Qualifications of Processing Agent
Instructions: Qualification forms must be completed by an authorized officer of the organization. Submit the completed qualification form to mhfa.app@state.mn.us through Partner Login on Minnesota Housing’s website.

Processing Agent Information 	
Full Legal Name of Processing Agent	     	
Name of Processing Agent Organization  	     	
Address	     	
City, State, Zip	     ,            	
Website	     	
Telephone Number	     	
Contact Person	     	
Contact Person Email Address 	     	
Contact Person Telephone Number	     	

1.	Organization’s date and place of establishment:      
2.	Please note the number of developments currently in process for each of the following services. 
	Number of developments located in Minnesota	Total number of developments 	
Pre-development	     	     	
Application	     	     	
Due diligence/pre-closing	     	     	
Construction/draw processing	     	     	
Post construction (through stabilization/8609)	     	     	
Other (specify):      	     	     	
3.	Organization’s capacity:
a.	Number of employees dedicated to processing agent activities:      
b.	Number of executive and professional employees:      
c.	Number of administrative employees:      
4.	List the name(s) of the development(s) previously submitted for funding in the last three years. Include the organization’s responsibilities, which may involve application preparation, due diligence coordination, Workbook updates, financial structuring, construction draws, construction oversight, etc. Add additional pages if necessary. 
Development	Location/State	Responsibilities	Selected?
(Y/N)	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	
NOTE: At the discretion of Minnesota Housing staff, résumés or professional references may be requested.

I,      , hereby certify that the information set forth, and in any supporting attachments, is true, correct, and complete to the best of my knowledge and belief.

     		     	
Name of Organization		Signature 	
			
     	     	     	
Printed Authorized Signatory	Title of Authorized Signatory	Date 	

Qualifications of Processing Agent
Name of Processing Agent:      

Instructions: List the development name(s), the processing agent role and responsibilities and other information pertaining to development(s) applying to Minnesota Housing during this funding round. If you have the information requested below available in a separate document, you may submit the existing document instead of using the form that follows.

Development
Name and Address	Project Type (workforce, senior, supportive housing, preservation)	# of Units	Sponsor/ Developer Name	Financing Sources
(first mortgage, bonds, housing tax credits, loans)	Responsibilities of Processing Agent