Do not use this form if the property was financed with a Minnesota Housing amortizing first mortgage.  Consult the assigned Asset Manager for instructions.

Property Name/MHFA Dev #:	         	D       	
Name of Ownership Entity: 	          	
Name of Management Company:	          	

1.	The proposed increase does not exceed the amount needed to meet the monthly operating expenses for the MARIF units.	   	
 TRUE	 FALSE

2.	The proposed increase is not higher than the percentage of increase for non-MARIF units.	
	 TRUE	 FALSE	

If either of the above statements is false, the property is not eligible for a MARIF gross rent limit increase.

I certify the responses to the above statements are true and correct.

     
Print Name of Ownership Entity

By:      

Its:      

     
Print Name of Signatory

Date:      

Submit supporting documentation demonstrating the need for the increase: 

1.	A proposed schedule of rental rates for each unit size (identify proposed MARIF rents separately)
2.	The most recent operating budget.
3.	Current balance in reserves, if not stated on the operating budget.
4.	A current rent roll.
5.	Current utility allowance information.  

Additional documentation may be requested.
Send the request and supporting documentation via the Secure Upload Tool and use MHFA.compliance@state.mn.us as the recipient address (do not email directly to this address!).  Include the D number and name of the Compliance Officer in the subject line.