Borrower/Owner Certification of Tenant Income Eligibility 
(not for use with HOME or NHTF)

Development Information	
Minnesota Housing Development Number	D     	
Development Name	     	
Development Address	     	
Borrower/Owner Certification of Tenant Eligibility (check all that apply)
  	100% of the occupied, program-assisted units are in compliance: The borrower/owner of the above development hereby certifies Enter total number of certified/qualified units units are occupied by households who 1) have been newly income certified and meet the income restriction(s) for the Enter new loan program(s) loan(s); 2) have not been newly income certified but are considered in compliance with the Enter new loan program(s) loan(s) because the households qualified the unit for housing tax credits or a Minnesota Housing loan program having the same or more restrictive income restriction than the new loan(s); or 3) are deemed to comply because the household occupying the unit is benefiting from project-based or tenant-based rental assistance such as Section 8 or a similar state or local government rental assistance program or a housing support agreement (does not apply to loan programs funded via general obligation bonds such as POHP).    

  	Fewer than 100% of the occupied, program-assisted units are in compliance: The borrower/owner of the above development hereby certifies Enter total number of certified/qualified units units are occupied by households who 1) have been newly income certified and meet the income restriction(s) for the Enter new loan program(s) loan(s); or 2) have not been newly income certified but are considered in compliance with the Enter new loan program(s) loan(s) because the households qualified the unit for Housing Tax Credits or a Minnesota Housing loan program having the same or more restrictive income restriction than the new loan(s), or 3) are deemed to comply because the household occupying the unit is benefiting from  project-based or tenant-based rental assistance such as Section 8 or a similar state or local government rental assistance program or a housing support agreement (does not apply to loan programs funded via general obligation bonds such as POHP).    

Attached is a timeline and plan for bringing the remaining Enter number of occupied, non-qualified units units into compliance with the Enter new loan program(s) loan, along with a relocation plan and budget consistent with Minnesota Housing’s prohibition on involuntary displacement.

  	Tenant Income Certifications:  The borrower/owner certifies that new tenant income certifications were completed on or after the date of Minnesota Housing’s Request for Proposals (RFP) selection letter or the date the pipeline application was submitted to Minnesota Housing and, where applicable, in accordance with the Bond Compliance Agreement or other state or federal statute or rule.  

 	Vacant units:  The borrower/owner certifies it will rent vacant units in accordance with program and funding selection restrictions until the required number of assisted units has been met.

Upon request, the undersigned will provide to Minnesota Housing documentation to support this Borrower/ Owner Certification of Tenant Income Eligibility.

     	     	
Authorize Signatory (Borrower/Development/Property Owner)	Date	
     	
Print Name and Title of Authorized Signatory