Tax Credit Application and Recertification
Happy Village Plaza
LIHTC Qualifying Move In and Recertification Checklist
Tax Credit Side One
Unit#: __________
Date Applied: __________
Move in Date: __________
Recertification Date: __________ (Listed on Recert. Report)
COMPLETE ITEMS BELOW BEFORE GIVING TO MANAGER TO APPOVE:
_____ Tenant Income Certification completed fully
_____ Employment Income Verification Faxed or mailed
(copy check stub, 3rd party, verbal verification)
_____ HAA Application completed fully
_____ Supplemental Application Certification
_____ Application Information Verified
_____ Non Income Statement (If applicable for anyone not employed that is 18 years or older)
_____ Disability Verification (If applicable)
_____ Sworn Statement of Assets
_____ Asset Verification
_____ Release & Consent form
LEASE RENEWAL/RECERTIFICATION CHECKLIST:
_____ Supplemental Application completed fully
_____ Tenant Income Certification completed fully
_____ Employment Income Verification Faxed or mailed
(copy check stub, 3rd party)
_____ Sworn Statement of Assets
_____ Asset Verification
Date M/I Completed: __________ Completed by:__________
Date Recert Completed: __________ Completed by:__________
I certify that all of the Tax Credit information provided by this resident has been verified and is in compliance with the LIHTC Program
______________ _______________________
Date Approved: Employees Signature
#Household:_____________
Max Income Allowed: $_______________
Actual Income: $_______________
Property Manager Signature/Approval:___________________________
Resident Notified of Approval/Denial:
Date:_______________ Spoke with:__________________
Notes:
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