Instructions: Use this form to notify Minnesota Housing of a property name change or a change in contact information for the current (existing) property owner or the management company. Email completed forms to ChangeForms.MHFA@state.mn.us, or mail to:  
Minnesota Housing, Attn: Heidi Andersen
400 Wabasha Street North, Suite 400
St. Paul, MN 55102-1109
NOTE: Submit a Request for Action for any pending sale of the property, proposed changes in partners or members of the current ownership entity, or changes in property management. ALSO NOTE that for project-based Section 8 properties, Minnesota Housing is unable to update its records until the changes are made in HUD’s iREMS. Contact your HUD account executive if you have questions about this process.

Minnesota Housing monitors the following property for (check all that apply):
	Project-based Section 8		LMIR or other amortizing loan		HOME, HTC, and/or deferred loan	

Property Information (if change affects multiple properties, attach a separate sheet listing all properties)	
Property Name	     	Minnesota Housing Dev#	D     	
Property Address	     	Property City / ZIP Code	     	
Change Property Name to:
(Property owner contact must sign below if changing property name)	     	

CHANGE PROPERTY OWNER CONTACT 		CHANGE MANAGEMENT COMPANY CONTACT 	
     		     	
Legal Name of Property Owner		Legal Name of Property Management Company	
     	     		     	     	
Property Owner Contact Name	Email Address		Management Company Contact Name	Email Address	
     		     	
Owner Contact Street Address		Management Contact Street Address	
     	     	     		     	     	     	
City	State	Zip Code		City 	State	Zip Code	
     	     		     	     	
Telephone Number	Fax Number		Telephone Number	Fax Number	
Signature of Property Owner Contact		Signature of Management Company Contact	
I certify that I am authorized to act on behalf of the above property owner: 		I certify that I am authorized to act on behalf of the above management company:	
     	     		     	     	
Signature 	Date		Signature	Date	
Effective Date of Change:      		Effective Date of Change: