Instructions: Attach a Building Map (HTC Form 28) for each building to support the calculations shown here.

Minnesota Housing D# / HTC / M# #          Page       of      
Form 8609	Complete for Building 1	Complete for Building 2	Complete for Building 3	Complete for Building 4	Total	
Box A
Project name
Address of building (street, city, zip)	     	     	     	     		
Box C
Owner's name and address
Owner's tax ID number	     	     	     	     		
Box E
Building I.D. Number (BIN)
(Assigned by Minnesota Housing on Carryover Agreement)	     	     	     	     		
Line 1a
Date of Allocation from Carryover Agreement	     	     	     	     		
Line 1b 
Approved Tax Credit Amount
per building. Total may not exceed Carryover Allocation 
(round up to the nearest dollar)	$     	$     	$     	$     	$     	
Line 2
Applicable Credit Percentage for each building	     	     	     	     		
Line 3a
Maximum Qualified Basis per building. Total should not exceed the amount necessary to result in a credit amount equal to Carryover Allocation	$     	$     	$     	$     	$     	
Line 3b
High-Cost Area adjustment	Check box:    Yes    No
If yes, enter:      	Check box:   Yes     No
If yes, enter:      	Check box:   Yes     No
If yes, enter:      	Check box:    Yes    No
If yes, enter:      		
Line 4
Percent tax-exempt financed (if none, enter "-0-")	     	     	     	     		
Line 5
Placed-in-Service date 	     	     	     	     		
Line 6 
Check the appropriate box:						
a.	Newly constructed and federally subsidized						
b.	Newly constructed and not federally subsidized						
c.	Existing building						
d.	Sec. 42(e) rehabilitation expenditures federally subsidized						
e.	Sec. 42(e) rehabilitation expenditures not federally subsidized						
Check the Box below; if an Allocation from the Non-Profit Set Aside:						
f.	Allocation subject to non-profit set-aside under sec. 42(h)(5)						

Instructions: Attach a Building Map (HTC Form 28) for each building to support the calculations shown here.

	Complete for Building 1	Complete for Building 2	Complete for Building 3	Complete for Building 4	
Determination of Targeted Applicable Fraction	
Floor Space Fraction
(Part 2, E, from Building Map)	Show number of low income square feet divided by total residential square feet

       =       
(e.g., 60,000/67,000 =  .8955 )	Show number of low income square feet divided by total residential square feet

       =       
	Show number of low income square feet divided by total residential square feet

       =       
	Show number of low income square feet divided by total residential square feet

       =       	
Unit Fraction
(Part 2, F, from Building Map)	Show number of low income units in the building divided by total number of units. Do not include common space unit, if any.

       =      
( e.g.,  50  / 59   =    .8475 )	Show number of low income units in the building divided by total number of units. Do not include common space unit, if any.

       =      
	Show number of low income units in the building divided by total number of units. Do not include common space unit, if any.

       =      
	Show number of low income units in the building divided by total number of units. Do not include common space unit, if any.

       =      
	
Targeted Applicable Fraction
Lesser of Floor Space Fraction or Unit Fraction	     	     	     	     	
Determination of Qualified Basis	
Eligible Basis by Building	$     	$     	$     	$     	
Maximum Qualified Basis
Multiply Eligible Basis by Targeted Applicable Fraction	$     	$     	$     	$     	
Show this number on line 3a of Form 8609	     	     	     	     	

Determination of Economic Integration/Minimum Set-Aside Fraction	
Project Fraction
Project fraction must be consistent with the selected Economic Integration percentage and must meet or exceed the selected Minimum Set-Aside Threshold.	Show number of low income units in the project divided by total number of units in the project. Do not include common space unit, if any.
       =       
(e.g.,    50  / 59    =   .8475 )	

*Please note that the actual Applicable Fraction may be different at the end of the first year of the credit period depending on the number and size of eligible units at that time.  The actual credit amount may be lower than the amount shown here.

I certify that to the best of my knowledge and belief the above information on Page 1 and Page 2 of this Exhibit A is true and correct. 

Authorized Signature: ________________________________	Date: