Corporate Housing Marketing Plan

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                             CHFA & DECD CONSOLIDATED APPLICATION FORM                                                     Submission Date:
                                Homeownership, Community Impact and Certifications
      Applicant Name

Development Name

                                         SECTION VI. HOMEOWNERSHIP DEVELOPMENTS

6.1   Homeownership Unit Descriptions (DECD only)
      Please provide detailed information on each unit including income targets, utilities, energy sources and amenities. If subsidies are
      projected they must also be provided. Attach and label as "Exhibit 6.1"

6.2   Homeownership Sales Proceeds
      Please complete provided form. Attach and label as "Exhibit 6.2"

6.3   Supplementary Information (DECD only)
      Please provide and attach:
      6.3.a. For Homeownership developments, what mechanism for Affordability will be used?
                               Resale Restriction
                               Subsidy Recapture
      Provide a sample of the document(s) to be used. Attach and label as “Exhibit 6.3.a”
      6.3.b. Homeownership – Developer/Homebuyer Subsidy Determination Worksheet.
              Attach and label as "Exhibit 6.3.b"
      6.3.c. Development Cash Flow Analysis for Single Family Housing. Attach and label as "Exhibit 6.3.c"
      6.3.d. Plain language explanation of resale/recapture provision. Attach and label as "Exhibit 6.3.d"
      6.3.e. Homebuyer Training Plan. Attach and label as “Exhibit 6.3.e”

6.4   Documentation of Property Taxes and Insurance (HTCC Only)
      Attach and label as "Exhibit 6.4"

                                                 SECTION VII. COMMUNITY IMPACT

7.1   Length of Affordability
      How many years will the development remain affordable?
                5 years     10 years       15 years         20 years       30 years     Other                         (describe)

7.2   Income Group Targeting
      Units Targeted to Extremely Low (25% AMI) and Very Low (50% AMI) Households

         Income Group                        Rental Units                             Homeowner Units
            Served                     Number             % of Total              Number        % of Total
                0-25% AMI                                  0.00%                                 0.00%
               26-50% AMI                                  0.00%                                 0.00%
               51-60% AMI                                  0.00%                                 0.00%
               61-80% AMI                                  0.00%                                 0.00%
              81-100% AMI                                  0.00%                                 0.00%
             101-120% AMI                                  0.00%                                 0.00%
               > 120% AMI                                  0.00%                                 0.00%
             TOTAL                       0                                          0

7.3   Community Stability
      Describe the development’s activities that are designed to increase community stability. Such activities may include strategies to
      increase and improve the elements that affect the structure of the community. Attach and label as “Exhibit 7.3”

7.4   Community Impact
      7.4 a. Create a “snap shot” of the development to illustrate the way in which the development fits into the surrounding neighborhood
      and how it will impact the area. Attach and label as “Exhibit 7.4 a”
      7.4.b. Targeting Commitments or Requirements
      Does this development include any other targeting commitments or requirements for other funders or investors?          Yes      No
      If "Yes", describe and attach and label as “Exhibit 7.4.b”




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                              CHFA & DECD CONSOLIDATED APPLICATION FORM                                                     Submission Date:
                                Homeownership, Community Impact and Certifications

       Population Groups                      Rental Units                                Homeowner Units
            Served
                                      Number                 % of Total           Number              % of Total
      Family                                                  #DIV/0!                                  #DIV/0!
      Disabled/Special
                                                              #DIV/0!                                  #DIV/0!
      Needs
      Elderly                                                 #DIV/0!                                  #DIV/0!
      Homeless                                                #DIV/0!                                  #DIV/0!
              TOTAL                       0                                           0

7.5   Resident Participation/Empowerment
      Please describe how this development will promote resident participation including the promotion of community members’ ability to
      contribute to their own well-being and that of their families and community. Attach and label as “Exhibit 7.5”

7.6   Community Support
      Include a narrative describing the extent to which the development demonstrates support by local/state government, community
      organizations, or individuals, other than as development sponsors. Also include copies of any letters of support received for the
      proposed development or program. Attach narrative and letters of support and label as “Exhibit 7.6”

7.7   Relocation
       Will the development require relocation of households or businesses?                       Yes      No
      7.7.a. If the Applicant and Co-Sponsor anticipates relocation or is unsure of whether relocation will occur, then the Applicant and Co-
      Sponsor must complete the Relocation Assistance Plan Guideform. Attach and label as "Exhibit 7.7.a"
      7.7.b.    Non-Displacement Certification
      If the development will not require relocation of households or businesses because it will be located on vacant or undeveloped
      property, or if the rehabilitation plan does not require relocation, then please submit the Housing and Urban Development (HUD)
      “Certification of Non-Displacement." Attach and label as "Exhibit 7.7.b"

7.8   Relocation Plan
      Please provide the Applicant’s and Co-Sponsor’s relocation plan, tenant list and copies of General Information Notices (GINs).
      Identify the number of households or businesses that may be displaced, if any. Disclose and quantify temporary and permanent
      relocations (residential and non-residential) needed to complete the development. If no relocation is required, this section is not
      applicable. Attach and label as “Exhibit 7.8”
      CGS 8-37z requires that State funded projects reduce or eliminate the displacement of households to the
      greatest extent possible. Any displacement must be the minimum amount necessary due to the nature of the
      project. Any proposals which include the displacement of units must contact DECD prior to the submission of
      an application to determine the procedures necessary to meet this mandatory requirement.


7.9   Relocation Schedule and Costs
      Complete the following chart.

                                                            Estimated           Estimated
                                                          Relocation Start      Relocation
              Type                    Number                   Date           Completion Date         Estimated Costs
      Displaced Households

      Displaced Businesses
      (or Farms)




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                              CHFA & DECD CONSOLIDATED APPLICATION FORM                                                       Submission Date:
                                Homeownership, Community Impact and Certifications
                        SECTION VIII. AFFIRMATIVE ACTION/FAIR HOUSING AND EQUAL OPPORTUNITY

8.1   Fair Housing
      For CHFA , please provide a copy of the Applicant and Co-Sponsor’s Fair Housing Action Plan which includes:
      8.1.a. Fair Housing Policy Statement. Attach and label as "Exhibit 8.1.a"
      8.1.b. Fair Housing Law Violations form provided. (Next Steps and LIHTC only) Attach and label as "Exhibit 8.1.b"


      For DECD, a Fair Housing Action Plan must be submitted which includes the following documents. The guideforms for these
      documents are located on the DECD Consolidated Application webpage. Attach and label this plan as "Exhibit 8.1.c."
          Fair Housing Action Plan Guideform
          AA5 Affirmative Fair Housing Marketing Plan (form provided)
          Tenant Selection Methodology (see also section 9 of the AA5)
          Fair Housing Policy Statement
          Discrimination Complaint Procedure
          Certification to Affirmatively Further Fair Housing
          Fair Housing Activity - Provide a written description identifying any developments, initiatives, or actions taken in the past 2 years
          by the Applicant and co-sponsor to promote the principles of fair housing.

      8.1.d. Fair Housing Impact - Using the form provided, please identify how the proposed activity addresses and
      impacts the fair housing, diversity, and economic integration questions identified. Attach and label as "Exhibit
      8.1.d"

8.2   Affirmative Action Plan
      Please provide Affirmative Action Policy Statements for all Applicants and Co-sponsors. For CHFA only , provide a copy of the
      Contractor's Affirmative Action Plan. Attach and label as “Exhibit 8.2”

8.3   Hiring and Contracting (DECD only)
      8.3.a.  Provide a copy of transmittal letter of contractor’s Affirmative Action Plan to Commission on Human Rights and
      Opportunities. . Attach and label as “Exhibit 8.3.a”
      8.3.b.  Attach Section 3 Plan. Attach and label as “Exhibit 8.3.b”
      8.3.c.  Describe and document past efforts to comply with the hiring and contracting requirements of Section 3 of the Housing and
      Urban Development Act of 1968 as amended. Please give specific examples. (HOME Only ) Attach and label as “Exhibit 8.3.c”


8.4   Americans with Disabilities Act/ Section 504 (DECD only)
      Provide an ADA notice and ADA Grievance Procedure. Attach and label as “Exhibit 8.4”




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                                  CHFA & DECD CONSOLIDATED APPLICATION FORM                                                    Submission Date:
                                    Homeownership, Community Impact and Certifications

                                                        SECTION IX. CERTIFICATIONS

Certifications
    9.1 Applicant Disclosure
            9.1.a State Contracts. Does the funding recipient employ or contract with (1) any elected public official or the spouse of any elected
            public official or (2) any state employee or the spouse of any state employee who has supervisory or appointing authority over the
            state agency administering this funding?                                       Yes      No
             If "Yes", describe. Attach and label as "Exhibit 9.1.a"

          9.1.b Campaign Contributions. Notice to executive branch state contractors and prospective state contractors of campaign
          contribution and solicitation ban. Read and complete form SEEC 10. Attach and label as "Exhibit 9.1.b"

    9.2   Owner’s Affidavit
          Complete the Owner’s Affidavit provided regarding the Applicant’s and/or Co-Sponsor’s financial interest in each property. Attach
          and label as "Exhibit 9.2"

    9.3   Previous Participation
          Complete the Previous Participation Certification form provided. Attach and label as "Exhibit 9.3"


Litigation
     9.4 Is the Applicant, Co-Sponsor, or any member of the proposed development team currently involved in any
           If "Yes", describe and attach and label as "Exhibit 9.4"                                       Yes                 No

    9.5   Has any state agency and/or the federal government taken any action against the Applicant and/or Co-Sponsor or
          If "Yes", describe briefly. Please attach and label as "Exhibit 9.5"                               Yes        No

    9.6   Has the Applicant, Co-Sponsor, or any member of the development team been convicted of a felony?
          If "Yes", describe briefly. Please attach and label as "Exhibit 9.6"                             Yes                No


Compliance
   9.7 The Applicant and Co-Sponsor will describe all instances of default and/or debarment, both past and current, with
         CHFA, DECD,yes any branch of the State or Federal Government.
         Please check or or no for each question:
         9.7.a The Applicant and Co-Sponsor are eligible as defined by State Statute or HUD Program Regulations.                   Yes             No



          9.7.b The requested activity is eligible under the appropriate State or Federal Acts.                                    Yes             No



          9.7.c The Applicant and Co-Sponsor will maintain compliance with all program requirements.                               Yes             No



          9.7.d The Applicant and Co-Sponsor is in compliance with all existing DECD and HUD Assistance                            Yes             No
          Agreements and CHFA Mortgage documents.

          9.7.e The Applicant and Co-Sponsor have identified how the development meets and is consistent with the                  Yes             No
          goal/strategy (ies) of State Statute, the DECD Consolidated Plan (Action Plan), the State Plan of
          Conservation and Development, and/or the State Long Range Housing Plan.

          9.7.f The Applicant and Co-Sponsor certifies that they will demonstrate their compliance with Fair Housing               Yes             No
          Guidelines to the satisfaction of DECD and CHFA.

          9.7.g The Applicant and Co-Sponsor certifies that they are aware of the conditions of the Fair Housing                   Yes             No
          Action Plan and that they will meet the requirements as applicable in the Plan including, but not limited to, the
          Analysis of Impediments to Fair Housing.

          9.7.h The Applicant and Co-Sponsor will promptly furnish any information and documentation requested by                  Yes             No
          DECD or CHFA. DECD or CHFA may require changes in the information submitted herewith which are
          deemed reasonable.
          **If any of the above boxes are checked “No,” describe. Attach and label as “Exhibit 9.7”

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                                  CHFA & DECD CONSOLIDATED APPLICATION FORM                                                        Submission Date:
                                    Homeownership, Community Impact and Certifications

    9.8   Transfer Site Assessment (TASA) (LIHTC and Next Steps only)
          Applicant's certification that a Transfer Site Assessment (TASA) will be conducted.
          Attach and label as “Exhibit 9.8”

    9.9   Fire and Safety Certification
          Applicant's certification of complicity with all applicable federal, state and local building, fire and safety codes, asbestos removal and
          hazardous waste regulation.
          Attach and label as “Exhibit 9.9”

    9.10 Request For Release From Connecticut State Housing Program (LIHTC only)
         Attach and label as “Exhibit 9.10”

    9.11 Certification For Rehabilitation of State Housing Authority Units (LIHTC only)
         Attach and label as “Exhibit 9.11”

    9.12 Federal Environmental Reviews (HOME only)
         Activities involving federal funding are required to undergo an Environmental Review in accordance with the National Environmental
         Policy Act (NEPA) and Federal Regulations under 24 CFR Part 58.
         9.12.a      Please submit a NEPA Statutory Checklist and attach and label as Exhibit "9.12.a"
         9.12.b.     Please submit the NEPA Environmental Assessment Checklist and attach and label as "Exhibit
         9.12.b"

                                                               SECTION X. OTHER

    10.1 10-Year Rule Waiver (LIHTC only)
         If applying for acquisition credits and a waiver of the 10-year ownership rule is necessary, provide a letter from the appropriate federal
         official that states that the project qualifies for a waiver under IRC Section 42(d)(6).

    10.2 Application Fee (CHFA only)




The undersigned understands that he/she may be prosecuted for false statement under the laws of the State of Connecticut
under Section 53a-157 of the General Statutes, as amended from time to time, for any false statement made herein; and, the
undersigned has been duly authorized to submit the attached in its name.


It is hereby represented by the undersigned as an inducement to the Department of Economic and Community Development
and the Connecticut Housing Finance Authority to consider the financial assistance requested herein, that to the best of my
knowledge and belief no information or data contained in this application or in the attachments are in any way false or
incorrect and that no material information has been omitted. The undersigned understands that the Department of Economic
and Community Development and/or Connecticut Housing Finance Authority will rely on the information in this application and
that, if the application is approved, any deliberate omissions, misrepresentations and/or incorrect statements in this application
may result in withdrawal of the application from the review process at the Department of Economic and Community
Development’s and/or Connecticut Housing Finance Authority’s discretion.


The undersigned agrees that banks, credit agencies, the Connecticut Department of Labor, the Connecticut Department
of Revenue Services, the Connecticut Department of Environmental Protection, and other references are hereby
authorized now, or anytime in the future, to give the Department of Economic and Community Development and the
Connecticut Housing Finance Authority any and all information in connection with matters referred to in this application,
including information concerning the payment of taxes by the Applicant and Co-Sponsor. In addition, the undersigned
agrees that the funds that may be provided pursuant to this application be utilized exclusively for the purposes
represented in this application, as may be amended.




Applicant Signature                                                                                                    Date



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                                CHFA & DECD CONSOLIDATED APPLICATION FORM                                                 Submission Date:
                                  Homeownership, Community Impact and Certifications



Co-Sponsor Signature                                                                                             Date
The undersigned understands that he/she may be prosecuted for false statement under the laws of the State of Connecticut under Section 53a-
157 of the General Statutes, as amended from time to time, for any false statement made herein; and, the undersigned has been duly
authorized to submit the attached in its name.




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                                                                                      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                                                             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                        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                        9.10        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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                                                       Exhibit 6.1 - HOMEOWNERSHIP UNIT DESCRIPTIONS                                                   Submission Date:



               DEVELOPMENT NAME                                    0                            APPLICANT                              0

                         House Style                                                                         Expandability
                          Model (e.g.,      Number          Sq. Footage of   Number of   Number Lot Size Potential (Sq. Energy             Utilities   Sales Price By
      Type of Unit*      Ranch, Cape)       of Units          Unit Size      Bedrooms    of Baths (Sq. Foot)    Foot)      Efficient        Cost           Model




    * Designate each unit as one or more of the following: MR: Market, HA: HOME Assisted, Other (Please Identify)

                    Identify any energy efficient program                        Identify the Amenities that are included:
    Energy Efficiency                                                               Range               Yes            No
        Program
                                                                                 Refrigerator           Yes            No
                       Complete the following chart:                             Dishwasher             Yes            No
        Utilities                     Energy Source                            Garbage Disposal         Yes            No
        Heating                                                                    Garage               Yes            No
       Hot Water                                                                 Porch/Deck             Yes            No
        Cooking                                                                   Basement              Yes            No
       Other:                                                                       Other:



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                                                         Exhibit 6.2 - HOMEOWNERSHIP SALES PROCEEDS                                                               Submission Date:



       DEVELOPMENT NAME                                      0                               APPLICANT                                           0

SALES PROCEEDS

                                                 HUD Metropolitan Area          0                                     HUD Area Median Income
                                             Sales Proceeds from Land                                    Sales Proceeds - Single Family Houses             $0
                                      Number of Single Family Houses            0                           Sales Proceeds - Multifamily Houses            $0
                          Number of Multifamily Homeownership Houses            0                    Multifamily Homeownership Sales Proceeds              $0
                           Number of Rental Units in Multifamily Houses         0            Rental Income Expected for Multifamily Homeowner              $0

SINGLEFAMILY HOMEOWNERSHIP UNITS

                                                                                           ALLOWABLE
                                                                                                                                CHFA SALES
                                       TARGET                                             MONTHLY COST      PROPOSED                                 IS PROPOSED
                 EXPECTED YEAR                          NUMBER OF         NUMBER OF                                             PRICE LIMIT
                                     HOMEOWNER                                              (trended to    SALE PRICE of                              SALE PRICE
                    OF SALE                              HOUSES           BEDROOMS                                               (Enter N/A if
                                        AMI %                                             Expected Year of     UNIT                                  ALLOWABLE?
                                                                                                                                 DECD only)
                                                                                                Sale)
             1                                                                                   $0                                                       N/A
             2                                                                                   $0                                                       N/A
             3                                                                                   $0                                                       N/A
             4                                                                                   $0                                                       N/A
             5                                                                                   $0                                                       N/A


                                                        ESTIMATED                                                                PROPOSED ARE PROPOSED
                   ESTIMATED   ESTIMATED
                                                          FIRST                                                                    MONTHLY       1st AND 2nd
                     CASH    DOWNPAYMENT                                   MONTHLY            MONTLY           MONTHLY
                                                        MORTGAGE                                                                COST (trended    MORTGAGE
                 DOWNPAYMENT  ASSISTANCE                                    TAXES           INSURANCE         CONDO FEES
                                                          LOAN                                                                    to Expected     AMOUNTS
                    AMOUNT   LOAN AMOUNT*
                                                         AMOUNT*                                                                 Year of Sale)* ALLOWABLE?
             1                                                $0                                                                      $0                  N/A
             2                                                $0                                                                      $0                  N/A
             3                                                $0                                                                      $0                  N/A
             4                                                $0                                                                      $0                  N/A
             5                                                $0                                                                      $0                  N/A

* Downpayment Assistance Loan and First Mortgage Loan are estimated at 5.5% interest rate and 30 year term. Montly taxes, insurance and condo fees are trended 3% annually to
expected year of sale. Monthly utilities are trended annually at 5% to expected year of sale.

OWNER OCCUPIED MULTIFAMILY HOMEOWNERSHIP UNITS

                                                                  ALLOWABLE
                                                                   MONTHLY                                     ESTIMATED
                                     NUMBER OF                                               ESTIMATED                                    ESTIMATED
                                                         TARGET    COST FOR                                      DOWN-     PROPOSED
                 EXPECTED YEAR      BEDROOMS IN                                             CASH DOWN-                                      FIRST
                                                       HOMEOWNER HOMEOWNER                                      PAYMENT   SALE PRICE of
                    OF SALE         HOMEOWNER                                                 PAYMENT                                    MORTGAGE
                                                          AMI %    (trended to                                ASSISTANCE     HOUSE
                                        UNIT                                                  AMOUNT                                    LOAN AMOUNT*
                                                                 Expected Year of                            LOAN AMOUNT*
                                                                       Sale)
   House 1                                                              $0                                                                                 $0
   House 2                                                              $0                                                                                 $0
   House 3                                                              $0                                                                                 $0
   House 4                                                              $0                                                                                 $0
   House 5                                                              $0                                                                                 $0
   House 6                                                              $0                                                                                 $0
   House 7                                                              $0                                                                                 $0
   House 8                                                              $0                                                                                 $0

                                                                                                               EXPECTED
                                                                                                                                                       PROPOSED
                   ESTIMATED    ESTIMATED                                                                       RENTAL             75% of
                                                                                                                                                     MONTHLY COST IS PROPOSED
                 DOWN-PAYMENT     FIRST                   MONTHLY           MONTLY           MONTHLY            INCOME           EXPECTED
                                                                                                                                                        (trended to    SALE PRICE
                  ASSISTANCE    MORTGAGE                   TAXES          INSURANCE         CONDO FEES         (trended to        RENTAL
                                                                                                                                                     Expected Year of ALLOWABLE?
                 LOAN PAYMENT LOAN PAYMENT                                                                   Expected Year fo     INCOME
                                                                                                                                                           Sale)*
                                                                                                                   Sale)
   House 1              $0                 $0                                                                       $0                $0                   $0              N/A
   House 2              $0                 $0                                                                       $0                $0                   $0              N/A
   House 3              $0                 $0                                                                       $0                $0                   $0              N/A
   House 4              $0                 $0                                                                       $0                $0                   $0              N/A
   House 5              $0                 $0                                                                       $0                $0                   $0              N/A
   House 6              $0                 $0                                                                       $0                $0                   $0              N/A
   House 7              $0                 $0                                                                       $0                $0                   $0              N/A
   House 8              $0                 $0                                                                       $0                $0                   $0              N/A




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                                                                 Exhibit 6.2 - HOMEOWNERSHIP SALES PROCEEDS                                                       Submission Date:



RENTAL INCOME to MULTIFAMILY OWNER

Utility Allowance

                                                           "X" all that Apply                                 Enter Tenant Paid Utility Allowance for all the Apply
                                      Energy Source
                                                                 Owner Paid      Tenant Paid       0BR               1BR               2BR               3BR              4BR
                                     (ie: gas, electric)
                    Heating
                    Hot Water
                    Cooking
                    Lighting
                    Air Cond.
                    Other
                                                                                    Total          $0.00             $0.00            $0.00             $0.00             $0.00
                        Source of Utility Calculation:      x


                                                                                                                  UTILITY    NET TENANT              ESTIMATED         EXPECTED
                                                                  GROSS                         GROSS RENT                                                              RENTAL
                                                                                  MAXIMUM                       ALLOWANCE     PAID RENT              MONTHLY
                TARGET RENTAL          NUMBER OF                 PROPOSED                       TRENDED TO                                                              INCOME
                                                                                 ALLOWABLE                      TRENDED TO   TRENDED TO               RENTAL
                    AMI %*             BEDROOMS                 TENANT PAID                      EXPECTED                                                              (trended to
                                                                                GROSS RENT**                     EXPECTED     EXPECTED              SUBSIDY per
                                                                   RENT**                      YEAR OF SALE                                                           Expected Year
                                                                                                               YEAR OF SALE YEAR OF SALE               UNIT
                                                                                                                                                                         of Sale)
 House 1 -
Rental Unit 1                                                                                       $0               $0.00              $0                                 $0
 House 1 -
Rental Unit 2                                                                                       $0               $0.00              $0                                 $0
 House 2 -
Rental Unit 1                                                                                       $0               $0.00              $0                                 $0
 House 2 -
Rental Unit 2                                                                                       $0               $0.00              $0                                 $0
 House 3 -
Rental Unit 1                                                                                       $0               $0.00              $0                                 $0
 House 3 -
Rental Unit 2                                                                                       $0               $0.00              $0                                 $0
 House 4 -
Rental Unit 1                                                                                       $0               $0.00              $0                                 $0
 House 4 -
Rental Unit 2                                                                                       $0               $0.00              $0                                 $0
 House 5 -
Rental Unit 1                                                                                       $0               $0.00              $0                                 $0
 House 5 -
Rental Unit 2                                                                                       $0               $0.00              $0                                 $0
 House 6 -
Rental Unit 1                                                                                       $0               $0.00              $0                                 $0
 House 6 -
Rental Unit 2                                                                                       $0               $0.00              $0                                 $0
 House 7 -
Rental Unit 1                                                                                       $0               $0.00              $0                                 $0
 House 7 -
Rental Unit 2                                                                                       $0               $0.00              $0                                 $0
 House 8 -
Rental Unit 1                                                                                       $0               $0.00              $0                                 $0
 House 8 -
Rental Unit 2                                                                                       $0               $0.00              $0                                 $0

                * Include the percentage at the top of the income range. For example, Incomes between 25% and 50% of AMI should be entered as 50%.
                ** Gross Proposed Tenant Paid Rents should be proposed rents for the current year, as compared to the HUD maximum allowable rents. Utility
                allowances are then deducted from Gross rents to equal Net Tenant Paid Rent below.




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                                                                                                                                                                             •
                                                       Exhibit 6.3.b - HOMEOWNERSHIP SUBSIDY WORKSHEET                                                    Submission Date:



 DEVELOPMENT NAME                                            0                                     APPLICANT                               0


                                                                           Determining Developer's Subsidy
                                                           Model 1              Model 1             Model 2           Model 2           Model 3           Model 3
                                                           AMI 60%              AMI 80%             AMI 60%           AMI 80%           AMI 60%           AMI 80%
Determining Per Unit - Developer's Subsidy
Total Development Cost
Fair Market Value
Developer's Subsidy (Per Unit)                        $                -    $             -   $               -   $             -   $             -   $                  -
Determining Project - Developer's Subsidy
Developer's Subsidy (Per Unit)                        $                -    $             -   $               -   $             -   $             -   $                  -
Number of DECD Units
Developer's Subsidy (Per Model)                       $                -    $             -   $               -   $             -   $             -   $                  -
Total Developer's Subsidy                                                                                                                             $                  -
                                                                           Determining Homebuyer's Subsidy
Determining Per Unit - Homebuyer's Subsidy
Fair Market Value (Sales Price) (Per Unit)            $                -    $             -   $               -   $             -   $             -   $                  -

Affordable Price (Per Unit)*                          $                -
Homebuyer's Subsidy (Per Unit)                        $                -    $             -   $               -   $             -   $             -   $                  -
Number of DECD Units
Homebuyer's Subsidy (Per Model)                       $                -    $             -   $               -   $             -   $             -   $                  -
Total Homebuyer's Subsidy                                                                                                                             $                  -
                                                                           Determining Total HOME Subsidy
Total Developer's Subsidy                                                                                                                             $                  -
Total Homebuyer's Subsidy                                                                                                                             $                  -
Total DECD Subsidy to Project                                                                                                                         $              -

*Estimate only. The actual amount is based on the income of the family buying the unit.




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                                                                                                                                                                                                                                                                                                                                                                                 •
                                                                                Exhibit 6.3.c - DEVELOPMENT CASH FLOW ANALYSIS FOR SINGLE FAMILY HOUSING PROJECTS                                                                                                                                                                                    Submission Date:



       DEVELOPMENT NAME                                                          0                                                                         APPLICANT                                                                          0

                                                                                               CONSTRUCTION LOAN INFORMATION
                                                                                                                                        ANNUAL
                                                                                                   AMOUNT             TERM               RATE



                MONTH                        1                 2                  3                  4                 5                  6                7                8                9                10                11                    12                13                14                15                16                17                 18
NUMBER OF HOUSING STARTS
PROJECT EXPENSES
   LAND ACQUISITION
   SITE PLANNING
   ARCH. & ENGINEERING
   SITE IMPROVEMENTS
   UTILITIES
   CONSTRUCTION
   CONSTRUCTION INTEREST                    N/A                    -                  -                  -                 -                  -                -                -                -                 -                 -                     -                 -                 -                 -                 -                  -                 -
   FEES
   OTHER SOFT COSTS
TOTAL MONTHLY PROJECT EXPENSES         $          -        $       -        $         -        $         -        $        -        $         -        $       -        $       -        $       -        $        -        $        -            $        -        $        -        $        -        $        -        $        -        $         -        $        -
CUMULATIVE PROJECT EXPENSES                           $0               $0   $         -                      $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
NUMBER OF HOME CLOSINGS
PROJECT REVENUE                        Cost of Sales                   0%
   SALES                               $          -
   LESS COST OF SALES                             -
   NET MONTHLY PROJECT REVENUE                        $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
CASH FLOW
NET MONTHLY PROJECT REVENUE                           $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
LESS TOTAL MONTHLY PROJ. EXPEN.                       $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
CASH FLOW + ( - )                                     $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
USES OF CASH FLOW
   DEBT REPAYMENT                                     $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
   Equity Repayment                                   $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
   HOME LOAN REPAYMENT                                $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
TOTAL USES OF MONTHLY CASH FLOW                       $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
SOURCES OF INVESTMENT
DEBT
+ OWNER EQUITY

+ DECD HOME (CHECK AT RIGHT IF A
CONSTRUCTION LOAN)                          Check if a HOME Construction Loan

TOTAL SOURCES OF MONTHLY INVEST.                      $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
          INVESTMENT SUMMARY
           OUTSTANDING DEBT
PREVIOUS MONTH'S OUTSTANDING DEBT           N/A                        $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
   - CASH FLOW FOR DEBT REPAYMENT           N/A                        $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
   + THIS MONTH'S INVESTED DEBT (7A)                  $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
   = OUTSTANDING DEBT                                 $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
            EQUITY INVESTED
PREVIOUS MONTH'S EQUITY INVESTED            N/A                        $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
   - THIS MONTH'S EQUITY REPAYMENT          N/A                        $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
   + THIS MONTHS EQUITY INVESTED                      $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
   = EQUITY INVESTED                                  $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
          HOME LOAN INVESTED
PREVIOUS MONTH'S HOME INVESTED              N/A                        $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
   -THIS MONTH'S HOME REPAYMENT             N/A                        $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
   + THIS MONTH'S EQUITY INVESTED                     $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0
   = TOTAL HOME INVESTED                              $0               $0                 $0                 $0                $0                 $0               $0               $0               $0                $0                $0                    $0                $0                $0                $0                $0                 $0                $0




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                                                                                                                                        •
                             Exhibit 7.7.a - GUIDEFORM RELOCATION ASSISTANCE PLAN                                    Submission Date:



       DEVELOPMENT NAME                      0                            APPLICANT                            0

                                        Chapter 135, CGS, Uniform Relocation Assistance Act

   Consistent with the goals and objectives of activities assisted under the Connecticut Uniform Relocation Assistance Act (the
   Act) the                                                     will take the following steps to minimize displacement of persons,
   families, businesses and farms:


       A.    PROGRAM DEVELOPMENT

            a)                                     will review all projects proposed for funding for potential displacement impact.
            b) If a potential displacement impact is identified,
               shall require that the project budget provide adequate funds and resources either through DECD funds or other
               means to meet the requirements of Chapter 135, CGS.
            c)                                     shall maintain written documentation detailing its review
               of all projects with DECD funds with regard to displacement/relocation and shall set forth the reason for its
               determinations in accordance with this Plan.

       B.    PROGRAM IMPLEMENTATION

            a)                                        shall not obligate or expend DECD funds for a project
                 which is identified under Section A (b) above if the project will
                          1) directly result in the demolition of occupied or vacant occupiable units
                          2) will result in a conversion of those units to a use other than low/moderate-income housing, or
                          3) will cause displacement of persons, families, businesses or farms

                               unless a relocation plan has been submitted to and approved by DECD.

   NOTE: A DECD form “Sworn Certificate of Non-Displacement” is to be executed for each project funded by DECD,
   whether or not relocation is anticipated to occur.

            b)                                      shall adopt the requirements of Chapter 135, CGS and
               require that any project recipients funded by DECD funds provide the relocation assistance required in carrying out
               any displacement and/or relocation activities in accordance with a DECD approved relocation plan.
            c)                                     shall require this to demonstrate its concern for
               displacement, both direct and indirect and its commitment to the principles of the Act.
            d) If displacement does occur,                                             will carry out such
                 relocation (or cause the project developer/recipient to carry out such relocation) in conformance with Chapter 135,
                 CGS, and provide such replacement housing and relocation assistance as required the Act.

                                                   shall document its files for any project which requires
                 displacement, demolition or rehabilitation relating to conversion with the following information:

                         1) A description of the proposed assisted activity;

                         2) The general location on a map and approximate number of dwelling units by size (number of bedrooms)
                            that will be demolished or converted to a use other than low/moderate-income dwelling units as a direct
                            result of the assisted activity.

                         3) A time schedule for the commencement and completion of the demolition or conversion.

                         4) The general location on a map and approximate number of dwelling units by size (number of bedrooms)
                            that will be provided as replacement dwelling units;

                         5) The source of funding and a time schedule for the provision of replacement dwelling units;

                         6) Records of all occupants and copies of all appropriate notices to displaced persons, families,
                            businesses, or farms; and

                         7) Records of all payments made as a result of relocation activities.

            e) This information shall be provided to DECD as outlined above.

            f) This Plan is submitted and signed by an official of
               as a demonstration of its commitment to carry out the requirements of the Act.


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                                                                                                                                                   •
                                       Exhibit 7.7.b - SWORN CERTIFICATE OF NON-DISPLACEMENT                                        Submission Date:



          DEVELOPMENT NAME                         0                            APPLICANT                      0


             SWORN CERTIFICATION OF NONDISPLACEMENT/NO LOSS OF UNITS IN LIEU OF RESIDENTIAL ANTIDISPLACEMENT AND
             RELOCATION PLAN – VACANT LAND OR VACANT BUILDINGS WITH SAME NUMBER OF RESIDENTIAL UNITS OR OWNER-
                                     OCCUPIED SINGLE FAMILY ACCESSIBILITY MODIFICATIONS

                         I have read the requirements of the Federal Uniform Relocation Assistance and Real Property Acquisition
                         Policies Act of 1970, as amended (URA) and Section 104 (d) of the Housing and Community Development
                         Act of 1974, as amended (Barney Frank); and having been duly sworn, do hereby certify that:
                         Check off all provisions that apply:

                                 Because the proposed housing will be developed on completely vacant land, that has no active
                                 businesses, farm operations or nonprofit uses, the development will not cause any temporary or
     1.                          permanent displacement.

                                 Because the proposed housing will be developed in completely vacant structures, which have been
                                 vacant for at least one year prior to any contact with the Department of Economic and Community
                                 Development and which contain no active businesses, farm operations or nonprofit uses, the
     2.                          development will not cause any temporary or permanent displacement.

     3.                          There will be no demolition of residential units or portions of residential units.

                                 There will be no conversion of residential units to uses other than lower income dwelling units.
     4.                          (“Other non-residential uses” includes emergency shelters.)



                                 All occupied and vacant occupiable[1] lower income dwelling units that are demolished or converted to
     5.                          other uses shall be replaced[2] on a one-for-one basis with comparable lower income dwelling units.

                                 Because funds are being used to assist owner-occupied single family homeowners in making
     6.                          accessibility modifications to their premises, there shall be no displacement or loss of units.

                                 [1]
                                     If Section 104(d) applies: “Occupiable” is defined as occupied at any time (except by squatters)
                                 within a 3-month period prior to execution of a contract for demolition or rehabilitation; a unit in
                                 standard condition; or a substandard unit that is suitable for rehabilitation.
                                 [1]
                                     Replacement units shall meet federal requirements at 42.375(b) (1)-(5) of 24 CFR Part 42, effective
                                 11/4/96.



     Signature


     Title                                                                                     Date

     Sworn and subscribed before me this                                          day of       _______________, 20___.


     Commissioner of the Superior Court/Notary Public                                           Official Stamp (Notary)

     My Commission Expires on:


     Note:
                                 I am unable to certify to the above, and I understand that a Relocation Plan will therefore be a
                                 required submission.


     Signature


     Title                                                                                              Date




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                                                                                                                                                 •
                                     Exhibit 8.1.b. - FAIR HOUSING LAW VIOLATIONS                                             Submission Date:



                    DEVELOPMENT NAME                             0                    APPLICANT                           0




Please indicate below any finding of a violation of any Federal or State laws for regulations pertaining to fair housing, housing
accessibility or non-discrimination in the area of rental housing. For this purpose, a finding is one made by a Federal or State court, or a
Federal or State agency having authority and jurisdiction to make such finding. If there are no such findings, please state “none”.


False statements made herein are punishable under the penalty for false statements set out in C.G.S. Section 53a-157b.


  None


  Violation finding(s) – explain:




                                                          By:
                                                                 General Partner


                                                          By:
                                                                                   Print Name




                                                                                    Signature
            Signed, sealed and delivered in the presence of:


                                                           By:
                                                                                     Witness
                                                           By:
                                                                                      Notary


                                      My commission expires:
                                    (NOTARY PUBLIC SEAL)




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                                                                                                                                                         •

                                                  Exhibit 8.1.d - FAIR HOUSING IMPACTS                                                Submission Date:



                DEVELOPMENT NAME                                                                       APPLICANT
                       0                                                                                   0



Please provide a brief explanation as to how the proposed project or program will address the fair housing and equal opportunity factors identified
below. Projects will be rated and ranked based on how well they address these factors.


1. Does the project provide a type of tenure (ownership, rental, cooperative) that is under-represented in the neighborhood?




2. Does the project provide for a household type (large family, special needs, elderly) that is under-represented in the neighborhood?




3. Does the project serve income ranges that are under-represented in the neighborhood?




4. Does the location of the project promote diversity and/or economic integration in the neighborhood?




5. What will be the special features of the fair housing marketing plan designed to promote diversity and economic integration in the
neighborhood?




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                                                                                                                                               •

                                              Exhibit 8.1.e. - AA5 AFFIRMATIVE FAIR                                             Submission Date:

                                                   HOUSING MARKETING PLAN
          DEVELOPMENT NAME                               0                               APPLICANT                        0

                                                          1. INTRODUCTION

Each applicant shall carry out an Affirmative Marketing Program to attract buyers or tenants of all minority and non-minority
groups to the housing that the applicant is providing. These groups include White (Non-Hispanic) and members of minority
     groups: Blacks (Non-Hispanic), American Indians/Alaskan Natives, Hispanics and Asian/Pacific Islanders in the
  Metropolitan Statistical Area (MSA) or housing market area who may be subject to housing discrimination. At least 20
   percent of the units must be targeted to the group(s) identified as “least likely to apply.” Groups “least likely to apply”
                                               include people with disabilities.

                                        2. APPLICATION AND PROJECT IDENTIFICATION
A. Applicants:                                                  B. Project or App. Number:
Name:                                                           Number of Units:
Address (City, State & Zip Code):                               Price or Rental Range of Units
                                                                From $                                To $

Telephone #:
C. Project:                                                     D. Approximate Starting Dates:
Name:                                                           Advertising:                     Occupancy:
Address (City, State and Zip Code):                             E. Name of Managing/Sales Agent:

                                                                Address (Include City, State, Zip Code):
County:                          Census Tract:

                                                                 F. For Multifamily Housing Only:
                                                                             Elderly                    Non-Elderly
                                              3. TYPE OF AFFIRMATIVE MARKETING PLAN
      Project Plan:                Annual Plan (for single family) scattered site units. NOTE: a Separate Annual
Plan must be developed for each type of census tract in which housing is to be built.
     Minority Area                 White (non-minority area)
       Mixed Area (with % of minority residents).
                                                 4. DIRECTION OF MARKETING ACTIVITY
Indicate below which group(s) in the housing market area are least likely to apply for the housing
because of its location and other factors without special outreach efforts.
       White (non-hispanic)                      Black Non-Hispanic                   American Indian or Alaskan native
    Hispanic                Asian or Pacific Islander
      People with disabilities, (Family Housing only, See Instructions).

                                                    5. MARKETING PROGRAM:
                                                     A. COMMERCIAL MEDIA
                              Check the media to be use to advertise the availability of this housing.
     News paper(s)/Publications             Radio            T.V.               Billboards             Other (specify)
  Name of Newspaper or TV     Racial/Ethic Identification of     Size/Duration of Advertising        Media Targeted to People with
          Station                Readers/Audiencer                                                            Disabilities
               (1)                             (2)                               (3)                                      (4)




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                                          B. BROCHURE, SIGNS, AND FAIR HOUSING POSTER:
    (1) Will brochures, leaflets, or handouts be used to advertise?                                             Yes             No
           If yes, attach a copy or submit when available.
    (2) For project site sign; indicate sign size
    (3) Fair Housing Poster must be conspicuously displayed whenever sales/rentals and showing
        take place. Where will they be displayed?                             Sales/rental Offices(s);
                             Real Estate Offices(s);          Model Unit(s);             Other:

                                                       C. COMMUNITY CONTACTS

To further inform the group(s) least likely to apply about the availability of the housing, the applicant agrees to establish and maintain
contact with the groups/organizations listed below that are located in the housing market area of SMSA. If more space is needed,
attach, an additional sheet. Notify DECD of any changes in this list. Attach a copy of correspondence to be mailed to these
groups/organizations. (Provide all requested information).
  Name of Group/Organization            Group Identification        Approximate Date of Contact or             Person Contacted or to be
            Contacted                                                       Proposed Contact                           contacted
                (1)                              (2)                                 (3)                                   (4)




   Address and Telephone #             Method of Contacts           Indicate the Specific Function/Group Organization will undertake in
             (5)                              (6)                                                   (7)




                                                      6. FUTURE MARKETING ACTIVITIES
Check the block(s) that best describe future marketing activities to fill vacancies as they
occur after the project has been initially occupied.                   Newspaper/Publications                Radio              TV
         Brochures/Leaflets/Handouts                  Site Signs                         Community Contacts            Others
Specify:
                                                   7. ANTICIPATED OCCUPANCY/RESULTS
State in number of units the racial/ethnic mix of occupants anticipated as a result of the implementation
of this affirmative marketing plan.
        White (Non-Hispanic)                       Black (Non-Hispanic)                  American Indian or Alaskan native
     Hispanic                 Asian or Pacific Islander                         People with Disabilities
                                                8. EXPERIENCE AND STAFF INSTRUCTIONS
             A. Indicate any experience in marketing housing to the group(s) identified as least likely
                to apply.                     Yes               No
             B. Indicate training to be provided to staff on federal, state, and local fair housing
                laws and regulations, as well as this AFHM Plan. Attach a copy of the instructions to staff
                regarding fair housing.
                                                       9. ADDITIONAL CONSIDERATIONS
             A. Submission of Fair Housing Policy Statement
             B. What system of Selection Criteria will be utilized for this Project?
                Submit a copy.


10. By signing this form, the applicant agrees, after appropriate consultation with DECD to change any part of the plan
covering a multifamily project to assure continued compliance with Affirmative Fair Housing Marketing Regulations.

Signature of Person Submitting Plan:
Name (Type or Print):
Title and Company:
Date:
                                                        **FOR DECD USE ONLY**
Approved By:                                                   Disapproved By:
Signature:                                                     Signature:
Name:                                                          Name:
Title:                                                         Title:
Date:                                                          Date:

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                                                                                                                                      •
                             Exhibit 9.1.b - UPDATED CONTRACTING REQUIREMENTS                                      Submission Date:
                                                     Pursuant to Public Act 07-1

     DEVELOPMENT NAME                               0                              APPLICANT                   0

(1) Agency Notice to State Contractors and Prospective State Contractors

REQUIREMENT:
All agencies must notify their state contractors and prospective state contractors about the campaign
solicitation and contribution ban. Further, all agencies must obtain written acknowledgement from such
contractors that they have received the notice and have informed their principals about the ban. SEEC
has provided the agencies with a notice (form) for this purpose. Note: See notice for definitions of terms.

APPLICABILITY: Current Contracts; Pending Solicitations; Prequalifications; Future & Amended Contracts

PROCEDURE FOR CURRENT CONTRACTS; PENDING SOLICITATIONS; PREQUALIFICATIONS:
OPM directs each agency to send a hard copy of SEEC Form 10 to each of their current, prospective, and
prequalified contractors. Each such contractor must return the completed form to the agency. See
attached SEEC Form 10.

PROCEDURE FOR FUTURE SOLICITATIONS; FUTURE & AMENDED CONTRACTS:
Going forward, OPM strongly recommends that each agency include language concerning the ban in the
agency’s boilerplate for solicitations and for contracts. Doing so will make the agency’s obligation to give
notice, and the contractor’s obligation to acknowledge receipt of such notice, an integral part of the
agency’s standard solicitation and contracting processes. By signing the solicitation or contract, the
authorized signatory expressly acknowledges receipt of the notice and, thus, avoids having the contractor
separately complete and return SEEC Form 10 to the agency.

Note: Agencies that do not implement OPM’s recommendation must follow the Procedure for Current
Contracts; Pending Solicitations; Prequalifications (above) to satisfy the notice requirement.

OPM has developed the following standardized language for agencies to include in their boilerplate for
solicitations and for contracts. This language, which the Office of Attorney General (OAG) has approved
for agency use, is as follows:

Standardized language for inclusion in agency’s solicitation boilerplate:

“With regard to a State contract as defined in P.A. 07-1 having a value in a calendar year of $50,000 or
more or a combination or series of such agreements or contracts having a value of $100,000 or more,
the authorized signatory to this submission in response to the State's solicitation expressly
acknowledges receipt of the State Elections Enforcement Commission's notice advising prospective
state contractors of state campaign contribution and solicitation prohibitions, and will inform its
principals of the contents of the notice. See Attachment __ [SEEC Form 11].”

Standardized language for inclusion in agency’s contract boilerplate:

“For all State contracts as defined in P.A. 07-1 having a value in a calendar year of $50,000 or more or
a combination or series of such agreements or contracts having a value of $100,000 or more, the
authorized signatory to this Agreement expressly acknowledges receipt of the State Elections
Enforcement Commission's notice advising state contractors of state campaign contribution and
solicitation prohibitions, and will inform its principals of the contents of the notice. See Attachment __
[SEEC Form 11].”

Per the standardized language, agencies must attach a copy of SEEC Form 11 to all future
solicitations, future contracts, and amended contracts. Unlike SEEC Form 10, SEEC Form 11 does not
have the fillable fields at the bottom of the page. See attached SEEC Form 11.

(2) Agency Reports to SEEC
The new law requires that each agency submit an initial list with the names of their state contractors and
prospective contractors to SEEC. Each month thereafter, each agency must report to SEEC any changes,
additions, or deletions to its list of contractors. OPM, the Office of the State Comptroller (OSC), and SEEC
are developing the procedures that agencies will follow to satisfy their reporting requirements under the
law. More information will be forthcoming shortly.




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SEEC FORM 10
     NOTICE TO EXECUTIVE BRANCH STATE CONTRACTORS AND PROSPECTIVE STATE CONTRACTORS OF CAMPAIGN
                                  CONTRIBUTION AND SOLICITATION BAN

This notice is provided under the authority of Connecticut General Statutes 9-612(g)(2), as amended by P.A. 07-1, and
is for the purpose of informing state contractors and prospective state contractors of the following law (italicized
words are defined on page 2):

Campaign Contribution and Solicitation Ban


No state contractor, prospective state contractor, principal of a state contractor or principal of a prospective state
contractor , with regard to a state contract or state contract solicitation with or from a state agency in the
executive branch or a quasi-public agency or a holder, or principal of a holder of a valid prequalification certificate,
shall make a contribution to, or solicit contributions on behalf of (i) an exploratory committee or candidate
committee established by a candidate for nomination or election to the office of Governor, Lieutenant Governor,
Attorney General, State Comptroller, Secretary of the State or State Treasurer, (ii) a political committee
authorized to make contributions or expenditures to or for the benefit of such candidates, or (iii) a party
committee;

In addition, no holder or principal of a holder of a valid prequalification certificate, shall make a contribution to, or
solicit contributions on behalf of (i) an exploratory committee or candidate committee established by a candidate
for nomination or election to the office of State senator or State representative, (ii) a political committee
authorized to make contributions or expenditures to or for the benefit of such candidates, or (iii) a party
committee.

Duty to Inform
State contractors and prospective state contractors are required to inform their principals of the above
prohibitions, as applicable, and the possible penalties and other consequences of any violation thereof.

Penalties for Violations
Contributions or solicitations of contributions made in violation of the above prohibitions may result in the following
civil and criminal penalties:

Civil penalties--$2000 or twice the amount of the prohibited contribution, whichever is greater, against a principal or
a contractor. Any state contractor or prospective state contractor which fails to make reasonable efforts to comply
with the provisions requiring notice to its principals of these prohibitions and the possible consequences of their
violations may also be subject to civil penalties of $2000 or twice the amount of the prohibited contributions made by
their principals.

Criminal penalties—Any knowing and willful violation of the prohibition is a Class D felony, which may subject the
violator to imprisonment of not more than 5 years, or $5000 in fines, or both.

Contract Consequences
Contributions made or solicited in violation of the above prohibitions may result, in the case of a state contractor, in
the contract being voided.

Contributions made or solicited in violation of the above prohibitions, in the case of a prospective state contractor,
shall result in the contract described in the state contract solicitation not being awarded to the prospective state
contractor, unless the State Elections Enforcement Commission determines that mitigating circumstances exist
concerning such violation.

The state will not award any other state contract to anyone found in violation of the above prohibitions for a period of
one year after the election for which such contribution is made or solicited, unless the State Elections Enforcement
Commission determines that mitigating circumstances exist concerning such violation.



Receipt acknowledged:
                                                (Signature)                                               (Date)

Print name:                                                             Title:

Company Name:

Additional information and the entire text of P.A 07-1 may be found on the website of the State Elections Enforcement
Commission, www.ct.gov/seec. Click on the link to “State Contractor Contribution Ban”




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Definitions:



"State contractor" means a person, business entity or nonprofit organization that enters into a state contract. Such person, business
entity or nonprofit organization shall be deemed to be a state contractor until December thirty-first of the year in which such
contract terminates. "State contractor" does not include a municipality or any other political subdivision of the state, including any
entities or associations duly created by the municipality or political subdivision exclusively amongst themselves to further any
purpose authorized by statute or charter, or an employee in the executive or legislative branch of state government or a quasi-public
agency, whether in the classified or unclassified service and full or part-time, and only in such person's capacity as a state or quasi-
public agency employee.

"Prospective state contractor" means a person, business entity or nonprofit organization that (i) submits a response to a
state contract solicitation by the state, a state agency or a quasi-public agency, or a proposal in response to a request for
proposals by the state, a state agency or a quasi-public agency, until the contract has been entered into, or (ii) holds a
valid prequalification certificate issued by the Commissioner of Administrative Services under section 4a-100.
"Prospective state contractor" does not include a municipality or any other political subdivision of the state, including
any entities or associations duly created by the municipality or political subdivision exclusively amongst themselves to
further any purpose authorized by statute or charter, or an employee in the executive or legislative branch of state
government or a quasi-public agency, whether in the classified or unclassified service and full or part-time, and only in
such person's capacity as a state or quasi-public agency employee.

"Principal of a state contractor or prospective state contractor" means (i) any individual who is a member of the board
of directors of, or has an ownership interest of five per cent or more in, a state contractor or prospective state
contractor, which is a business entity, except for an individual who is a member of the board of directors of a nonprofit
organization, (ii) an individual who is employed by a state contractor or prospective state contractor, which is a
business entity, as president, treasurer or executive vice president, (iii) an individual who is the chief executive officer
of a state contractor or prospective state contractor, which is not a business entity, or if a state contractor or prospective
state contractor has no such officer, then the officer who duly possesses comparable powers and duties, (iv) an officer
or an employee of any state contractor or prospective state contractor who has managerial or discretionary
responsibilities with respect to a state contract, (v) the spouse or a dependent child who is eighteen years of age or
older of an individual described in this subparagraph, or (vi) a political committee established or controlled by an
individual described in this subparagraph or the business entity or nonprofit organization that is the state contractor or
prospective state contractor.

"State contract" means an agreement or contract with the state or any state agency or any quasi-public agency, let
through a procurement process or otherwise, having a value of fifty thousand dollars or more, or a combination or
series of such agreements or contracts having a value of one hundred thousand dollars or more in a calendar year, for
(i) the rendition of services, (ii) the furnishing of any goods, material, supplies, equipment or any items of any kind,
(iii) the construction, alteration or repair of any public building or public work, (iv) the acquisition, sale or lease of any
land or building, (v) a licensing arrangement, or (vi) a grant, loan or loan guarantee. "State contract" does not include
any agreement or contract with the state, any state agency or any quasi-public agency that is exclusively federally
funded, an education loan or a loan to an individual for other than commercial purposes.

"State contract solicitation" means a request by a state agency or quasi-public agency, in whatever form issued,
including, but not limited to, an invitation to bid, request for proposals, request for information or request for quotes,
inviting bids, quotes or other types of submittals, through a competitive procurement process or another process
authorized by law waiving competitive procurement.

“Managerial or discretionary responsibilities with respect to a state contract” means having direct, extensive and
substantive responsibilities with respect to the negotiation of the state contract and not peripheral, clerical or
ministerial responsibilities.

“Dependent child” means a child residing in an individual’s household who may legally be claimed as a dependent on
the federal income tax of such individual.

“Solicit” means (A) requesting that a contribution be made, (B) participating in any fund-raising activities for a
candidate committee, exploratory committee, political committee or party committee, including, but not limited to,
forwarding tickets to potential contributors, receiving contributions for transmission to any such committee or
bundling contributions, (C) serving as chairperson, treasurer or deputy treasurer of any such committee, or (D)
establishing a political committee for the sole purpose of soliciting or receiving contributions for any committee. Solicit
does not include: (i) making a contribution that is otherwise permitted by Chapter 155 of the Connecticut General
Statutes; (ii) informing any person of a position taken by a candidate for public office or a public official, (iii) notifying
the person of any activities of, or contact information for, any candidate for public office; or (IV) serving as a member
in any party committee or as an officer of such committee that is not otherwise prohibited in this section.



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                                                                                                                                                     •
                                                           Exhibit 9.2 - OWNER'S AFFIDAVIT                                            Submission Date:



 DEVELOPMENT NAME                                  0                          APPLICANT                               0

State of Connecticut
                               }
                               }                              , Connecticut
                                          s.s. _______________, Connecticut
County of
                               }


Date


1.
       I am over the age of 18.

2.
       I understand the obligation of an oath.

3.
       The property identified in the attached description (Exhibit A) is presently owned by
                    enter legal name                which party is an         individual,   corporation,
            partnership,           other (please describe)

4.
       If the owner is other than an individual, a list of the owners, principals, officers, and/or Board of Directors is attached.

5
       The property identified in the attached description (Exhibit A) which is the identified parcel
       being purchased by
       which I am an officer on                               ,20        from
       for the price of $                           which price was actually paid by me or the
       organization of which I am an officer.

6.     Where the property originally purchased is not the identical parcel being purchased by the DECD grantee, the owner or
       representative must explain how much was originally paid for the entire parcel, how much of the parcel is being sold, and what
       he/she estimates was the proportional cost of that portion of the parcel being sold to the DECD grantee, and how this proportional

7.     This property acquisition represented an arm’s length, market rate transaction with a seller who was not related by blood, marriage
       or business association.

8
       If the acquisition did not represent an arm’s length, market rate transaction, the last arm’s
       length, market rate transaction occurred on                                   , 20   between
                    (seller)                 and                    (buyer)                 for the
       price of $

9.     The following expenditures which can be documented by records in my possession or in the possession of the organization of
       which I am an officer, have been made to obtain local approvals and/or to physically improve the property.

       Expenditure                                  Date                 Payee




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10.    The following indebtedness has been secured by liens against this property:


       Lien Holder                                  Amount Due                      Date Due




11.    I hereby state that the foregoing is true to the best of my knowledge and belief.


12.    I understand that I may be prosecuted for false statement under the laws of the State of Connecticut under Section 53a-157 of the
       General Statutes, as amended from time to time, for any false statement made herein.




Signature of Owner or Authorized Representative                                  Date



Sworn and subscribed before me this                            day of                    , 20___.
                                                                          _______________, 20




Commissioner of the Superior Court/Notary Public                           Official Stamp (Notary)

My Commission Expires on:




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                                                                                                                                                                                                                                                •

                                                                    Exhibit 9.3 - PREVIOUS PARTICIPATION CERTIFICATION                                                                                                Submission Date:



           DEVELOPMENT NAME                                                              0                                               APPLICANT                                                       0

                                                              U.S. Department of Housing                                                   U.S. Department of Agriculture                                OMB Approval No. 2502-0118
Previous Participation                                        and Urban Development                                                         Farmers Home Administration                                       (exp. 9/30/2009)
Certification                                                 Office of Housing/Federal Housing Commissioner
Part I To be completed by Participants of Multifamily Projects. See Instructions                                   For HUD/FmHA use only
Reason for Submitting Certification

1. Agency Name and City where the application is filed                                                             2. Project Name, Project Number, City and Zip Code contained in application




3. Loan or Contract Amount                       4. Number of Units or Beds                   5. Section of Act                                                                 6. Type of Project (check one)
                                                                                                                                                       Existing                        Rehabilitation                   Proposed (New)
List of All Proposed Principal Participants
   7. Names and Addresses of All Known Principals and Affiliates (people, businesses & organizations)                                         8. Role of Each                   9. Expected % Ownership        10. Social Security or IRS
      proposing to participate in the project described above (list names alphabetically; last, first, middle initial                        Principal in Project                   Interest in Project            Employer Number




Certifications: I (meaning the individual who           2.    For the period beginning 10 years prior to the              (A felony is defined as any offense punishable                  USDA's Standard of Conduct in 7 C.F.R. Part O
signs as well as the corporations, partnerships or            date of this certification, and except as shown             by imprisonment for a term exceeding                            Subpart B.
other parties listed above who certify) hereby                by me on the certification.                                 one year, but does not include any offense                 5.    I am not a principal participant in an assisted or
apply to HUD or USDA-FmHA, as the case may               a.   No mortgage on a project listed by me has                   classified as a misdemeanor under the laws                      insured project as of this date on which construc-
be, for approval to participate as a principal in the         ever been in default, assigned to the Government            of a State and punishable by imprisonment of                    tion has stopped for a period in excess of
role and project listed above based upon my                   or foreclosed, nor has mortgage relief                      two years or less);                                             20 days or which has been substantially completed
following previous participation record and this              by the mortgagee been given;                             f. I have not been suspended, debarred or                          for more than 90 days and documents for
Certification.                                           b.    I have not experienced defaults or                         otherwise restricted by any Department or                       closing, including final cost certification have
    I certify that all the statements made by me are          noncompliances under any Conventional                       Agency of the Federal Government or of a                        not been filed with HUD or FmHA.
true, complete and correct to the best of my                  Contract or Turnkey Contract of Sale in connection          State Government from doing business with                  6.   To my knowledge I have not been found by HUD
knowledge and belief and are made in good faith,              with a public housing project;                              such Department or Agency.                                      or FmHA to be in noncompliance with any
including the data contained in Schedule A and           c.   To the best of my knowledge, there are no               g. g. I have not defaulted on an obligation covered                 applicable civil rights laws.
Exhibits signed by me and attached to this form.              unresolved findings raised as a result of HUD               by a surety or performance bond and have                   7.   I am not a Member of Congress or a Resident
Warning: HUD will prosecute false claims and                  audits, management reviews or other Governmental            not been the subject of a claim under an                        Commissioner nor otherwise prohibited or limited
statements. Conviction may result in criminal and/            investigations concerning me or                             employee fidelity bond.                                         by law from contracting with the Government
or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31           my projects;                                          3. All the names of the parties, known to me to be                    of the United States of America.
U.S.C. 3729, 3802)                                       d.   There has not been a suspension or termination              principals in this project(s) in which I propose to        8.   Statements above (if any) to which I cannot certify
    I further certify that:                                   of payments under any HUD assistance                        participate, are listed above.                                  have been deleted by striking through the words
1. Schedule A contains a listing of every assisted            contract in which I have had a legal or beneficial    4. I am not a HUD/FmHA employee or a member                           with a pen. I have initialed each deletion (if any)
  or insured project of HUD, USDA-FmHA and                    interest;                                                   of a HUD/FmHA employee's immediate house-                       and have attached a true and accurate signed
  State and local government housing finance             e.    I have not been convicted of a felony and am               hold as defined in Standards of Ethical Conduct                 statement (if applicable) to explain the facts and
  agencies in which I have been or am now a                   not presently, to my knowledge, the subject                 for Employees of the Executive Branch in 5                      circumstances which I think helps to qualify me as
  principal.                                                  of a complaint or indictment charging a felony.             C.F.R. Part 2635 (57 FR 35006) and HUD's                        a responsible principal for participation in this
                                                                                                                          Standard of Conduct in 24 C.F.R. Part O and                     project.




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                Type or Printed Name of Principal                                                  Signature of Principal                                       Certification Date (mm/dd/yyyy)                Area Code and Telephone No.




This Form was prepared by (Please print Name):                                                                                                                  Area Code and Telephone No.:
Previous editions are obsolete                                                                                        Page 1 of 2                                                                    ref Handbook 4065.1 form HUD-2530 (5/2001)

Schedule A: List of Previous Projects and Section 8 Contracts. By my name below is the complete list of my previous projects and my participation history as a principal; in Multifamily
Housing programs of HUD/FmHA, State, and Local Housing Finance Agencies. Note: Read and follow the instruction sheet carefully. Abbreviate where possible. Make full disclosure.
Add extra sheets if you need more space. Double check for accuracy. If you have no prvious projects, write, by your name, "No previous participation, First Experience."
       1. List each Principal's Name                        2. List Previous Projects                         3. List Principals' Role(s)            4. Status of Loan              5. Was Project ever in Default            6. Last MGMT
                                                    (give the I.D., project name, city location,                                                     (current, defaulted,             during your participation?                  and/or
          (list in alphabetical order,                   & government agency involved                      (indicate dates participated, and            assigned, or                                                          Physical Inspctn
               last name first)                                 if other then HUD)                      if fee or identity of interest participant       foreclosed)         Yes    No            If "Yes," explain               Rating




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Part II - For HUD Internal Processing Only
Received and checked by me for accuracy and completeness; recommend approval or transferal to Headquarters as checked below:
Date (mm/dd/yyyy)                          Telephone Number and Area Code                                                  A. No Advers information; form HUD-2530                  C. Disclosure or Certification problem
                                                                                                                               approval is recommended.
Staff                                      Processing and Control                                                          B. Name match in system                                  D. Other, our memorandum is attached.


Supervisor                                                                                                           Director of Housing/Director, Multifamily Division         Approved                     Date (mm/dd/yyyy)

Previous editions are obsolete                                                                                       Page 2 of 2                                                                   ref Handbook 4065.1 form HUD-2530 (5/2001)
Instructions for Completing the Previous                   Who Must Sign and File Form HUD-2530:                          Exemptions – The names of the following                   If you do request reconsideration by the
Participation Certificate, form HUD-2530                   Form HUD-2530 must be completed and signed                     parties do not need to be listed on form HUD-             Review Committee and the reconsideration
Carefully read these instructions and the ap-              by all parties applying to become principal                    2530: Public Housing Agencies, tenants, owners            results in an adverse determination, you may
plicable regulations. A copy of those regula-              participants in HUD multifamily housing                        of less than five condominium or cooperative              then request a hearing before a Hearing Officer.
tions published at 24 C.F.R. 200.210 to 200.245            projects, including those who have no previous                 units and all others whose interests were                 The Hearing Officer will issue a report to
can be obtained from the Multifamily Housing               participation. The form must be signed                         acquired by inheritance or court order.                   the Review Committee. You will be notified of
Representative at any HUD Office. Type or                  and filed by all principals and their affiliates               Where and When Form HUD-2530 Must Be                      the final ruling by certified mail.
print neatly in ink when filling out this form.            who propose participating in the HUD project.                  Filed: The original of this form must be                  Specific Line Instructions:
Mark answers in all blocks of the form. If the             Use a separate form for each role in the                       submitted to the HUD Office where your project            Reason for submitting this Certification: e.g.,
form is not filled completely, it will delay approval      project unless there is an identity of interest.               application will be processed at the same time            refinance, management, change in ownership,
of your application.                                           Principals include all individuals, joint ventures,        you file your initial project application. This           transfer of physical assets, etc.
     Attach extra sheets as you need them. Be              partnerships, corporations, trusts, nonprofit                  form must be filed with applications for projects,        Block 1: Fill in the name of the agency to
sure to indicate "Continued on Attachments"                organizations, any other public or private                     or when otherwise required in the situations              which you are applying. For example: HUD
wherever appropriate. Sign each additional                 entity, that will participate in the proposed                  listed below:                                             Office, Farmers Home Administration District
page that you attach if it refers to you or your           project as a sponsor, owner, prime contractor,                 • Projects to be financed with mortgages insured          office, or the name of a State or local housing
record. If you have many projects to list (20 or           turnkey developer, managing agent, nursing                     under the National Housing Act (FHA).                     finance agency. Below that, fill in the name of
more) and expect to be applying frequently for             home administrator or operator, packager, or                   • Projects to be financed according to Section            the city where the office is located.
participation in HUD projects, you should con-             consultant. Architects and attorneys who have                  202 of the Housing Act of 1959 (Elderly and               Block 2: Fill in the name of the project, such
sider filing a Master List. See Master List                any interest in the project other than an arms                 Handicapped).                                             as "Greenwood Apts." If the name has not yet
instructions below under "Instructions for Com-            length fee arrangement for professional services               • Projects in which 20 percent or more of the             been selected, write "Name unknown." Below
pleting Schedule A."                                       are also considered principals by HUD.                         units are to receive a subsidy as described in            that, enter the HUD contract or project identification
Carefully read the certification before you                    In the case of partnerships, all general                   24 C.F.R. 200.213.                                        number, the Farmers Home Administration
sign it. Any questions regarding the form or               partners regardless of their percentage interest               • Purchase of a project subject to a mortgage             project number, or the State or local
how to complete it can be answered by your                 and limited partners having a 25 percent or                       insured or held by the Secretary of HUD.               housing finance agency project or contract
HUD Office Multifamily Housing Representative.             more interest in the partnership are considered                • Purchase of a Secretary-owned project.                  number. Include all project or contract identification
Purpose: This form provides HUD with a                     principals. In the case of public or private                   • Proposed substitution or addition of a principal,       numbers that are relevant to the
certified report of all previous participation in          corporations or governmental entities, principals                 or principal participation in a different              project. Also enter the name of the city in which
HUD multifamily housing projects by those                  include the president, vice president,                            capacity from that previously approved for             the project is located, and the ZIP Code of the
parties making application. The information                secretary, treasurer and all other executive                      the same project.                                      site location.
requested in this form is used by HUD to                   officers who are directly responsible to the                   • Proposed acquisition by an existing limited             Block 3: Fill in the dollar amount requested in
determine if you meet the standards estab-                 board of directors, or any equivalent governing                   partner of an additional interest in a project         the proposed mortgage, or the annual amount
lished to ensure that all principal participants           body, as well as all directors and each                           resulting in a total interest of 25 percent or         of rental assistance requested.
in HUD projects will honor their legal, financial          stockholder having a 10 percent or more interest                  more, or proposed acquisition by a corporate           Block 4: Fill in the number of apartment units
and contractual obligations and are accept-                in the corporation.                                               stockholder of an additional interest in a             proposed, such as "40 units." For hospital
able risks from the underwriting standpoint of                 Affiliates are defined as any person or                       project resulting in a total interest of 10            projects or nursing homes, fill in the number of
an insurer, lender or governmental agency.                 business concern that directly or indirectly                      percent or more.                                       beds proposed, such as "100 beds."
HUD requires that you certify your record of               controls the policy of a principal or has the                  • Projects with U.S.D.A., Farmers Home Ad-                Block 5: Fill in the section of the Housing Act
previous participation in HUD/USDA-FmHA,                   power to do so. A holding or parent corporation                   ministration, or with state or local government        under which the application is filed.
State and Local Housing Finance Agency                     would be an example of an affiliate if one                        housing finance agencies that include                  Block 7: Definitions of all those who are
projects by completing and signing this form,              of its subsidiaries is a principal.                               rental assistance under Section 8 of the               considered principals and affiliates are given
before your project application or participation           Exception for Corporations – All principals                       Housing Act of 1937. For projects of this              above in the section titled "Who Must Sign and
can be approved.                                           and affiliates must personally sign the certificate               type, form HUD-2530 should be filed with the           File...."
     HUD approval of your certification is a               except in the following situation. When a                         appropriate applications directly to those             Block 8: Beside the name of each principal,
necessary precondition for your participation              corporation is a principal, all of its officers,                  agencies.                                              fill in the role that each will perform. The
in the project and in the capacity that you                directors, trustees and stockholders with 10                   Review of Adverse Determination: If approval              following are possible roles that the principals
propose. If you do not file this certification, do         percent or more of the common (voting) stock                   of your participation in a HUD project is                 may perform: Sponsor, Owner, Prime Contractor,
not furnish the information requested accu-                need not sign personally if they all have the                  denied, withheld, or conditionally granted on             Turnkey Developer, Managing Agent,
rately, or do not meet established standards,              same record to report. The officer who is                      the basis of your record of previous participation,       Packager, Consultant, General Partner, Limited
HUD will not approve your certification.                   authorized to sign for the corporation or agency               you will be notified by the HUD Office.                   Partner (include percentage), Executive
Note that approval of your certification does              will list the names and title of those who elect               You may request reconsideration by the HUD                Officer, Director, Trustee, Major Stockholder,
not obligate HUD to approve your project ap-               not to sign. However, any person who has a                     Review Committee. Alternatively, you may                  or Nursing Home Administrator. Beside the
plication, and it does not satisfy all other HUD           record of participation in HUD projects that is                request a hearing before a Hearing Officer.               name of each affiliate, write the name of the
program requirements relative to your qualifi-             separate from that of his or her organization                  Either request must be made in writing within             person or firm of affiliation, such as "Affiliate of
cations.                                                   must report that activity on this form and sign                30 days from your receipt of the notice of                Smith Construction Co."
                                                           his or her name. The objective is full disclosure.             determination.



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Previous Editions are obsolete                                                                                                                                                                      ref Handbook 4065.1 form HUD-2530 (5/2001)
Block 9: Fill in the percentage of ownership in             Column 3 List the role(s) of your participation,             and provide a telephone number where you                     HUD-2530"). Beside each signature, fill in the
the proposed project that each principal is                 dates participated, and if fee or identity of                can be reached during the day. No determinations             role of each party (the same as shown in block 8).
expected to have. Also specify if the participant           interest with owners.                                        will be made on these certificates.                          In addition, each person who signs the form
is a general or limited partner. Beside the                 Column 4 Indicate the current status of the loan.            File one copy of the Master List with each                   should fill in the date that he or she signs, as
name of those parties who will not be owners,               Except for current loans, the date associated with the       HUD Office where you do business and mail                    well as providing a telephone number where
write "None."                                               status is required. Loans under a workout arrangement        one copy to the following address:                           he or she can be reached during business
Block 10: Fill in the Social Security Number                are considered assigned. An explanation of the circum-                                                                    hours. By providing a telephone number where
or IRS employer number of every party listed,               stances surrounding the status is required for all                HUD-2530 Master List                                    you can be reached, you will help to prevent
including affiliates.                                       noncurrent loans.                                                 Participation and Compliance                            any possible delay caused by mailing and
Instructions for Completing Schedule A:                     Column 5 Explain any project defaults during                      Division – Housing                                      processing time in the event HUD has any
Be sure that Schedule A is filled-in completely,            your participation.                                               U.S. Department of Housing and                          questions.
accurately and the certification is properly                Column 6 Enter the latest Management and/                         Urban Development
dated and signed, because it will serve as a                or Physical Inspection Review rating. If either                   451 Seventh Street, S.W.                                If you cannot certify and sign the certification
legal record of your previous experience. All               of the ratings are below average, the report                      Washington, D.C. 20410                                  as it is printed because some statements
Multifamily Housing projects involving HUD/                 issued by HUD is required to be submitted                                                                                 do not correctly describe your record, use a
FmHA, and State and local Housing Finance                   along with the applicant's explanation of the                Once you have filed a Master List, you do not                pen and strike through those parts that differ
Agencies in which you have previously partici-              circumstances surrounding the rating.                        need to complete Schedule A when you submit                  with your record, then sign and certify to that
pated must be listed. Applicants are reminded                                                                            form HUD-2530. Instead, write the name of                    remaining part which does describe you or
that previous participation pertains to                     No Previous Record: Even if you have never                   the participant in column 1 of Schedule A and                your record.
the individual principal within an entity as well           participated in a HUD project before, you must               beside that write "See Master List on file."
as the entity itself. A newly formed company                complete form HUD-2530. If you have no                       Also give the date that appears on the Master                Attach a signed letter, note or an explanation
may not have previous participation, but the                record of previous projects to list, fill in your            List that you submitted. Below that, report all              of the items you have struck out on the
principals within the company may have had                  name in column 1 of Schedule A, and write                    changes and additions that have occurred                     certification and report the facts of your correct
extensive participation and disclosure of that              across the form by your name – "No previous                  since that date. Be sure to include any mortgage             record. Item A(2)(e) relates to felony
activity is required. To avoid duplication of               participation, first experience."                            defaults, assignments or foreclosures                        convictions within the past 10 years. If you
disclosure, list the project and then the entities                                                                       not listed previously.                                       have been convicted of a felony within 10
or individuals involved in that project. You                Master List System: If you expect to file this               If you have withdrawn from a project since                   years, strike out all of A(2)(e) on the certificate
may use the name or a number code to denote                 form frequently and you have a long list of                  the date the Master List was filed, be sure to               and attach your statement giving your explanation.
the entity or individual that participated. The             previous projects to report on Schedule A, you               name the project. Give the project identification            A felony conviction will not necessarily
number code can then be used in column 3 to                 should consider filing a Master List. By doing               number, the month and year your participation                cause your participation to be disapproved
denote role.                                                so, you will avoid having to list all your previous          began and/or ended.                                          unless there is a criminal record or other
Column 2 List the project or contract identifi-             projects each time you file a new application.                                                                            evidence that your previous conduct or method
cation of each previous project. All previous               To make a Master List, use form HUD-                         Certification:                                               of doing business has been such that your
projects must be included or your certifica-                2530. On page 1, in block 1, enter (in capital               After you have completed all other parts of                  participation in the project would make it an
tion cannot be processed. Include the name                  letters) the words "Master List." In blocks 2                form HUD-2530, including Schedule A, read                    unacceptable risk from the underwriting standpoint
of all projects, the cities in which they are               through 6 enter in "N.A." meaning Not Applicable.            the Certification carefully. In the box below                of an insurer, lender or governmental
located and the government agency (HUD,                     Complete blocks 7 through 10.                                the statement of certification, fill in the name             agency.
USDA-FmHA or State or local housing finance                 In the box below the statement of certification,             of all principals and affiliates (type or print
agency) that was involved. At the end of your               fill in the names of all parties who wish to                 neatly). Beside the name of each principal and
list of projects, draw a straight line across the           file a Master List together (type or print neatly).          affiliate, each party must sign the form, with
page to separate your record of projects from               Beside each name, every party must sign the                  the exception in some cases of individuals
that of others signing this form who have a                 form. In the box titled "Proposed Role," fill in             associated with a corporation (see "Exception
different record to report.                                 N.A. Also, fill in the date you sign the form                for Corporations" in the section of the instructions
                                                                                                                         titled "Who Must Sign and File form


The Department of Housing and Urban Development (HUD) is authorized to collect this information by law (42 U.S.C. 3535(d) and 24 C.F.R. 200.217) and by regulation at 24 CFR 200.210. This information
is needed so that principals applying to participate in multifamily programs can become HUD-approved participants. The information you provide will enable HUD to evaluate your record with respect
to established standards of performance, responsibility and eligibility. Without prior approval, a principal may not participate in a proposed or existing multifamily project. HUD uses this information to
evaluate whether or not principals pose an unsatisfactory underwriting risk. The information is used to evaluate the potential principals and approve only individuals and organizations who will honor
their legal, financial and contractual obligations.

Privacy Act Statement: The Housing and Community Development Act of 1987, 42 U.S.C. 3543 requires persons applying for a Federally-insured or guaranteed loan to furnish his/her Social Security Number
(SSN). HUD must have your SSN for identification of your records. HUD may use your SSN for automated processing of your records and to make requests for information about you and your previous records
with other public agencies and private sector sources. HUD may disclose certain information to Federal, State and local agencies when relevant to civil, criminal, or regulatory investigations and prosecutions.
It will not be otherwise disclosed or released outside of HUD, except as required and permitted by law. You must provide all of the information requested in this application, including your SSN.

Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. This agency may not collect this information, and you are not required to complete this form, unless it
displays a currently valid OMB control number.
A response is mandatory. Failure to provide any of the information will result in your disapproval for participation in this HUD program.

Previous Editions are obsolete                                                                                                                                                                    ref Handbook 4065.1 form HUD-2530 (5/2001)




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                                                                                                                                                                                     •

                                                           Exhibit 9.10 - REQUEST FOR RELEASE                                                                     Submission Date:

                                                       FROM CONNECTICUT STATE HOUSING PROGRAM
                    DEVELOPMENT NAME                          Sample Development                 APPLICANT                                Sample Applicant



                               This is a request by
                                                                          (Housing Authority)

                                 for the release of
                                                                            (Housing Project)



                         from the (please select the applicable program):                       Moderate Rental

                                                                                                Elderly

                                                                                                Congregate

                                                                                                Moderate Rental Development

                                                                                                State Housing Program


  Justification: (Please provide a brief description of the reason for release from the applicable program and how this action meets the intent of the statute)




              Executive Director Name                                            Executive Director Signature                                         Date




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                                                                                                                                                                     •

                                                         Exhibit 9.11 - REQUEST FOR REHAB OF                                                          Submission Date:
                                                     FROM CONNECTICUT STATE HOUSING PROGRAM
         DEVELOPMENT NAME                        Sample Development                 APPLICANT                                   Sample Applicant



                                   I,                                                            hereby certify that the
                                        development will be for the rehabilitation of existing State Housing Authority units.




                                                       Developer/Sponsor                                                                       Date




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                                                                                                                                                                                                                                                                                                                               •
                                               Exhibit 9.12.a - STATUTORY CHECKLIST                                                                                                                                                                                                                         Submission Date:
                                                            Federal Laws and Authorities listed at Sec. 58.6

DEVELOPMENT NAME                                                                            0                                                                                                                                                                                   APPLICANT                   0




                                                           Not Applicable to This Project




                                                                                                                                                                                               Approvals, Permits Obtained*
                                                                                                                                                                Determination of consistency


                                                                                                                                                                                                                              Conditions and/or Mitigation
                                                                                                Consultation Required*
                                                                                                                                                                                                                                                                                Provide compliance documentation. Additional




                                                                                                                                            Permits Required*
                                                                                                                         Review Required*
Area of Statutory or Regulatory Compliance




                                                                                                                                                                                                                                                             Actions Required
                                                                                                                                                                                                                                                                                         material may be attached.




Historic Properties


Floodplain Management


Wetlands Protection


Coastal Zone Management


Water Quality - Aquifers


Endangered Species


Wild and Scenic Rivers


Air Quality


Farmlands Protection

Manmade Hazards:
       Thermal/Explosive


       Noise


       Airport Clear Zones


       Toxic Sites


Environmental Justice

* Attach evidence that required actions have been taken.




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                                                                                                                                                                                                                                                                                                                                        •
                                                   Exhibit 9.12.a - STATUTORY CHECKLIST                                                                                                                                                                                                                              Submission Date:
                                                                   Federal Laws and Authorities listed at Sec. 58.6

                                                          STATUTORY CHECKLIST CONT.
                      Federal Laws and Authorities listed at Sec. 58.6 and Permits, Licenses, Forms of Compliance Under Other Laws - Federal, State and Local


DEVELOPMENT NAME                                                                                   0                                                                                                                                                                                   APPLICANT                    0




                                                                                                                                                                                                      Approvals, Permits Obtained*
                                                                  Not Applicable to This Project




                                                                                                                                                                       Determination of consistency


                                                                                                                                                                                                                                     Conditions and/or Mitigation
                                                                                                       Consultation Required*
Other Areas of Statutory and Regulatory Compliance                                                                                                                                                                                                                                     Provide compliance documentation. Additional




                                                                                                                                                   Permits Required*
                                                                                                                                Review Required*




                                                                                                                                                                                                                                                                    Actions Required
Applicable to Project                                                                                                                                                                                                                                                                  material may be attached.




Federal Requirements


Flood Insurance - 58.6(a)


Coastal Barriers - 58.6(b)


Airport Clear Zone Notification - 58.6(c)


Water Quality


Solid Waste Disposal


Fish and Wildlife

State or Local Statutes                  (to be added by Responsible Entity)

x


x




Prepared By:


Name                                                                                                                                                                                                                                                                                   Signature


Title                                                                                                                                                                                                                                                                                  Date




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                                                                                                                                                                 •
                                                  Exhibit 9.12.b. - ENVIRONMENTAL ASSESSMENT CHECKLIST                                        Submission Date:


DEVELOPMENT NAME                                                     0                                   APPLICANT                  0


                                         1            2               3             4            5            6
Impact Categories                   No Impact     Potentially     Potentially   Potentially  Needs        Requires      Source or Documentation
                                    Anticipated   Beneficial       Adverse       Adverse    Mitigation     Project       (Note date or contact or
                                                                   Requires      Requires                Modification        page reference)
                                                                Documentation   More Study                              Additional material may be
                                                                     Only                                                       attached.
Land Development
Conformance With
Comprehensive
Plans and Zoning
Compatibility and
Urban Impact

Slope


Erosion


Soil Suitability

Hazards and
Nuisances, Including
Site Safety
Energy
Consumption
Noise
Effects of Ambient Noise on
Project and Contribution to
Community Noise Levels
Air Quality
Effects of Ambient Air Quality on
Project and Contribution to
Community Pollution Levels
Environmental Design and
Historic Values
Visual Quality Coherence,
Diversity, Compatible Use, and
Scale
Historic, Cultural, and
Archaeological Resources
Socioeconomic
Demographic/ Character
Changes

Displacement

Employment and Income
Patterns
Community Facilities and Services

Education Facilities


Commercial Facilities


Health Care


Social Services


Solid Waste


Waste Water


Storm Water


Water Supply




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                                                                                                                                                                        •
                                                 Exhibit 9.12.b. - ENVIRONMENTAL ASSESSMENT CHECKLIST                                                Submission Date:


DEVELOPMENT NAME                                                    0                                   APPLICANT                          0

                                       1            2               3              4            5            6
Impact Categories                 No Impact     Potentially     Potentially    Potentially  Needs        Requires              Source or Documentation
                                  Anticipated   Beneficial       Adverse        Adverse    Mitigation     Project               (Note date or contact or
                                                                 Requires       Requires                Modification                page reference)
                                                              Documentation    More Study                                      Additional material may be
                                                                   Only                                                                attached.
Public Safety

Police


Fire


Emergency Medical


Open Space and Recreation
Open Space

Recreation


Cultural Facilities


Transportation

Natural Features

Water Resources

                                                                               1    2           3          4           4   5   6    7
Surface Water


Floodplains
Coastal Zone
Unique Natural Features and
Agricultural Lands

Vegetation and Wildlife

                                                                               1    2           3          4           4   5   6    7

Summary of Findings and Conclusions:




Summary of Environmental Conditions:




                                                                               1    2           3          4           4   5   6    7




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                                                                                                                                                            •
                                                      Exhibit 9.12.b. - ENVIRONMENTAL ASSESSMENT CHECKLIST                               Submission Date:


DEVELOPMENT NAME                                                        0                                APPLICANT                   0

Projected Modifications and Alternatives Considered:                                1      2        3      4         4   5   6   7




                                                                                    1      2        3      4         4   5   6   7
Additional Studies Performed (attach Study Summary)




                                                                                    1      2        3




Mitigation Measures Needed:




                                                                                    1      2        3


1. Is the project in compliance with applicable laws and regulations?         Yes              No


2. Is an EIS required?            Yes            No


3. A Finding of No Significant Impact (FONSI) can be made. Project will not
significantly affect the quality of the human environment.                          Yes             No




Prepared By:


Name                                                                                Date


Title




        C:\Docstoc\Working\pdf\998e2594-8f93-45f9-b2f9-d77fc508bd04.xls \ Environmental Assessment                                          35 of 35

				
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Description: Corporate Housing Marketing Plan document sample