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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