Arizona Department of Housing Low Income Housing Tax Credit Program 2010 GAP FINANCING APPLICATION Jan-10 Application Submission (in conjunction with LIHTC Application Submission) Date: Monday, March 15, 2010 4:00 P.M. Applications Submitted to: Randy G. Archuleta, Rental Programs Administrator Arizona Department of Housing 1110 W. Washington Street, Suite 310 Phoenix, AZ 85007 This document may be made available in alternate formats upon request. Please contact Joy Johnson, Special Needs Division, Arizona Department of Housing by telephone at (602) 771-1026 or by email at email@example.com Arizona Department of Housing Low Income Housing Tax Credit Program Insert at Tab 3 Jan-10 Gap Financing Application Behind Form 3 Date of Application: 1. Sources, Amount of Funds & Loan Terms Requested ADOH will, in its discretion, determine which, if any sources of Gap Amount of Gap Funds Requested: $ Financing shall be committed to a project. Loan Terms Requested: Note: Loan terms will be determined by ADOH based on underwriting assessment. 2. Project Activity Activity Type: Date the building was constructed: 3. Project Name, Location & Legislative Districts Name Legislative/Congressional Districts: Address State Federal Senate City State Zip House Congressional County 4. Applicant Information Developer Owner Name Phone Address Fax Email Address: City State Zip Check One: Non-Profit Corporations Regional Council of Government For-Profit Entity Unit of Local Government Public/Tribal Housing Authority Tribal Government 5. Principal Contact Information List the name, address, phone and fax of the principal contact authorized to conduct business with the Arizona Department of Housing (ADOH) on behalf of the applicant. ADOH is not responsible for contacting or distributing information to other affiliates listed herein. Name Phone Title Fax Address Email Address: City State Zip Arizona Department of Housing Low Income Housing Tax Credit Program Insert at Tab 3 Jan-10 Gap Financing Application Behind Form 3 Project Name: Date of Application: 6. Assisted Units & Required Period of Affordability Note: the calculation of the number of assisted units below only provides an approximate number of units; more or less units may be designated due to such factors as size of units. A final determination will be made in underwriting. a. Total Project Cost $ b. Total Number of units in the Project units c. Average per unit investment (all Units) (a b) = $ #DIV/0! d. Total amount of GAP Loan Requested $ e. Average per unit investment - all units (amount from number c. above) $ f. Approximate Number of assisted units (d e) = #DIV/0! units Period of Affordability Number of years of required Period of Affordability (New Construction: 20 years. Acquistion/Rehabilitation projects are based on the amount in c. above. Less than $15,000: 5 yrs; $15,000 - $40,000: 10 yrs; over $40,000: 15 yrs) Number of years of proposed Period of Affordability (If applicant is willing to assure additional years of affordability beyond those required, indicate so here) The assisted units in the project will be: Fixed Floating 7. Proposed Beneficiaries by Income Level % Assisted Number of Units in Total % of Units in Number of Assisted Units in Project Project Units in Project* Project Households at or below 50% of AMI Households at or below 60% of AMI Market Rate Units Other: Households at or below % of AMI Total Number of Units in Project: 100% 100% * Assisted units in rentals are restricted to households at or below 60% of AMI, or lower, based on the number of assisted units in the total project. If there are 5 or more assisted units in the project, then no less than 20% of the assisted units must be reserved for households with incomes no higher than 50% AMI. See the SHF State Housing Fund Program Summary for more information. 8. Rent Limits (See Appendix D in the State Housing Fund Program Summary and Application Guide) List the applicable program rents for the project location (see Appendix D in the State Housing Fund Program Summary and Application Guide .) The maximum SHF rents used will be the lesser of the FMR or the rent limit for the applicable percent or a rent lower than either amount may be used if the market dictates that lower rents are needed to achieve affordability for the targeted population. Area SHF/LIHTC Program Rent Limit 0 BR 1 BR 2 BR 3 BR 4 BR 5 BR Low SHF rent High SHF rent 50% LIHTC rent 60% LIHTC rent For units to qualify as both LIHTC and SHF assisted units, rents cannot exceed either program limit. Low SHF rent units are subject to Low SHF rents; LIHTC limits and High SHF rent units are subject to High SHF rents and LIHTC limit. For units to qualify as both LIHTC and SHF assisted units, rents cannot exceed either program limit. Low SHF rent units are subject to Low SHF rents; LIHTC limits and High SHF rent units are subject to High SHF rents and LIHTC limit. Arizona Department of Housing Low Income Housing Tax Credit Program Insert at Tab 3 Jan-10 Gap Financing Application Behind Form 3 Project Name: Date of Application: 9. Demolition or Change in Use YES NO Will the project result in the demolition or change in use of any existing low-income housing units? Under Federal regulations all units of low-income housing lost because of a federally funded project must be replaced at a ratio of one to one. If the answer is yes, complete below: Demolition: Number of Units Change in use: Number of Units Provide a brief description of the project and its effect on these units: Provide a brief description of how these units will be replaced one-for-one: Temporary relocation assistance will be required. Permanent relocation assistance will be required. Relocation assistance will not be required. Arizona Department of Housing Low Income Housing Tax Credit Program Insert at Tab 3 Jan-10 Gap Financing Application Behind Form 3 Project Name: Date of Application: 10. Environmental Issues In accordance with 24 CFR 50 and 24 CFR 58, the environmental effects of each activity carried out with federal HOME funds must be assessed. Prior to any release of federal funds, a detailed review must be completed, accepted and published for public comment. If any of the following environmental issues have already been assessed, please indicate below. YES NO Has any environmental study been completed on the project site? If yes, please indicate the date and level of review: Date of Review Level of Environmental Review Date of Review Phase I Environmental Review (required for all projects) Date of Review Other Review: Please list Please note that all work to the property must cease and no physical work can start on the project until the environmental review requirements have been met. YES NO Maybe Will any part of the project be undertaken in or adjacent to a floodplain? Indicate here what flood zone the project is in: Will any part of the project involve building(s) 50 years or older? Will any part of the project be undertaken in geological hazard areas, or affect historical, archealogical or cultural resources? Will any part of the project be undertaken near an airport or military field? Will any part of the project be located within 1,000 feet of a major road? Will any part of the project be located within 3,000 feet of a railroad? Will any part of the project be near any noise hazard? Will any part of the project be located within one-mile of above-ground storage tanks, transmission pipelines, or loading facilities for explosive or fire-prone substances? A letter of determination from the State Historic Preservation Office (SHPO) is attached If it has been requested but not received, by what date is it expected: If the project is on Tribal Land, a copy of the determination letter from the Tribal Historic Preservation Office (THPO) is attached. If it has been requested but not received, by what date is it expected: Attach as Attachment H a FEMA Flood Plain Map detailing the site and flood zone Arizona Department of Housing Low Income Housing Tax Credit Program Jan-10 Gap Financing Application Insert at Tab 3 Behind Form 3 Project Name: Date of Application: 11. Single-Site Project Environmental Issues Complete the following only if acquiring/rehabilitating an existing structure: YES NO Has there been an evaluation of asbestos hazards? If yes, what were the results? Was the proposed project built prior to January 1, 1978? If yes, what year was the property built: Has there been an evaluation of lead-based paint hazards? If yes, what were the results? Is the building in a historic district? Is the building a designated historic building? 12. Relocation Information YES NO (a) Will this project involve permanent relocation of tenants, businesses, or other organizations? If yes, please describe: Complete and submit Attachments C and D and copies of tenant notification letters. (b) Will this project involve temporary relocation of tenants, businesses, or other organizations? If yes, please describe: Complete and submit Attachment D and copies of tenant notification letters. If the answer to either of the questions above was yes, answer the questions below and provide the following: YES NO Existing tenants have been notified of this application in accordance with the Uniform Relocation Act? If yes, insert copies of tenant notifications at Attachment C. Does the project have an Anti-Displacement and Relocation Assistance Plan? If yes, please attach a copy at Attachment C. Arizona Department of Housing Low Income Housing Tax Credit Program Insert at Tab 3 Jan-10 Gap Financing Application Behind Form 3 Project Name: Date of Application: The undersigned Developer hereby applies to the Arizona Department of Housing, (“ADOH”), for a commitment of Gap Financing Funds. The undersigned is responsible for ensuring that the project consists of or will consist of qualified low income housing as described in the application packet, and will satisfy all applicable State and Federal requirements in the acquisition, rehabilitation or construction and subsequent operation of the project to receive a commitment of Gap Financing. The developer represents and certifies that the application has not requested any more Gap Financing than is necessary to provide affordable housing. In planning this project, the Developer certifies that it has provided for and will continue to encourage the participation of citizens, particularly persons of low income who are residents of areas in which the State Housing Funds are proposed to be used. The Developer understands that ADOH will determine the eligibility of the project based, at least in part, on the figures submitted with the application by the Developer and the readiness of the project to proceed, as presented in the application. The Developer is responsible for the accuracy of these figures. Misrepresentations, mistakes or omissions may be the basis for the cancellation of an award. The Developer understands and agrees that should ADOH commit more funds than the State of Arizona is entitled to award in any given fiscal year (whether State or Federal), and funding is not available as awarded, ADOH shall be held harmless by the Developer, the Developer’s investors and anyone else relying upon the commitment. The Developer acknowledges and agrees that it will at all times cooperate with request(s) by the Arizona Department of Housing for submittal of additional information as necessary. The Developer acknowledges and agrees to fully comply and cooperate with all monitoring activity of ADOH after the date of commitment. The Developer will give the State, the U.S. Department of Housing and Urban Development, and any State authorized representatives access to and the right to examine all records, books, papers, or documents related to the application and any resulting funding awards. If the Developer applies as a State-certified Community Housing Development Organization (CHDO), the Developer agrees to continue to comply with the requirements for CHDOs as contained in the definition at 24 CFR Section 92.2. By executing this authorization and release, the Developer hereby authorizes the Arizona Department of Housing to obtain and furnish and release, to all proper institutions and/or agencies, full and complete records, reports and/or information pertaining to the Developer and its application under the State Housing Fund program. The Developer agrees at all times to indemnify and hold harmless the Arizona Department of Housing, its agents, employees, attorneys, contractors and representatives against all losses, costs, damages, expenses and liabilities of whatsoever nature or kind (including, but not confined to, attorneys’ fees, litigation and court costs, amounts paid in settlement, and amounts paid to discharge judgments, and any loss from such judgments or assessments) directly or indirectly resulting from, arising out of, or related to acceptance, consideration and approval or disapproval of the Developer’s application for funding. The Developer hereby represents and certifies under penalty of A.R.S. §§ 13-2311 and 39-161 that the information set forth herein, and all material submitted by the Developer to ADOH, are to the best of the Developer’s knowledge, true and complete and accurately describe the proposed project. The undersigned represents that he or she is duly authorized to execute this instrument on behalf of the Developer and possesses the legal authority to apply for an allocation of Gap Financing and to execute the proposed program. Further, the Developer represents that its governing body has duly adopted or passed an official act of resolution, motion, or similar action authorizing the filing of the application, including all understandings and assurances required, and directing and authorizing the Developer’s chief executive officer and/or other designated official representative to act in connection with the application and to provide such additional information that may be required. The Developer understands that all representations made herein, and all documentation submitted, are subject to verification by ADOH, and that any misrepresentations or inaccuracies, whether intentional or not, may subject the project to a loss of competitive scoring points or to disqualification. For the purposes of verification, the Developer hereby authorizes ADOH to request information on entities and individuals closely related to this transaction from any lender, investor, or other institution or entity named in this application. Such information includes but is not limited to audits, financial statements, credit history, copies of income tax returns, and other information deemed necessary by ADOH. The Developer has caused this document to be duly executed in its name as of this ____ day of ____________, 2010. Signature of Developer By: Type Name of Developer Type Name of Organization Arizona Department of Housing Low Income Housing Tax Credit Program Attachment B Jan-10 Gap Financing Application ATTACHMENT B Non Profit Entity or Local Government Resolution Authorization to Submit Application(s) and Enter into an Agreement for Gap Financing Funds THIS IS ONLY A SAMPLE AND MAY BE MODIFIED TO MEET THE LOCAL GOVERNMENT REQUIREMENTS Resolution No. ___________ A resolution of the [AUTHORIZING BOARD OR GOVERNING BODY] of [NAME OF ENTITY] authorizing the submission of an application(s) for Gap Financing Funds, certifying that said application(s) meets the community's housing and community development needs and the requirements for Gap Financing Funds, and authorizing all actions necessary to implement and complete the activities outlined in said application. WHEREAS, the [AUTHORIZING BOARD OR GOVERNING BODY] of [NAME OF ENTITY] is desirous of undertaking affordable housing development activities; and WHEREAS, the State of Arizona is administering Gap Financing; and WHEREAS, the Qualified Allocation Plan and State Housing Fund Program requires that funds benefit low income households; and WHEREAS, the activity in the application addresses the community's low-income population housing needs; and WHEREAS, a recipient of Gap Financing Funds is required to comply with the program guidelines, State and Federal Statutes and regulations. NOW, THEREFORE, BE IT RESOLVED THAT the [AUTHORIZING BOARD OR GOVERNING BODY] of [ENTITY] authorize application to be made to the State of Arizona, Arizona Department of Housing for funding for Gap Financing, and authorize [NAME and JOB POSITION OF INDIVIDUAL] to sign application and contract or grant documents for receipt and use of these funds, and authorize [NAME and JOB POSITION OF INDIVIDUAL] to take all actions necessary to implement and complete the activities submitted in said application(s). Passed and adopted by the [AUTHORIZING BOARD OR GOVERNING BODY] of [LOCAL GOVERNMENT] this ______________________ day of _______________________, 2009. By: Title of person signing ATTEST: APPROVED AS TO FORM: By: By: Title of person attesting Legal Counsel Arizona Department of Housing Low Income Housing Tax Credit Program Attachment C Jan-10 Gap Financing Application ATTACHMENT C Relocation Information Required if project includes permanent relocation of tenants. Complete only if the answer to Section 12, Question (a) was "YES". Instructions: Applications for Rental Housing which indicate that any type of permanent relocation of current inhabitants will be required must provide the following information in their application package as Attachment C. 1 Complete a Site Occupant Record - Residential for each household to be displaced. 2 Provide copies of tenant notification letters. Sample letters are at Attachment C1 & D1 of this application. Site Occupant Record - Residential Agency: Date of Initial Relocation Interview: Interviewer: Name of Occupant Address Phone Fax City State Zip Census Tract No. Check One: Family Individual Owner Tenant Date of General Notice: Effective date of Notice of Eligibility for Relocation Assistance (include copy of notices) Racial/Ethinic Classification: Hispanic? Yes No Household Race: White Asian American Indian or Alaskan Native African American Asian and White American Indian or Alaskan Native and White African American and White Native Hawaiian or other Pacific Islander Other Multi-racial Housing Costs and Characteristics of Displacement Dwelling: Tenant: Monthly contract rent $ Owner: Monthly Mortgage payment (P&I) $ + + Average monthly utilities $ Average monthy utilities $ = + Total $ $0.00 Real Property Taxes $ = Total $ $0.00 Number of Bedrooms: Number of rooms: Gross Monthly Name of Employer Surname, Given Name (s) Relationship Sex Age Occupation Income and Telephone No. $ $ Total Gross Monthly Income: $0.00 Special Characteristics of Household (e.g. disabled, elderly, etc.)? Re-Housing Preferences: Purchase Subsidized Housing Rent None Arizona Department of Housing Low Income Housing Tax Credit Program Attachment C1 Jan-10 Gap Financing Application SAMPLE RELOCATION LETTER For a Tenant that MAY be Displaced Agency for Developer Letterhead DATE TENANT NAME ADDRESS CITY, STATE ZIP DEAR TENANT: On or about APPLICATION DATE, we will be submitting an application to the Arizona Department of Housing for financial assista nce to acquire and rehabilitate the building which you occupy at ADDRESS. If our application is approved and we move forward with a cquiring the property and you are displaced as a result, you may be eligible for relocation assistance under the Uniform Relocation As sistance and Real Property Acquisition Policies Act of 1970, as amended. Do not move now. This is not a notice to vacate the premises. You should continue to pay your monthly rent to your landlord b ecause a failure to pay rent and meet your other obligations as a tenant may be cause for eviction and loss of potential relocation as sistance. You are urged not to move or sign any agreement to purchase or lease a new unit before receiving formal notice of eligibility for rel ocation assistance. If you move or are evicted before receiving such notice, you may not receive any assistance. Please contact us before you mak e any moving plans. If we acquire the property and you are found eligible for relocation assistance, you will be given advisory services, includi ng referrals to replacement housing, and at least 90 days advance written notice of the date you will be required to move. You would also rec eive a payment for moving expenses and may be eligible for financial assistance to help you rent a replacement unit. If for any reason any other persons move into this unit with you after this notice, your assistance may be reduced. If you ha ve any questions, please contact NAME, TITLE, AT PHONE, ADDRESS. Again, this is not a notice to vacate and does NOT establish eligibility for relocation payments or other relocation assistan ce. If we decide not to purchase the property, you will be notified in writing. Sincerely, NAME TITLE INSTRUCTIONS 3. A case file must be established and a copy of this letter should include notice as to the manner this notice was delivered (e.g., personally served or certified mail, return receipt requested) and the date of delivery. 4. This letter is a sample. It should be revised to reflect the circumstances. Arizona Department of Housing Low Income Housing Tax Credit Program Attachment D Jan-10 Gap Financing Application ATTACHMENT D Permanent & Temporary Relocation Information Complete only if the answer to Section 12, questions (a) and/or (b) was "Yes". Instructions: Applications for Rental projects contemplating relocation and/or temporary relocation of current inhabitants will be required to provide the following information in their application package as Attachment D. 1 List of current tenants, current rent roll, and tenant income. Attach proof of delivery of the general information notice to each tenant for temporary and/or permanent relocation (see sample letter at Attachment C1 & D1 of this application). Please note Federal Requirements listed under the SHF Program Summary and Appliction Guide, Section 1.9(G) Displacement, Relocation, and Acquisition Provisions of the Uniform Relocation Act (URA). For more information please see http://www.hud.gov/offices/cpd/library/relocation/index.cfm Current Unit Information Total Number of Units Number Occupied Units Monthly Rents Efficiency $ 1 Bedroom $ 2 Bedroom $ 3 Bedroom $ 4 Bedroom $ 5 Bedroom $ TOTAL $ It is important to have a relocation plan in place for all occupied buildings, even if you do not anticipate temporary/permanent relocation. Therefore, a relocation plan is required for all occupied buildings and must describe the following: a. Applicants' staff capacity to administer relocation process b. Relocation plan procedures c. Estimated cost per unit type to relocate or temporarily relocate tenants d. Available units in the market area properties where displaced persons or temporarily relocated persons will be relocated e. Description as to why the units requiring rehabilitation fell into disrepair Temporary Relocation Tenant Name Unit Type Tenant Income Current Rent $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Note: Attach additional sheet if more lines are needed. Permanent Relocation Tenant Name Unit Type Tenant Income Current Rent $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Note: Attach additional sheet if more lines are needed. Arizona Department of Housing Low Income Housing Tax Credit Program Attachment D1 Jan-10 Gap Financing Application SAMPLE RELOCATION LETTER For a Tenant that WILL NOT be Displaced Agency for Developer Letterhead DATE TENANT NAME ADDRESS CITY, STATE ZIP DEAR TENANT: On or about APPLICATION DATE, we will be submitting an application to the Arizona Department of Housing for financial assista nce to acquire and rehabilitate the building which you occupy at ADDRESS. This notice is to inform you that, if the assistance is provided and the building is rehabilitated, you will NOT be displaced . Therefore, we urge you not to move anywhere at this time. (If you do elect to move for reasons of your own choice, you will not be provided nor be entitled to any relocation assistance.) If the application is approved and Federal assistance is provided for the rehabilitation, you will be able to lease and occup y your present apartment (or another suitable, decent, safe and sanitary apartment in the same building) upon completion of the rehabilitati on. Of course, you must comply with standard lease terms and conditions. If you must move temporarily so that the rehabilitation can be completed, suitable housing will be made available to you for the temporary period, and you will be reimbursed for all reasonable extra expenses. Again, we urge you not to move. If the project is approved, you can be sure that we will make every effort to accommodate you r needs. If Federal assistance is involved, you would be protected by the Uniform Relocation Assistance and Real Property Acquisition Pol icies Act of 1970, as amended. This letter is important and should be retained. You will be contacted soon. In the meantime, if you have any questions about our plans, please contact CONTACT NAME, TITLE, AT PHONE NUMBER, ADDRESS. Sincerely, NAME TITLE INSTRUCTIONS 1. A case file must be established and a copy of this letter should include notice as to the manner this notice was delivered (e.g., personally served or certified mail, return receipt requested) and the date of delivery. 2. This letter is a sample. It should be revised to reflect the circumstances. Arizona Department of Housing Low Income Housing Tax Credit Program Attachment G Jan-10 Gap Financing Application ATTACHMENT G Site & Neighborhood Standards HOME Rental New Construction STANDARD YES NO [from 24 CFR 983.6(b)] Internal Use Only Does the size, exposure, and contour accommodate the units? 983.6(b)(1) Are utilities and street access adequate? 983.6(b)(1) Does the project and location further comply with fair housing laws? 983.6(b)(2) Is the project site in an area of minority concentration or racially mixed area? 986.3(b)(3)(i) Is the project site in a racially mixed area but will not significantly increase the 986.3(b)(3)(i) proportion of minorities? Is the project site in a minority concentration but there are sufficient comparable units 983.6(b)(3)(ii) outside the area for minorities based on analysis of HUD-assisted housing? 983.6(b)(3)(iii) Is the project site in a minority concentration but is necessary to meet overriding 983.6(b)(3)(iv) housing needs that cannot otherwise be met? Does the project site promote greater choice of housing opportunities and avoid undue 983.6(b)(4) concentration of assisted persons? Is the project site in a neighborhood known to be detrimental to family life? 983.6(b)(5) Is the project site in a neighborhood comparably accessible to a broad range of services 983.6(b)(6) and facilities? Is the project site in a neighborhood where travel/access to jobs is not excessive (exception 983.6(b)(7) for elderly housing)? Arizona Department of Housing Low Income Housing Tax Credit Program Attachment H Jan-10 Gap Financing Application ATTACHMENT H FEMA Floodplain Map detailing Site and Flood Zone Provide a FEMA floodplain map detailing the site and flood zone as Attachment H.
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