2        Application Fee


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