Version 2
2/14/2024
Certification that Recipient is not Disqualified Business
[This form should be used by Recipients who are not natural persons]
The following certification is given to induce Minnesota Housing to make a loan under the SHTC Contribution Program. Except as otherwise defined herein, all capitalized terms shall have the meanings assigned to them in the SHTC Contribution Program Guide.
As a duly authorized representative of  [Insert the legal name of the entity requesting the loan]  (the “Recipient”), the undersigned hereby certifies as follows: 
The Recipient did not make a contribution to the SHTC Contribution Program in tax year 2024 or tax year 2023 and receive a tax credit certificate in connection with such contribution;
1.	None of the individuals or entities listed on Exhibit A attached hereto are an officer or principal of the Recipient;
2.	None of the individuals or entities listed on Exhibit A attached hereto has any ownership interest, whether directly or indirectly through any number of intermediaries, in the Recipient;
3.	No sibling, spouse, ancestor, or lineal descendant of any of the individuals listed on Exhibit A attached hereto has any ownership interest, whether directly or indirectly through any number of intermediaries, in the Recipient;
4.	No sibling, spouse, ancestor, or lineal descendant of the spouse of any individual listed on Exhibit A attached hereto, to the extent such individual and spouse are a married couple filing a joint tax return, has any ownership interest, whether directly or indirectly, through any number of intermediaries, in the Recipient;
5.	No corporation, partnership, or other business entity, estate, or trust in which any of the individuals or entities listed on Exhibit A attached hereto is a shareholder, partner, member, or beneficiary has any ownership interest, whether directly or indirectly through any number of intermediaries, in the Recipient;
6.	No corporation, partnership, or other business entity, estate, or trust in which any sibling, spouse, ancestor, or lineal descendant of the individuals listed on Exhibit A attached hereto is a shareholder, partner, member, or beneficiary has any ownership interest, whether directly or indirectly through any number of intermediaries, in the Recipient;
7.	No corporation, partnership, or other business entity, estate, or trust in which any sibling, spouse, ancestor, or lineal descendant of the spouse of any individual listed on Exhibit A attached hereto, to the extent such individual and spouse are a married couple filing a joint tax return, is a shareholder, partner, member, or beneficiary has any ownership interest, whether directly or indirectly through any number of intermediaries, in the Recipient;
8.	None of the individuals or entities listed on Exhibit A attached hereto has any power or authority to control, whether directly or indirectly through any number of intermediaries, the Recipient;
9.	No sibling, spouse, ancestor, or lineal descendant of any of the individuals listed on Exhibit A attached hereto has any power or authority to control, whether directly or indirectly through any number of intermediaries, the Recipient;
10.	No sibling, spouse, ancestor, or lineal descendant of the spouse of any individual listed on Exhibit A attached hereto, to the extent such individual and spouse are a married couple filing a joint tax return, has any power or authority to control, whether directly or indirectly through any number of intermediaries, the Recipient;
11.	None of the individuals or entities listed on Exhibit A attached hereto has the power to vote any amount of any outstanding securities of the Recipient; 
12.	No sibling, spouse, ancestor, or lineal descendant of any of the individuals listed on Exhibit A attached hereto has the power to vote any amount of any outstanding securities of the Recipient; and
13.	No sibling, spouse, ancestor, or lineal descendant of the spouse of any individual listed on Exhibit A attached hereto, to the extent such individual and spouse are a married couple filing a joint tax return, has the power to vote any amount of any outstanding securities of the Recipient.  

These certifications are given as of the date indicated in the signature block below. By signing below, the Recipient, agrees to promptly notify Minnesota Housing if these certifications become inaccurate or misleading. 

    Signature  __________________
Print Name:         
            Title:      
           Date:       

Exhibit A
[Minnesota Housing will provide, upon the Recipient’s request, a list of all entities that made a contribution in the current or prior taxable year, and received a tax credit certificate, whose contributions, in whole or in part, are intended to fund the loan to the Recipient].