Fillable 4d Aordable Housing Program-Application Page 1 of 2 (City of Golden Valley)

Fill Online, Printable, Fillable, Blank 4d Aordable Housing Program-Application Page 1 of 2 (City of Golden Valley) Form

Use Fill to complete blank online CITY OF GOLDEN VALLEY (MN) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

4d Aordable Housing Program-Application Page 1 of 2 (City of Golden Valley)

On average this form takes 7 minutes to complete

The 4d Aordable Housing Program-Application Page 1 of 2 (City of Golden Valley) form is 2 pages long and contains:

  • 0 signatures
  • 3 check-boxes
  • 27 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Golden Valley

BROWSE CITY OF GOLDEN VALLEY (MN) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
4d Aordable Housing Program-Application Page 1 of 2
Completing this application does not automatically qualify your property for the 4d, or Low Income Rental Classification (LIRC) tax status in
Minnesota. Upon review and approval of your application, the City will submit the required documentation to Minnesota Housing for final
approval and award potential grant dollars. The application must be filled out completely. Incomplete information may result in processing
delay or rejection of the application.
Applications must be received no later than Sat, Feb 29, 2020, to be considered by the City and to leave time for submission to Minnesota
Housing.
Property & Owner Information
Minnesota Housing D# (if applicable) Ownership entity name or name of property owner (first, middle, last)
Property owner’s mailing address (street address or PO box) City State Zip
Name of eligible property (project)
Primary address of eligible property (street address) City State Zip
Primary phone Primary email
County PIDS
List the county parcel ID numbers (PIDs) and parcel addresses that identify the primary address above. If there are more than two PIDs, list
any additional PIDs and addresses on a separate sheet and attach it to this application. If you are unsure of your property’s PID, you can
find it through the county website here: www.hennepin.us/residents/property/property-information-search.
PID Address City State Zip
PID Address City State Zip
Qualification For 4d (LIRC) Status
Selected applicants will qualify for Low Income Rental Classification (LIRC) status in Minnesota by:
1. Signing a participation agreement with the City of Golden Valley
2. Recording a 10-year aordability declaration against the property eective late March 2020, expiring late
March 2030
Initial below if you agree to:
_________ sign a participation agreement and declaration against your property in accordance with the
Program Guidelines
_________ authorize the City of Golden Valley to submit the recorded participation agreement and signed
declaration to Minnesota Housing with your LIRC application
1/14/2020
continued
Physical Development Department-Planning | 7800 Golden Valley Road, Golden Valley, MN 55427
763-593-8055 | FAX: 763-593-8109 | TTY: 763-593-3968 | www.goldenvalleymn.gov
Data Practices Advisory
The City of Golden Valley will use the data you supply in this application to assess your qualifications for the Golden Valley 4d
Aordable Housing Program. If you provide the requested data, some or all of the data will become public under the Minnesota
Government Data Practices Act (MGDPA). This data is not legally required, but the City will not be able to process or approve your
application without it. Pursuant to Minn. Stat. § 13.59, the following information is private or non-public information when provided for
the purpose of determining eligibility of a property for class 4d: individual income information and lease information. The data you
supply may be shared upon court order or provided to the state or legislative auditor.
Certification
I certify that the above information is accurate to the best of my knowledge and that it will be used by the City of Golden Valley as part of
my property’s or properties’ LIRC tax classification application.
Signature
X
Date
Attachments
The following documentation should be attached with this application in order to move forward with Minnesota Housing’s LIRC
Application, which the city will complete on behalf of the property owner, in addition to covering the first year’s application fee (up to $150):
☐☐ Signed Participation Agreement
☐☐ Signed Aordability Declaration
☐☐ Rent Roll*
*You must include a rent roll for any units at your property you wish to have designated under the 4d tax status. The rent roll should
show the current rents for the designated aordable units.
4d Aordable Housing Program Application Page 2 of 2
This document is available in alternate formats upon a 72-hour request. Please call 763-593-8006
(TTY: 763-593-3968) to make a request. Examples of alternate formats may include large print,
electronic, Braille, audiocassette, etc.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

4d Aordable Housing Program-Application Page 1 of 2 (City of Golden Valley)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 3 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document