Revised 11/1/2018
For Calendar Year Ending 12/31/2019
NEW JERSEY HOUSING AND MORTGAGE FINANCE AGENCY
LOW INCOME HOUSING TAX CREDIT
ANNUAL PROJECT CERTIFICATION
for
Projects with Social Service Models
This property, in receiving its allocation of low income tax credits, was selected in part due to the
commitment on the part of the owner to provide social service programs for the tenants. As part of
NJHMFA monitoring, we are requesting the owner to complete and submit the following information:
LITC #:
Project Name:
Project Address:
Credit Year: Number of Required Services:
Attach the following information:
a. Job description for onsite service coordinator (if applicable)
b. Number of hours per week on-site service coordinator works (if applicable)
c. Monthly newsletters/calendar of events (please include at least 3 monthly newsletters/calendars)
Check the following services being provided to the residents:
After School Programs Adult Day Care
Health Promotion Programs Health Care Services/Treatment, Follow-Up
Job Training Personal Care/Housekeeping
Meals Program Transportation
Financial Management Training/ Counseling Computer literacy
Social Services Coordinator (at least 20 hours per week)
Other (specify):
For each of the services being provided to the residents, attach the following information and include any
supporting documentation such as flyers and sign-sheets:
a. Name of organization that provides this service
b. Cost of the service and who pays for service (tenant-paid, free of charge, etc.)
c. Frequency of the service being provided
d. Number of residents that are served at the frequency of service being provided (monthly,quarterly, etc.)
Please be aware that all information provided is required for NJHMFA LIHTC monitoring and is strictly
confidential. Copies of contracts with Social Service Providers must be maintained along with other
project records and must be furnished upon request by NJHMFA. During the on-site visit, NJHMFA
personnel may wish to review files in regard to services and speak to various participants regarding the
social services components of the project.
NOTE: Failure to comply with the social service/special needs requirements of the application is grounds
for a determination of noncompliance.
Owner’s Signature: _______________________________ Date: ______________________
Print Name and Title ____________________________________________________________
