Development Name, City:      ,      	Manager/model/office unit(s) by unit number and square footage:  #     /     sq. ft.	
Minnesota Housing HTC #:      	Other common area square footage:	     	
Building Identification Number (BIN): MN-     -     	Total square footage of building common areas:	     	
Building Address:      	Building       of      	

Unit #	Unit Type	Square Footage
(List amount under appropriate column)	Unit Status
(Check appropriate box)	% of Area Median Gross Income (AMGI) (i.e., 50%, 60%, etc.)	Rent Level (i.e., 50%, 60%, etc.)	Targeted Unit Type (i.e., mental illness, developmental disability, drug/chem dependent, brain injured, homeless, etc.)	
	# of BR	# of baths	HTC	Market	HTC	Market				
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
     	     	     	     	     			     	     	     	
	#1     	#2     	#3     	#4     		
Total Columns:	     
sq. ft.	     
sq. ft.		

Part 1

A.  Total sq. ft. for building 	      (Add columns #1-2)
B.  Total sq. ft. for HTC units 	      (Amount in column #1)
C.  Total # of units	      (Add columns #3-4)
D.  Total # of HTC units 	      (Amount in columns #3)	Part 2: Targeted Applicable Fraction Determination

E.  Floor Space Fraction:  Total sq. ft. of HTC Units (Line B)   = >        
 Total sq. ft. for Building (Line A)     = >            =          %

F.  Unit Fraction:               Total # of HTC Units (Line D)    = >         
                                           Total # of units (Line C)             = >            =         %

Building's Targeted Applicable Fraction:                          Lower of E or F =       %