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CONNECTICUT HOUSING FINANCE AUTHORITY
LOW-INCOME HOUSING TAX CREDIT PROGRAM
Information to be completed by CHFA
CHFA Application No.: CT- Submission Date:
A. GENERAL INFORMATION
1. Project Name:
Address:
City, State, Zip Code:
Congressional District:
Census Tract * Is project located in a QCT or DDA (see appendix 3), Yes or No:
County
* Red items indicate a Required Field
2. Notification of Local Government Official:
Cheif Executive Officer / Elected Official: Title:
Address: Tel. #:
City, State, Zip Code:
B. APPLICANT INFORMATION
1. Applicant Type:
Individual: Partnership:
For-Profit Corporation: Limited Liability Corporation:
Non-Profit Corporation:
2. Development Team Summary
Developer/Sponsor
(Legal Name):
Address:
Website:
Principal(s):
Contact Person: Email Address:
Telephone Number: Fax Number:
Owner/Mortgagor:
Address:
Website:
Principal(s):
Contact Person: Email Address:
Telephone Number: Fax Number:
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General Partner:
Address:
Website:
Principal(s):
Contact Person: Email Address:
Telephone Number: Fax Number:
Identity of interest with applicant? Yes No
Architect:
Address:
Website:
Principal(s):
Contact Person: Email Address:
Telephone Number: Fax Number:
Identity of interest with applicant? Yes No
General Contractor:
Address:
Website:
Principal(s):
Contact Person: Email Address:
Telephone Number: Fax Number:
Identity of interest with applicant? Yes No
Management Agent:
Address:
Website:
Principal(s):
Contact Person: Email Address:
Telephone Number: Fax Number:
Identity of interest with applicant? Yes No
Consultant:
Address:
Website:
Principal(s):
Contact Person: Email Address:
Telephone Number: Fax Number:
Identity of interest with applicant? Yes No
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Syndicator:
Address:
Website:
Principal(s):
Contact Person: Email Address:
Telephone Number: Fax Number:
Identity of interest with applicant? Yes No
Tax Counsel:
Address:
Website:
Principal(s):
Contact Person: Email Address:
Telephone Number: Fax Number:
Identity of interest with applicant? Yes No
Other:
Address:
Website:
Principal(s):
Contact Person: Email Address:
Telephone Number: Fax Number:
Identity of interest with applicant? Yes No
Other:
Address:
Website:
Principal(s):
Contact Person: Email Address:
Telephone Number: Fax Number:
Identity of interest with applicant? Yes No
Other:
Address:
Website:
Principal(s):
Contact Person: Email Address:
Telephone Number: Fax Number:
Identity of interest with applicant? Yes No
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3. Non-Profit Determination:
501(c)(3) Organization: 501(c)(4): Exempt:
Describe the non-profit's participation in the development and operation of the proposed project:
List the names of Board Members for the non-profit organization:
Identify all paid, full-time staff and sources of funds for annual operating expenses and current programs:
To qualify for the non-profit set-aside, the applicant must be a Connecticut Housing Development Organization and materially participate in the
development and operation of the project throughout the compliance period and, therefore, must be a general partner in the partnership. Within the
meaning of IRC 469(h), "a (non-profit) shall be treated as materially participating in an activity only if the (non-profit) is involved in the operations of the
activity on a basis which is regular, continuous, and substantial."
Are you requesting an allocation from the Non-profit set-aside? Yes: No:
C. SITE INFORMATION
1.a. Please indicate the following information for each that pertain to your proposal:
Option Agreement - Acquisition
Deed - Acquisition Price: Price and Expiration Date:
Purchase and Sales Agreement -
Acquisition Price: Long-Term Ground Lease Terms:
2. Please complete the following site information:
Exact Area of Site in Acres:
Seller:
Address:
Telephone No.:
Present Land Use:
Does an identity of interest exist between the Applicant and the owner of the property? Is the seller a related person to the buyer pursuant to IRS Section 42. If yes,
describe below.
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3. Zoning Information:
Present Zoning Classification:
Indicate one of the following: No re-zoning is necessary:
To be rezoned to: Specify:
Variance or special permit required: Specify:
Local Approvals:
Type of Approval Approval Date Expiration Date Special Conditions
Pending Approvals:
Type of Approval Approval Date Expiration Date Special Conditions
Has an Environmental Assessment been Prepared? Yes: No: If Yes, Date Prepared:
Please indicate all potential environmental concerns specified in the environmental assessment:
Flood Hazard Zone: Hazardous Waste: Asbestos:
Wetlands: Lead Paint: Other:
Define Other:
Explain Findings:
D. BUILDING INFORMATION (Rehabilitation and demolition only)
1. How many existing buildings on site?
2. Date(s) building(s) constructed
Address Date Constructed
3. Historical significance? Yes: No:
If yes, describe and provide documentation:
4.a. Has the State Historical Commission determined that the building has historical significance? Yes: No:
4.b. Will Historic Tax Credit Proceeds be a source of funds? Yes: No:
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5. Building Type: Free standing Semi-attached Duplex
Multi-unit Town House Walkup
Other (describe):
6. Is building demolition required? Yes: No:
If yes, please describe:
7. Is the building currently occupied? Yes: No:
Number of Current Occupant(s): Business: Residential: Other:
Define Other:
8. Is relocation required: Yes: No: If yes, proposed relocation and assistance plan must be provided
under Exhibit 25.
E. ACQUISITION INFORMATION
Building(s) acquired or to be acquired with Buyer's Basis:
Determined with reference to Seller's Basis: Yes: No:
List below by building address, the date the building was previously placed-in-service ("PIS" as defined in IRS Section 42 (d)), date the building was or is planned for acquisition, and the
number of years between the date the building was previously placed-in-service and date(s) of acquisition. In the last column, include the year of the building's most recent non-qualified
substantial improvement. For definition of non-qualified substantial improvement, refer to IRC Section 42(d)(2)(D).
Most Recent
# of Years
PIS Date of Building by Most Substantial
Address of Building(s) Proposed Acquisition Date* between PIS &
Recent Owner Improvement
Acquisition
(Year)
* If less than 10 years between acquisition and PIS date, please explain and provide IRS waiver under Exhibit 24.
F. MARKET TARGETING
Number of Elderly Units: Number of Handicapped Units:
Number of Family Units: Number of Other Special Needs Units:
Number of Single Room Occupancy Units: Total Number of Units: 0
If transitional housing or SRO, please describe target residents, social services to be provided, amount, source, and length of service funding commitments, and the
organization providing the services.
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Identify Targeted Income Group:
Number of Units % of Total Units
Below 25% AMI #DIV/0!
25% - 50% AMI #DIV/0!
>50% - 80% AMI #DIV/0!
>80% - 100% AMI #DIV/0!
> 100% AMI #DIV/0!
AMI: Area Median Income as defined by HUD. Selecting targeted income groups is an indication that qualified GROSS rents will not exceed imputed maximum
limits. Refer to Appendix 1 for maximum rents and income levels by federal statistical area.
G. PROJECT CHARACTERISTICS
1. Type of Unit:
Number of Multifamily Rental: Number of Supportive Housing Rental:
Number of Multifamily Ownership: Number of Elderly Rental:
Number of Single Family Ownership: Number of Other: Describe Other:
2. Do, or will any low-income units receive Rental Assistance? Yes: No:
Number of Units receiving Assistance: 0
If Rental Assistance is provided, indicate number of units for each type below:
Section 8 New Constr. or Sub. Rehab.: Section 8 Project-Based:
RHS 515 Rental Assistance: State Assistance:
Section 8 Existing Certificates: Home Investment Partnership:
Subsidies (HOME) Other :
Specify Other:
3. Structure Types:
Number of Buildings Number of Stories Stick Built Modular Other
Detached Buildings
Row House/Townhouse
Garden Apt./Walkup
Elevator (Mid/Hi-Rise)
Other
Specify Other
Accessory Structures (Describe):
Recreational Facilities (Describe):
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H. PERMANENT FINANCING
Total Permanent Financing: $0
1. Debt Sources: $0
Source 1: Source 2: Source 3:
Principal: Principal: Principal:
Rate: Rate: Rate:
Term (in years): Term (in years): Term (in years):
Term (in months): 0 Term (in months): 0 Term (in months): 0
Debt Service*: $0 Debt Service*: $0 Debt Service*: $0
* Note, if financing source does not require repayment, type $0 over the amount of debt service.
2. Equity Sources (not including LIHTC) $0
Source Amount
I. CONSTRUCTION FINANCING
Total Permanent Financing: $0
1. Debt Sources: $0
Source 1: Source 2: Source 3:
Principal Amount: Principal Amount: Principal Amount:
Rate: Rate: Rate:
Term (in years): Term (in years): Term (in years):
Term (in months): 0 Term (in months): 0 Term (in months): 0
Debt Service: $0 Debt Service: $0 Debt Service: $0
2. Equity Sources $0
Source Amount
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J. PROJECT INCOME
Number of Rental Units: 0 Sustaining Occupancy Year*:
Total Monthly Income: $0 Total Annual Income: $0
HUD Federal Statistical Area: Current HUD-Approved AMI:
* Sustaining occupancy year is the year following substantial lease-up. For example, if substantial lease-up occurs in March of 2007, sustaining occupancy year is 2008.
1. Qualified Rental Income (Units at or below 100% AMI)
Gross Rents
GROSS PERCENT
SQUARE MAXIMUM
TARGET AMI NUMBER OF NUMBER OF PROPOSED UTILITY UNDER
FEET ALLOWABLE
%1 BEDROOMS UNITS TENANT PAID 2 ALLOWANCE3 MAXIMUM
(per unit) 2 RENT
RENT ALLOWABLE
$0 #DIV/0!
$0 #DIV/0!
$0 #DIV/0!
$0 #DIV/0!
$0 #DIV/0!
$0 #DIV/0!
$0 #DIV/0!
$0 #DIV/0!
$0 #DIV/0!
$0 #DIV/0!
$0 #DIV/0!
$0 #DIV/0!
$0 #DIV/0!
1. Target AMI % should be the percent at the high end of the AMI range. For example, 25-50% of AMI should be entered as 50%.
2. Gross Proposed Tenant Paid Rent should be the proposed rent per unit for the current year, as compared to the HUD Maximum Allowable Rent. Gross
Proposed Tenant Paid Rent includes the rent the tenant will pay and the utilities the tenant will pay. If units have rental subsidies and exact tenant paid rent is
unknown, the Gross Tenant Paid Rent should equal the Maximum Allowable Rent, and the difference between the Net Tenant Paid Rent and the Net Rent Paid to
Owner should be included in the rental subsidy column below.
3. Utility allowances should be entered in section J.4. and will automatically be brought into this chart.
Net Rents
NET RENT
PAID TO
RENTAL NET RENT OWNER
TARGET AMI NUMBER OF NET TENANT MONTHLY ANNUAL
SUBSIDY PAID TO (trended to
% BEDROOMS PAID RENT INCOME INCOME
(per unit) OWNER Sustaining
Occupancy
Year4)
0% 0 $0 $0 $0 $0 $0
0% 0 $0 $0 $0 $0 $0
0% 0 $0 $0 $0 $0 $0
0% 0 $0 $0 $0 $0 $0
0% 0 $0 $0 $0 $0 $0
0% 0 $0 $0 $0 $0 $0
0% 0 $0 $0 $0 $0 $0
0% 0 $0 $0 $0 $0 $0
0% 0 $0 $0 $0 $0 $0
0% 0 $0 $0 $0 $0 $0
0% 0 $0 $0 $0 $0 $0
0% 0 $0 $0 $0 $0 $0
0% 0 $0 $0 $0 $0 $0
Total number of qualified units: 0 Gross Qualified Income: $0 $0
Total qualified square feet: 0 Vacancy: $0 $0
Vacancy rate: 5.0% Net Qualified Income: $0 $0
4. Rents and rental subsidies are trended up 2% per year while utility allowances are trended up at 5% per year.
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2. Market Rate Rental Income (Units above 100% AMI)
NET RENT
GROSS (trended to
NUMBER OF NUMBER OF SQUARE UTILITY MONTHLY ANNUAL
PROPOSED sustaining
BEDROOMS UNITS FEET ALLOWANCE INCOME INCOME
RENT occupancy
year)
0 BDRM $0 $0 $0
1 BDRM $0 $0 $0
2 BDRM $0 $0 $0
3 BDRM $0 $0 $0
4 BDRM $0 $0 $0
Total number of market rate units: 0 Gross Market Income: $0 $0 $0
Total market rate square feet: 0 Vacancy: $0 $0 $0
Vacancy Rate: 5.0% Net Market Income: $0 $0 $0
3. Other Income
No. of parking spaces: No. commericial square feet: Gross Monthly Other Income: $0
Monthly income/space: Monthly Income/sf: Net Monthly Other Income: $0
Net Monthly Other Income
Monthly Parking Income: $0 Monthly Commerical Income: $0 $0
(trended to Sustaining Occupancy Year):
Additional Monthly
Monthly Laundry Income:
Income*:
Net Annual Other Income
Monthly HUD Operating Subsidy: Estimated Loss Revenue: $0
(trended to Sustaining Occupancy Year):
* Specify Additional Monthly Income
4. Utility Allowance
"X" all that Apply Enter Utility Allowance for all the Apply
Energy Source
(ie: gas, Owner Paid Tenant Paid 0BR 1BR 2BR 3BR 4BR
electric)
Heating
Hot Water
Cooking
Lighting
Air Cond.
Other
Total $0 $0 $0 $0 $0
Source and Effective Date of Utility Calculation
(provide utility schedule and/or other evidence of calculation):
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K. PROJECT EXPENSES
1. Operating Budget
Operating Proforma Year*
* Operating Proforma Year should be the year the expenses are based on. Depending on when the proforma was conducted, this year may differ from sustaining occupancy year.
Administrative $0 Operating and Other $0
Conventions and Meetings Fuel (Gas / Oil )
Management Consultants Electricity
Advertising and Marketing Water and Sewer
Office Salaries (Project Share) Garbage and Trash Removal
Office Rent and Expenses (Incld. Phone) Snow Removal
Management Fee (Max. 5% EGI) Property and Liability Insurance
Manager or Leasing Agent Fidelity Bond Insurance
Administrative Rent-Free / Reduced Unit Worker's Compensation
Audit and Legal Expenses (Project Share) Payroll (Maint., Security, Janitorial, Etc.)
Administrative / Misc. Payroll Taxes
Health Insurance and Other Benefits
Maintenance $0 Misc.Taxes, Licenses, Permits and Insurance
Decorating and Painting Security Contract/s
Supplies (Grounds Maint ./ Janitorial / Etc. ) Total ADMIN, MAINT. And OPERATING $0
Repairs and Maint. (HVAC / Electrical / Plumbing) Other
Elevator Maint. / Service Contract Capital (Replacement) Reserve
Exterminating Sub-Total (Incld. RESERVES) $0
Vehicle Equipment Operation & Repair Other
Lobby and Common Areas Real Estate Taxes
Misc. Operating and Maintenance TOTAL ANNUAL EXPENSES $0
TOTAL ANNUAL EXPENSES
(trended to Sustaining Occupancy
Year) $0
2. Operating Summary (Trended to Sustaining Occupancy Year)
ANNUAL DEBT SERVICE: $0
DEBT SERVICE COVERAGE RATIO: #DIV/0! TOTAL ANNUAL INCOME: $0
ANNUAL OPERATING EXPENSES PER UNIT: #DIV/0! NET OPERATING INCOME (NOI): $0
ANNUAL OPERATING EXPENSES: $0 INITIAL CASH FLOW: $0
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L. ESTIMATED DEVELOPMENT COST
Development Budget for 9% New/Rehabilitation Credits and 4% Acquisition
Eligible Basis
BUDGET New / Rehab 9% Acquisition 4%
CONSTRUCTION $0 $0 $0
SITE & IMPROVEMENTS (Div. 1-16) Hard Costs 0 XXXXXXXXXXXX
GENERAL REQUIREMENTS (Max. 4% Site + Improvements) 0.00% 0 XXXXXXXXXXXX
OVERHEAD and PROFIT ( Max. 12% Site + Improverments) 0.00% 0 XXXXXXXXXXXX
BOND PREMIUM / L.O.C. COST 0 XXXXXXXXXXXX
BUILDING PERMITS and OTHER DEVELOPMENT FEES 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
CONSTRUCTION (Form 2328) Sub-Total $0 $0 $0
Other 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
CONSTRUCTION CONTINGENCY (Eligible Basis max 50%) 0 XXXXXXXXXXXX
ARCHITECTURAL and ENGINEERING $0 $0 $0
ARCHITECT - Design 0 XXXXXXXXXXXX
ARCHITECT 0 XXXXXXXXXXXX
ENGINEERING (Civil-Site / Stuctural / Etc.) 0 XXXXXXXXXXXX
SURVEYS 0 XXXXXXXXXXXX
ENVIRONMENTAL REPORTS and TESTING 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
CHFA CONSTRUCTION OBSERVATION 0 XXXXXXXXXXXX
FINANCE and INTERIM COSTS $0 $0 $0
INTEREST (CHFA) - Const. + 2 Mos.Lease Up @ 0 XXXXXXXXXXXX
CHFA PERM LOAN ORIG. / COMMIT. FEE @ XXXXXXXXXXXXXXXXXXXXXXXX
INTEREST - Bridge Loan @ 0 XXXXXXXXXXXX
FEES - Bridge Loan @ 0 XXXXXXXXXXXX
R. E. TAXES / PILOTS - Const. Period 0 XXXXXXXXXXXX
INSURANCE - Const. Period ( Builder's Risk / Liability / Hazard ) 0 XXXXXXXXXXXX
UTILITIES - Const. Period ( If Owner Paid ) 0 XXXXXXXXXXXX
Negative Arbitrage on Bonds (If Applic.) XXXXXXXXXXXXXXXXXXXXXXXX
Credit Enhancement Premium (HUD or Private Perm. Mortg. Insur.) XXXXXXXXXXXXXXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
SOFT COSTS - Fees & Expenses $0 $0 $0
LEGAL COUNSEL - Real Estate 0 XXXXXXXXXXXX
TITLE INSUR. PREMIUMS + RECORDING COSTS 0 XXXXXXXXXXXX
APPRAISALS / MARKET STUDY 0 XXXXXXXXXXXX
LEASE UP & MARKETING XXXXXXXXXXXXXXXXXXXXXXXX
COST CERTIFICATIONS XXXXXXXXXXXXXXXXXXXXXXXX
Historic Consultant 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
SOFT COST CONTINGENCY (5% Max.) #DIV/0! 0 XXXXXXXXXXXX
TOTAL DEVELOPMENT COSTS (TDC) $0 $0 $0
DEVELOPER ALLOWANCE / FEE Max.10% TDC 0% 0 XXXXXXXXXXXX
PRE-DEVEL. FINANCING (Interest) COSTS [ Lender-Approved ] XXXXXXXXXXXXXXXXXXXXXXXX
SITE ACQUISITION (Appraised "As Is" Value) $0 XXXXXXXXXXXXXXXXXXXXXXXX
Land Cost XXXXXXXXXXXXXXXXXXXXXXXX
Existing Building/s XXXXXXXXXXXX 0
CAPITALIZED RESERVES $0 XXXXXXXXXXXXXXXXXXXXXXXX
CHFA Operating / Debt Serv./ Coverage XXXXXXXXXXXXXXXXXXXXXXXX
Capital / Replacement XXXXXXXXXXXXXXXXXXXXXXXX
Other XXXXXXXXXXXXXXXXXXXXXXXX
RECOGNIZED LENDING COSTS $0 XXXXXXXXXXXXXXXXXXXXXXXX
ENTITY and SYNDICATION COSTS / OTHER $0 XXXXXXXXXXXXXXXXXXXXXXXX
Entity Organizational and Legal XXXXXXXXXXXXXXXXXXXXXXXX
Syndicator Fees / Commissions XXXXXXXXXXXXXXXXXXXXXXXX
Equity Bridge Loan Interest and Fees XXXXXXXXXXXXXXXXXXXXXXXX
Tax Opinion and Entity Accounting XXXXXXXXXXXXXXXXXXXXXXXX
CHFA Tax Credit Fee (8% Ann. Credit) XXXXXXXXXXXXXXXXXXXXXXXX
CHFA LIHTC Application Fee ($1,000) and/or Historic Credit Applic. Fee XXXXXXXXXXXXXXXXXXXXXXXX
Other XXXXXXXXXXXXXXXXXXXXXXXX
TOTAL USES $0 $0 $0
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Development Budget for 4% New/Rehabilitation Credits and 4% Acquisition
Eligible Basis
BUDGET New / Rehab 4% Acquisition 4%
CONSTRUCTION $0 $0 $0
SITE & IMPROVEMENTS (Div. 1-16) Hard Costs 0 XXXXXXXXXXXX
GENERAL REQUIREMENTS (Max. 4% Site + Improvements) 0.00% 0 XXXXXXXXXXXX
OVERHEAD and PROFIT ( Max. 12% Site + Improverments) 0.00% 0 XXXXXXXXXXXX
BOND PREMIUM / L.O.C. COST 0 XXXXXXXXXXXX
BUILDING PERMITS and OTHER DEVELOPMENT FEES 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
CONSTRUCTION (Form 2328) Sub-Total $0 $0 $0
Other 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
CONSTRUCTION CONTINGENCY (Eligible Basis max 50%) 0 XXXXXXXXXXXX
ARCHITECTURAL and ENGINEERING $0 $0 $0
ARCHITECT - Design 0 XXXXXXXXXXXX
ARCHITECT 0 XXXXXXXXXXXX
ENGINEERING (Civil-Site / Stuctural / Etc.) 0 XXXXXXXXXXXX
SURVEYS 0 XXXXXXXXXXXX
ENVIRONMENTAL REPORTS and TESTING 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
CHFA CONSTRUCTION OBSERVATION 0 XXXXXXXXXXXX
FINANCE and INTERIM COSTS $0 $0 $0
INTEREST (CHFA) - Const. + 2 Mos.Lease Up @ 0 XXXXXXXXXXXX
CHFA PERM LOAN ORIG. / COMMIT. FEE @ XXXXXXXXXXXXXXXXXXXXXXXX
INTEREST - Bridge Loan @ 0 XXXXXXXXXXXX
FEES - Bridge Loan @ 0 XXXXXXXXXXXX
R. E. TAXES / PILOTS - Const. Period 0 XXXXXXXXXXXX
INSURANCE - Const. Period ( Builder's Risk / Liability / Hazard ) 0 XXXXXXXXXXXX
UTILITIES - Const. Period ( If Owner Paid ) 0 XXXXXXXXXXXX
Negative Arbitrage on Bonds (If Applic.) XXXXXXXXXXXXXXXXXXXXXXXX
Credit Enhancement Premium (HUD or Private Perm. Mortg. Insur.) XXXXXXXXXXXXXXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
SOFT COSTS - Fees & Expenses $0 $0 $0
LEGAL COUNSEL - Real Estate 0 XXXXXXXXXXXX
TITLE INSUR. PREMIUMS + RECORDING COSTS 0 XXXXXXXXXXXX
APPRAISALS / MARKET STUDY 0 XXXXXXXXXXXX
LEASE UP & MARKETING XXXXXXXXXXXXXXXXXXXXXXXX
COST CERTIFICATIONS XXXXXXXXXXXXXXXXXXXXXXXX
Historic Consultant 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
Other 0 XXXXXXXXXXXX
SOFT COST CONTINGENCY (5% Max.) #DIV/0! 0 XXXXXXXXXXXX
TOTAL DEVELOPMENT COSTS (TDC) $0 $0 $0
DEVELOPER ALLOWANCE / FEE Max.10% TDC 0% 0 XXXXXXXXXXXX
PRE-DEVEL. FINANCING (Interest) COSTS [ Lender-Approved ] XXXXXXXXXXXXXXXXXXXXXXXX
SITE ACQUISITION (Appraised "As Is" Value) $0 XXXXXXXXXXXXXXXXXXXXXXXX
Land Cost XXXXXXXXXXXXXXXXXXXXXXXX
Existing Building/s XXXXXXXXXXXX 0
CAPITALIZED RESERVES $0 XXXXXXXXXXXXXXXXXXXXXXXX
CHFA Operating / Debt Serv./ Coverage XXXXXXXXXXXXXXXXXXXXXXXX
Capital / Replacement XXXXXXXXXXXXXXXXXXXXXXXX
Other XXXXXXXXXXXXXXXXXXXXXXXX
RECOGNIZED LENDING COSTS $0 XXXXXXXXXXXXXXXXXXXXXXXX
ENTITY and SYNDICATION COSTS / OTHER $0 XXXXXXXXXXXXXXXXXXXXXXXX
Entity Organizational and Legal XXXXXXXXXXXXXXXXXXXXXXXX
Syndicator Fees / Commissions XXXXXXXXXXXXXXXXXXXXXXXX
Equity Bridge Loan Interest and Fees XXXXXXXXXXXXXXXXXXXXXXXX
Tax Opinion and Entity Accounting XXXXXXXXXXXXXXXXXXXXXXXX
CHFA Tax Credit Fee (8% Ann. Credit) XXXXXXXXXXXXXXXXXXXXXXXX
CHFA LIHTC Application Fee ($1,000) and/or Historic Credit Applic. Fee XXXXXXXXXXXXXXXXXXXXXXXX
Other XXXXXXXXXXXXXXXXXXXXXXXX
TOTAL USES $0 $0 $0
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M. CREDIT CALCULATION
Note: only highlighted cells should be completed by applicant.
New / Rehab Acquisition
Credit NPV of AFR % = TOTALS
TAX CREDIT ELIGIBLE BASIS $0 $0 $0
LESS: BASIS ADJUSTMENTS $0
Federal Grants for Qualifying Devel. Costs XXXXXXXXXXXX $0
Non-Qualified Non-Recourse Financing XXXXXXXXXXXX $0
Non-Qualifying units of higher quality XXXXXXXXXXXX $0
Non-Qual. excess portion of higher qual. units XXXXXXXXXXXX $0
Fed. HistoricTax Credits (Resid. Portion) XXXXXXXXXXXX $0
Other XXXXXXXXXXXX $0
PLUS: QCT / DDA INCREMENT n/a XXXXXXXXXXXX n/a
ADJUSTED ELIGIBLE BASIS $0 $0 $0
X the Applicable Fraction (%) #DIV/0! #DIV/0!
TOTAL QUALIFIED BASIS #DIV/0! #DIV/0! #DIV/0!
ELIGIBLE Credit from QUALIFIED BASIS #DIV/0! #DIV/0! #DIV/0!
LIHTC EQUITY GAP > $0
ALLOWABLE Credit from GAP ANALYSIS > #DIV/0!
MAX. ANNUAL CREDIT AMOUNT (a) #DIV/0!
Annual Credits Per Unit #DIV/0!
Equity Raise ($ Yield / $1.00)
ESTIM. LIHTC NET PROCEEDS #DIV/0!
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N. APPLICANT CERTIFICATION
I declare the information contained in this application, including any exhibits, attachments, and any further or
supplemental documentation is true and correct to the best of my knowledge and belief. I understand that
misrepresentation may result in cancelation of a credit reservation or the termination of this application.
I further declare that neither I nor any affiliate of mine is not or had not at any previous time been in default
on any Authority or State obligations for twelve (12) or more months.
False statements made herein are punishable pursuant to Section 53a-57b of the Connecticut General Statutes.
Dated this _________day of ___________________ , 2006
By:
Orginal Signature
Typed or Printed Name and Title
STATE OF CONNECTICUT }
} ss. , 2006
COUNTY OF }
Personally appeared, of , duly
authorized as aforesaid Signer and Sealer of the foregoing application and acknowledged the same to be his free act and
deed and the free act and deed of said corporation/limited partnership before me.
Commissioner of Superior Court
Notary Public
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